目的探索微信干预对经外周静脉穿刺中心静脉置管(PICC)患者延续护理中自我管理执行能力的影响。方法 70例PICC化疗后带管居家护理患者为研究对象,随机分为试验组与对照组,各35例。试验组利用微信实施延续护理,对照组给予传统出院指导,3个月后比较两组患者并发症发生情况和干预前后自我管理能力。结果干预前,两组患者各项自我管理能力评分比较差异无统计学意义(P>0.05);干预后,两组各项自我管理能力评分均较干预前明显改善,且试验组明显优于对照组,差异均具有统计学意义(P<0.05)。试验组患者并发症发生率为5.71%,明显低于对照组的25.71%,差异具有统计学意义(χ2=5.29,P<0.05)。结论微信干预在PICC患者延续护理中可显著提高患者自我管理能力,有效预防并发症发生,促进其院外康复,值得推广。 Objective To explore the impact of WeChat intervention on the self-management ability of continuous PICC patients undergoing peripheral venous catheterization. Methods Seventy patients with home-care in hospital with PICC after chemotherapy were randomly divided into test group and control group, with 35 cases in each group. The experimental group used WeChat to carry out continuous nursing, while the control group received traditional discharge guidance. After 3 months, comparisons were made between the two groups and the self-management ability before and after intervention. Results Before the intervention, there was no significant difference between the two groups in self-management ability scores (P> 0.05); after the intervention, the self-management ability scores of both groups were significantly improved compared with that before intervention, and the experimental group was significantly better than the control Group, the differences were statistically significant (P <0.05). The incidence of complications in the experimental group was 5.71%, which was significantly lower than that in the control group (25.71%), the difference was statistically significant (χ2 = 5.29, P <0.05). Conclusion WeChat intervention can significantly improve patients ’self-management ability in PICC patients’ continuous nursing care, effectively prevent complications and promote their rehabilitation outside the hospital, which is worthy of promotion.