To explore the application effect of group-based instantaneous communication in the management of critical burned patients.

Critical burned patients admitted to the Senior Department of Burns and Plastic Surgery, Fourth Medical Center of Chinese PLA General Hospital from June 2016 to December 2021 were selected by cluster sampling. According to the inclusion and exclusion criteria, a total of 73 patients were included. The patients were divided into the control group (n=43) and the experimental group (n=30) based on odd-and even-day admissions. Patients in the control group were treated with medical activities according to the rules and regulations of Chinese PLA General Hospital, who adopted the three-level post examination system of attending physician responsibility system. In addition to the measures of the control group, the patients in the experimental group were treated with group instant communication management, that is, the group was established through wechat platform, and relevant information was sent and responded in real time. The condition management (frequency of condition report, time limit of condition report, time limit of condition management, and the number of instructions given by the attending physician), medical staff′s mastery rate of the patients′ condition, and patients′ outcome (intensive care time, incidence of complications, success rate of treatment) were compared between the two groups. The data were processed with t test, Mann-Whitney U test and chi-square test.

The frequency of condition report and the number of instructions given by the attending physician in the experimental group were 15.1(14.3, 17.1), 1.9(1.5, 2.7) times, respectively, which were higher than those in the control group [1.60(1.1, 2.9), 1.07(0.8, 1.4) times], the differences were statistically significant (Z=-36.421, -26.676; P< 0.05). The time limit of condition report and the time limit of condition management in the experimental group were 3.4(2.8, 4.1), 7.0(6.2, 7.7) min, respectively, which were lower than those in the control group [8.8(7.8, 9.3), 18.3(15.9, 20.6) min], the differences were statistically significant (Z=-35.698, -34.241; P< 0.05). The medical staff′s mastery rate of the patients′ condition in the experimental group was 86.7% (156/180), which was higher than that in the control group [20.9% (54/258)], the difference was statistically significant (χ²=30.801, P< 0.05). The intensive care time and the incidence of complications in the experimental group were (29.1±12.5) d, 3.3%(1/30), which were lower than those in the control group [(40.4±15.9) d, 23.3%(10/43)], and the differences were statistically significant (t=17.255, χ²=48.558; P< 0.05). The success rate of treatment in the experimental group was 96.7% (29/30), which was higher than that in the control group [83.7% (36/43)], and the difference was statistically significant (χ²=6.650, P=0.036).

Group-based instantaneous communication is conducive to the implementation of precise medical treatment and refined nursing care service, should shorten the time limit of condition report and the time limit of condition management of the critical burned patients, raise the medical staff′s mastery rate of the patients′ condition, shorten the intensive care time, reduce the incidence of complications and improving the successful rate. In addition, it can be helpful in the teaching and training for the younger healthcare professionals. Therefore, it is of great value to promote the application of group-based instantaneous communication in the management of critical burned patients.