目的 探讨运用微信对强直性脊柱炎出院患者进行延续护理的效果。方法 选择2013年1-12月在我科住院的80例强直性脊柱炎患者,分为2组,每组40例。实验组在常规出院健康宣教的基础上由微信延续护理小组成员利用微信对出院患者进行延续护理,对照组延用原来的出院健康宣教。比较两组患者3个月复查时的焦虑抑郁程度、服药及康复锻炼依从性、疗效（疼痛评分、晨僵时间、枕墙距、胸廓扩张度）等指标。结果 实验组患者3个月复查时,综合性医院焦虑、抑郁亚量表测评结果均明显优于对照组,差异有统计学意义（P〈0.05）;实验组服药、康复锻炼依从性优于对照组,疗效也好于对照组,差异有统计学意义（P〈0.05）。结论 运用微信对强直性脊柱炎患者进行延续护理的效果较好,值得推广。
Objective To evaluate the effectiveness of wechat-based transitional care in patients with ankylosing spondylitis. Methods Eighty patients with ankylosing spondylitis were divided into two groups,40 cases in each group. The patients in the two groups received routine discharge education. In addition,the patients in the experi- mental group received wechat-based transitional care for three months. The patients＇ anxiety,depression,medication and rehabilitation adherence,as well as the efficacy indexes such as pain,duration of mol3aing stiffness,the occiput- to-wall distance,and thoracic expansion at 3 months after discharge were compared between the two groups. Results Three months after discharge,the incidence of anxiety and depression in the experimental group was significantly lower than that in the control group（P〈0.05）;the medication and rehabilitation adherence and the curative effect index in the experimental group were significantly better than those in the control group（P〈0.05）. Conclusion Wechat-based transitional care achieves good effectiveness in patients with ankylosing spondylitis and is worthy of promotion.
Chinese Journal of Nursing