基于微信的家庭延续性护理对食管癌术后吻合口狭窄的预防效果分析

Prevention effects of We Chat-based family continuous nursing on anastomotic stenosis after esophageal cancer surgery

目的:探究基于微信的家庭延续性护理对食管癌术后吻合口狭窄的预防效果。方法:将124例行食管癌根治术患者随机数字法分为微信组和常规组各62例。微信组患者予以微信化家庭延续性护理,常规组患者予以常规出院指导和电话随访。观察两组患者护理干预前后营养状况变化情况,比较健康知识掌握情况和术后吻合口狭窄率。结果:护理干预3个月后,两组患者血清白蛋白、Hb、总蛋白水平均较干预前升高,但微信组高于常规组(P<0.05);2组体质量较干预前增加,但微信组大于常规组(P<0.05)。微信组患者对安全用药、健康饮食、康复训练、并发症等知识的掌握情况优于常规组(P<0.05),术后吻合口狭窄率低于常规组(P<0.05)。结论:基于微信的家庭延续性护理可有效预防食管癌术后吻合口狭窄,并改善患者营养状况,增加健康知识。

Objective： To explore the preventive effects of We Chat-based family continuous nursing on anastomotic stenosis after esophageal cancer surgery. Methods： 124 cases of patients undergoing radical resection of esophageal cancer were divided into We Chat group and conventional group according to the computer random number method,with 62 cases in each group. We Chat group was treated with We Chat-based family continuous nursing,and conventional group was given routine discharge guidance and telephone follow-up. The changes of nutritional status before and after nursing intervention were observed in the two groups,and the mastery of health knowledge and postoperative anastomotic stenosis rate were compared. Results： After 3 months of nursing intervention,the levels of serum albumin,Hb and total protein in the two groups were higher than those before intervention,and the levels in We Chat group were higher than those in conventional group（ P〈0. 05）,and the body mass was increased compared with that before intervention,and the index in We Chat group was larger than that in conventional group（ P〈0. 05）. The knowledge mastery conditions of safe medication,healthy diet,rehabilitation training and complications in We Chat group were better than those in conventional group（ P〈0. 05）,and the postoperative anastomotic stenosis rate was lower than that in conventional group（ P〈0. 05）. Conclusion： We Col-based family continuous nursing can effectively prevent anastomotic stenosis after esophageal cancer surgery,improve the nutritional status and increase health knowledge.