基于微信平台的多学科管理对手烧伤患者瘢痕及手功能的影响
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女,本科,副主任护师

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郑州市医疗卫生领域科技创新指导计划项目(2024YLZDJH127)


Effectiveness of WeChat-based multidisciplinary team-driven continuity of rehabilitation services on scar outcome and hand function in hand burns patients
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    摘要:

    目的 探讨基于微信平台的多学科团队延续性康复管理对手烧伤患者瘢痕及手功能的影响,促进手烧伤患者的康复。方法 将88例深Ⅱ度至Ⅲ度手烧伤患者按照入院时间分为对照组与观察组各44例。对照组采用常规延续性康复管理,观察组基于微信平台实施多学科团队延续性康复管理。分别在创面愈合时及愈合后4周、12周、24周,通过温哥华瘢痕量表、手指关节总活动度及Carroll上肢功能测试进行评价。结果 两组均有40例完成研究。创面愈合后4周、12周和24周,观察组瘢痕评分显著低于对照组,手指关节总活动度及上肢功能测试评分显著高于对照组(均P<0.05)。结论 基于微信平台的多学科团队延续性康复管理能改善手烧伤患者的瘢痕情况,提高患者手功能和上肢功能,对患者的康复具有积极促进作用。

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    Objective To explore the effectiveness of WeChat-based multidisciplinary team-driven continuity of rehabilitation services on scar outcome and recovery of hand function in hand burns patients, and to promote recovery of patients. Methods Eighty-eight patients with deep second- or third-degree hand burns were assigned to a control group or an observation group chronologically, with 44 cases in each group, receiving either conventional or WeChat-based multidisciplinary team-driven continuity of rehabilitation services. Intervention effect was measured when wound healing was achieved and at 4, 12, and 24 weeks post-healing using the Vancouver Scar Scale (VSS), Total Active Movement (TAM) of the finger, and the Carroll Upper Extremity Function Test (UEFT). Results Forty patients in both groups completed the study. At 4, 12, and 24 weeks post-healing, the observation group demonstrated significantly lower scar scores, greater TAM, and higher UEFT scores compared to the control group (all P<0.05). Conclusion WeChat-based multidisciplinary team-driven continuity of rehabilitation services can improve scar outcome, hand and upper extremity function of hand burns patients.

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杨爱玲,弓辰,郑嫚,乔平,屈要萍,周煜,郑毛沙,张萌,孙银平,施雪曼.基于微信平台的多学科管理对手烧伤患者瘢痕及手功能的影响[J].护理学杂志,2025,(14):92-95,104

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  • 收稿日期:2025-01-08
  • 最后修改日期:2025-03-06
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  • 在线发布日期: 2025-08-13