微信平台护理管理对慢性乙型肝炎合并妊娠晚期患者负面情绪和生活质量的影响

Effect of WeChat platform-based nursing care on negative emotion and quality of life in women with chronic hepatitis B during late pregnancy

目的观察微信平台护理管理对慢性乙型肝炎(chroni c hepatitis B,CHB)合并妊娠晚期患者负面情绪和生活质量的影响.方法选取2015-02/2017-02在浙江省义乌市中心医院产科住院的90例CHB合并妊娠晚期患者,采用随机数字表法分为对照组和观察组各45例.对照组予以常规护理,观察组在对照组常规护理基础上采用微信平台护理.观察2组患者负面情绪和生活质量的变化情况.结果与干预前比较,2组焦虑自评量表、抑郁自评量表评分均降低(P<0.05),且微信平台干预后观察组评分分别为35.7分±4.8分和36.2分±4.9分,均明显低于对照组(P<0.05).与干预前比较,2组生活质量如躯体功能评分、心理功能评分、社会功能评分及物质功能评分均升高(P<0.05);且微信平台干预后观察组各量表评分均明显高于对照组(P<0.05).结论通过微信平台进行护理管理能降低CHB合并妊娠晚期患者负面情绪和提高患者生活质量,值得临床推广应用.

AIM To observe the effect of WeChat platform-based nursing care on negative emotion and quality of life in women with chronic hepatitis B （CHB） during late pregnancy METHODS Ninety women with CHB combined during late pregnancy treated at our hospital from February 2015 to February 2017 were randomly divided into a control group and an observation group （n = 45, each）. Both groups were given routine care, and the observation group was additionally given WeChat platform-based nursing care. The changes in negative emotion and quality of life were observed and compared in the two groups. RESULTS Compared with pre-intervention values, the scores of Self-rating Anxiety Scale and Self-rating Depression Scale in both groups were reduced （P 〈 0.05）, and the decrease was more significant in the observation group than in the control group （P 〈 0.05）. In comparison with pre- intervention values, the quality of life was improved in both groups （P 〈 0.05） with regard to physical function score, psychological function score, social function score, and physical function score, and the improvement was more significant in the observation group than in the control group （P 〈 0.05）. CONCLUSION WeChat platform-based nursing care can reduce negative emotion and improve the quality of life of patients with CHB during late pregnancy.