QQ群随访在鼻咽癌放疗出院患者健康教育中的应用

QQ group follow up of nursing education on patients with nasopharyngeal carcinoma after radiotherapy

目的探讨QQ群随访对降低出院后鼻咽癌放疗患者不良反应发生的作用。方法将2013年1-12月在本科室住院治疗的30例鼻咽癌患者设为对照组,将2014年1-12月在本科室住院治疗的30例鼻咽癌患者设为实验组,两组患者出院前实施健康教育指导,出院后对照组患者采用电话随访;实验组在对照组基础上,采用QQ群随访,时间1年,观察干预前后两组患者不良反应发生情况。结果干预后,实验组患者放疗不良反应发生率低于对照组,差异均有统计学意义（均P〈0.05）。结论实施QQ群随访可降低出院后鼻咽癌放疗患者不良反应的发生。

Objective To investigate the role of the QQ group follow up of nursing education on patients with nasopharyngeal carcinoma after radiotherapy in patients after they discharged. Methods Thirty patients with nasopharyngeal carcinoma hospitalized from January to December 2013 in our department were set as control group and another 30 patients with NPC hospitalized from January to December 2014 in our department were assined to in the experiment group. Patients of two group received health education before discharge. The controls were followed up on phone and the experimental group received QQ group follow up of education for one year, besides phone follow-up. The two groups were compared in terms of incidence of adverse reactions one year after discharge.Results One year after discharge, the incidences of side effects in the experiment group were lowered than those in the control group, and the differences were siguificant difference（ all P〈 0. 05）. Conclusion The QQ group follow up of nursing education can reduce the incidence of adverse reactions by radiotherapy after discharge.