王麗 糜相明 田婷婷

[摘要] 目的 探究微信在神經外科護理工作中的臨床價值。方法 在2013年1月—2014年12月和2015年1月—2016年12月2個時間段內分別隨機選取濟寧醫學院附屬醫院神經外科收治的患者150例，命為A組和B組，A組用傳統口頭傳遞信息方式，B組選擇微信傳遞信息方式，分別比較兩組患者對護理措施的執行率、信息掌握率、工作完成率、不良事件發生率等。結果 B組患者在護理質量、重點工作完成度、改進措施執行、重要信息知曉等方面評分都明顯高于A組患者，差異有統計學意義（P<0.05）。并且B組只有2例患者在住院期間出現非計劃性拔管，而A組患者出現皮炎1例、非計劃性拔管3例、患者走失2例，兩組患者在不良事件方面對比也差異有統計學意義（P<0.05）。結論 微信信息傳遞方式對神外護理工作具有重要的應用價值，值得臨床推廣。

[關鍵詞] 微信；信息傳遞；神經外科；護理管理

[中圖分類號] R473 [文獻標識碼] A [文章編號] 1672-5654（2018）01（c）-0023-02

Research on Application Value of Wechat Information Pass in the Nursing Management in the Department of Neurosurgery

WANG Li1，MI Xiang-ming2，TIAN Ting-ting1

1.Department of Neurosurgery， Affiliated Hospital of Jining Medical College， Jining， Shandong Province， 272000 China； 2.Department of Neurosurgery， Jining First Peoples Hospital， Jining， Shandong Province， 272000 China

[Abstract] Objective To study the application value of wechat information pass in the nursing management in the department of neurosurgery. Methods 150 cases of patients in Department of Neurosurgery Affiliated Jining Medical College January 2013 to December 2014 and January 2015 to December 2016 were randomly selected as the group A and group B， and the group A adopted the traditional oral information pass method， while the group B adopted the wechat information pass method， and the executive rate of nursing measures， mastery rate of information， job completion rate and incidence rate of adverse events were compared between the two groups. Results The nursing quality， completion degree of key work， execution of improvement measures and awareness of important information in the group B were obviously higher than those in the group A， and the differences were obvious（P<0.05）， and in the group B， only 2 cases were with unplanned extubation during the hospitalization， and in the group A， there was 1 case with dermatitis， 3 cases with unplanned extubation and 2 missing cases， and the difference in the incidence rate of adverse events was obvious（P<0.05）. Conclusion The application value of wechat information pass method in the nursing work in the department of neurosurgery is very important， and it is worth clinical promotion.

[Key words] Wechat； Information pass； Department of neurosurgery； Nursing management

護理是臨床中的一個重要崗位，對醫療工作的順利進行以及服務質量的提升具有重要作用[1]。隨著我國經濟的飛速發展，臨床護理管理理念也在不斷變化，管理模式不斷地從傳統口述過渡到信息傳遞，極大地提高了護理管理的效率，目前微信是應用最廣泛的工具，各大行業均有體現[2]。該研究在2013年1月—2014年12月和2015年1月—2016年12月收治的患者中分別抽取150例患者為例，探究微信在神經外科護理工作中的臨床價值，現總結如下。