摘要
目的探讨微信平台延续性护理干预对癌痛患者康复效果和预后的影响。方法采用便利抽样法,选取2016年4月-2017年6月在上海交通大学附属第六人民医院治疗的中重度癌痛患者206例,随机分为两组,对照组(n=100)出院后每周进行常规电话随访,试验组(n=106)通过建立专业的微信护理团队及相关微信群,提供出院后的延续护理。出院3周后,采用疼痛数字评分表(NRS)、医院焦虑抑郁量表(HADS)、癌症患者生活质量通用评分表(FACT—G)和患者满意度调查表评估患者疼痛缓解情况,生活质量,焦虑、抑郁情绪及满意度,比较两组干预效果。结果出院3周后,试验组无痛患者占69.81%,对照组占48.00%,两组疼痛程度比较差异有统计学意义(Z=66.300,P〈0.01);试验组患者FACT—G量表中生理状况、社交能力及家庭情况、情绪状态、功能状况得分均高于于对照组,差异有统计学意义(T值分别为7.629、8.006、14.113、10.661;P〈0.01);出院3周后试验组焦虑、抑郁症状呈阴性的患者分别为89、99例,均多于对照组(χ2值分别为6.563、22.085;P〈0.05);试验组患者对回访方式满意度95.3%,对照组为28.0%,差异有统计学意义(χ2=99.518,P〈0.01)。结论借助微信平台媒介对癌痛患者进行延续性护理干预后,能够有效减轻患者疼痛,提高患者的生活质量和满意度,促进患者康复并改善患者的心理状态,从而改善患者预后,具有临床应用价值。
Objective To explore the effects of continuing nursing based on WeChat platform on rehabilitation and prognosis in patients with cancer pain. Methods From April 2016 to June 2017, a total of 206 patients with moderate to severe cancer pain at Sixth People's Hospital Affiliated to Shanghai Jiao Tong University were selected by convenience sampling. All of the patients were randomly divided into control group (n=100) and experimental group (n=106). Patients of control group accepted routine telephone follow-up weekly after discharge. Patients of experimental group were treated with continuing nursing after discharge by establishing professional WeChat nursing team and WeChat group. Three weeks after discharge, patients'relief of pain, life quality, anxiety, depression and satisfaction degree were assessed with the Numerical Rating Scale (NRS), Hospital Anxiety and Depression Scale (HADS), Functional Assessment of Cancer Therapy-Generic Scale (FACT-G) and patients satisfaction questionnaire so as to compare the intervention effects. Results Three weeks after discharge, there were 69.81% of patients with painless in experimental group and 48.00% in control group with a significant difference (Z=66.300, P 〈 0.01). The scores of physiological condition, social acceptability, family situation, emotional state and functional status of FACT-G of patients in experimental group were higher than those in control group with significant differences (t=7.629, 8.006, 14.113, 10.661; P 〈 0.01). There were 89 patients with negative results in anxiety and 99 patients with negative results in depression in experimental group significantly more than those in control group three weeks after discharge ( χ2=6-563, 22.085 ; P 〈 0.05). There was a significant difference in satisfaction with ways of return visits between experimental group (95.3%) and control group (28.0%) ( χ 2=99.518, P 〈 0.01). Conclusions The continuing nursing based on WeChat platform for patients with cancer pain can effectively alleviate patients' pain, improve patients' life quality, satisfaction, rehabilitation and mental state so as to improve patients' prognosis. It has clinical application value.
作者
沈惠
王琼
Shen Hui;Wang Qiong(Medical Oncology, Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200233, Chin)
出处
《中华现代护理杂志》
2018年第17期2074-2078,共5页
Chinese Journal of Modern Nursing
基金
上海市第六人民医院院级科学研究项目(院内-1746)
关键词
疼痛
肿瘤
预后
微信平台
延续性护理
Pain
Neoplasms
Prognosis
WeChat platform
Continuing nursing