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Objective:To study the application of establishing WeChat group combined with PBL teaching mode in the practice of pediatric orthopaedics.Methods:The study was conducted among 36 postgraduates of "5+3" pediatrics and 22 postgraduates of orthopedic surgery of Batch 2012 who had practice in Department of Orthopaedics, Children's Hospital of Chongqing Medical University from September 2018 to August 2019, and they were randomized into control group and experimental group, with 29 students in each group. The control group was taught by traditional PBL mode, while the experimental group was taught by WeChat group combined with PBL mode. At the time of leaving the department, the two groups were assessed by theoretical knowledge, practical operation and questionnaire satisfaction, thus evaluating the teaching effects. The SPSS 23.0 was used to conduct t test and chi-square test. Results:The average scores of theoretical knowledge test (91.28±2.89) and practical operation test (87.44±2.94) in the experimental group were significantly higher than those in the control group (87.39±3.53) and (79.06±3.84), with statistically significant differences ( P<0.05). In the survey of teaching satisfaction, the experimental group[96.55%(27/29)] was significantly higher than the control group[61.90%(21/29)], with statistically significant differences ( P<0.05). Conclusion:The establishment of WeChat group and the combination of PBL teaching model can significantly improve the teaching effect and students' satisfaction in the practice of pediatric orthopaedics, which is worthy of further promotion and application.
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Objective:To observe the application effect of the multi-disciplinary team (MDT) process and program supported by WeChat group in the perioperative period of secondary hyperparathyroidism (SHPT) .Methods:A total of 80 SHPT patients who were hospitalized in Hunan Provincial People’s Hospital and Qidong County People’s Hospital from Jul. 2017 to Oct. 2019 were selected and divided into MDT group (40 cases) and control group (40 cases) according to the principle of complete randomization. In MDT group, there were 21 females and 19 males, aged (48.80±9.08) years old, ranging from 26 to 74 years; in the control group, there were 23 females and 17 males, aged (47.90±8.89) years old, ranging from 24 to 74 years. The control group were given a conventional treatment plan, and the MDT group were implemented with the WeChat MDT process on this basis. The perioperative preparation time, operation time, intraoperative blood loss, postoperative extubation time, and continuous full parathyroid were compared between the two groups. The levels of intact parathyroid hormone (iPTH) and blood calcium and phosphorus were compared with the postoperative complications and patient satisfaction in the two groups. The data in this study were analyzed using SPSS 23.0 statistical software.Results:The preoperative preparation time (4.35±1.12) d, operation time (130.00±32.58) min, intraoperative blood loss (15.75±7.89) ml, and postoperative extubation time (3.80±0.82) d in the MDT group were significantly lower than the preoperative preparation time of the control group (6.86±1.85) d, operation time (162.57±41.65) min, intraoperative blood loss (60.75±11.5) ml, postoperative extubation time (5.97±1.25) d ( P<0.05) 1 week after operation, the iPTH (20.86±1.52) pg/ml and blood calcium level (2.23±0.24) mmol/L of the MDT group were significantly lower than those of the control group (103.47±8.27) pg/ml and blood calcium level (2.87±0.21) mmol/L ( P<0.05) , meanwhile the blood phosphorus level of the MDT group (1.52±0.56) mmol/L was significantly higher than the blood phosphorus level of the control group (1.18±0.25) mmol/L ( P<0.05) . The number of complications in the MDT group (20 cases) was significantly lower than the number of complications in the control group (48 cases) ( P<0.05) ; and the satisfaction of treatment in the MDT group (100.00%) was significantly better than that of the control group (80.00%) ( P<0.05) . Conclusion:The WeChat MDT diagnosis and treatment process and treatment plan are safe and effective, which can effectively shorten the operation time, reduce the operation risk, reduce postoperative complications, and increase patient satisfaction. It can be further promoted in the clinic.
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Objective To explore the effect of WeChat group in nursing teaching in neurology department.Methods 159 cases of nursing undergraduate interns in Neurology Department were randomly divided into 2 groups.The control group used the traditional teaching method while the experimental group adopted WeChat group aided teaching management on the basis of traditional teaching methods,with effect evaluation after 5 weeks practice.SPSS 19.0 was used for chi-square test and t test.Results In both two groups of nursing students,scores of theory opera-tion were obviously improved (P＜0.05),and the experimental group theory results,operation ability and satisfaction were higher than the control group (P＜0.05),and the frequency of occurrence of adverse events was significantly lower than the control group (P＜0.05).Conclusion WeChat group is conducive to improv-ing the quality of nursing teaching as well as students' overall quality,which is worthy of further promotion.
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Objective: To explore the influence of WeChat group counseling on the knowledge and methods of breast-feeding of primiparas.Methods: 116 primiparas with spontaneous labor were divided into Wechat group(58 casses)and control group(58 cases).And primiparas of control group received traditional mean about health education of breastfeeding and primiparas of Wechat group received Wechat counseling on the basis of the traditional mean.The follow-up time of two groups was 3 month postpartum.The questionnaire survey was adopted to investigate the situation of primiparas at two time point,that they left hospital and the follow-up finished.And then the feeding status,the satisfaction of primiparas for the consulting education,life quality and compliance between the two groups were compared.Besides,the questionnaire about acquisition degree of knowledge were implemented to evaluate the difference of the two methods.Results: The ratio of exclusive breastfeeding of Wechat group was significantly higher than that of control group(x2=13.16,P＜0.5),and the satisfaction degree of Wechat group(96.55％)was better than that of control group(87.93％),and the scores of physiological function,role physical,physical pain,total level of health,activity,social function,emotional function and mental health of Wechat group were significantly better than that of control group(t=8.91,t=10.05,t=12.35,t=9.17,t=10.52,t=13.28,t=10.31,t=9.16,P＜0.05).The differences of three degrees of compliance between the two groups were significant(x2=8.13,x2=6.27,x2=12.05,P＜0.05).Besides,the questionnaire scores post intervention of health education of Wechat group was significantly higher than that of control group(t=8.92,P＜0.05).Conclusion: WeChat counseling has a significant effect on mastering the knowledge of breastfeeding for primipara,and it can promote the self-efficacy of breastfeeding of primipara.Therefore,it is worthy to be popularized and applied.
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This paper described the application of WeChat public platform and WeChat groups in hospital culture development.As proposed by the authors,WeChat can be used by the hospitals to strengthen media integration,cultivate medical personnel′s media literacy,improve the supervision mechanism of WeChat,take tide of the new media trend,and adhere to the cultural development,thus leading the reform and development of the hospital.