微信平台教育在前列腺癌患者术后的干预研究

Intervention of Wechat platform-based nursing care for discharged patients with prostate cancer after surgery

目的观察微信平台的建立对前列腺癌患者术后出院延续护理的干预效果。方法选取2017年1月至2018年12月海口市人民医院收治的前列腺癌患者120例,按照随机数字法分成对照组和观察组,每组60例。对照组采用传统的健康宣教模式,观察组在常规健康宣教的基础上由护士利用微信平台信息支持对其出院后进行健康教育,建立微信群及远程视频,与患者进行互动并给予专业性督导。干预3个月,比较两组患者遵医行为依从性、自我管理效能及生活质量。结果观察组在按时服药(t=24.525,P<0.01)、定期锻炼(t=20.135,P<0.01)、科学饮食(t=22.282,P<0.01)、准时复诊(t=23.448,P<0.01)均优于对照组,差异有统计学意义。干预后,观察组患者在自我减压(t=-2.372,P=0.019)、自我决策(t=-6.444,P<0.01)、正性态度(t=-2.456,P=0.015)、自我管理效能总分(t=-3.112,P=0.002)均较对照组高,差异有统计学意义。干预后,观察组患者躯体功能(t=-4.503,P<0.01)、情感功能(t=-3.699,P<0.01)、社会功能(t=-5.382,P<0.01)、认知功能(t=-5.061,P<0.01)、角色功能(t=-3.731,P<0.01)、总体健康状况(t=-12.928,P<0.01)均高于对照组,差异有统计学意义。结论微信平台的建立可提高前列腺癌患者遵医行为及自我管理效能,改善患者的生活质量。

Objective To observe the intervention effect of Wechat platform-based nursing care for discharged patients with prostate cancer after surgery.Methods From January 2017 to December 2018,120 patients with prostate cancer who underwent surgery in Haikou People′s Hospital were selected and were evenly divided into two groups using random number table method.Patients in the control group received routine health education after being discharged,while those in the observation group also received Wechat platform-based nursing care via group chat and remote video for nurses to offer professional consultation for 3 months.The compliance,self-management efficiency and quality of life were assessed and compared between the two groups.Results The differences in the scores of medication compliance(t=24.525,P<0.01),routine physical exercise(t=20.135,P<0.01),scientific diet(t=22.282,P<0.01),and routine follow-up visit(t=23.448,P<0.01),self-decompression(t=-2.732,P=0.019),self-determination(t=-6.444,P<0.01),positive attitude(t=-2.456,P=0.015)and self-management(t=-3.112,P=0.002)were statistically significant between the two groups and all scores were much higher in the observation group than those in the control group.After the intervention,the scores of physical function(t=-4.503,P<0.01),emotional function(t=-3.699,P<0.01),social function(t=-5.382,P<0.01),cognitive function(t=-5.061,P<0.01),self recognition function(t=-3.731,P<0.01)and overall health(t=-12.928,P<0.01)were higher in the observation group than those in the control group,the differences were statically significant.Conclusions Wechat platform-based nursing care can improve the compliance behavior and self-management efficiency of discharged patients with prostate cancer after surgery,and improve the quality of life of patients.