Snyder希望理论结合微信平台在喉癌病人术后康复中的应用效果

Application effect of Snyder′s hope theory combined with WeChat platform on postoperative rehabilitation of patients with laryngeal cancer

[目的]探讨Snyder希望理论结合微信平台在喉癌病人术后管理过程中的临床效果及疗效评价。[方法]选择2016年1月—2017年6月在我院耳鼻喉科诊治且随访资料完整的72例喉癌病人作为研究对象,随机分为干预组36例和对照组36例,对照组实施常规健康宣教及定期随访,干预组在微信平台下实施Snyder希望理论的康复护理。干预前及干预后(出院后2个月)观察两组Herth希望量表(HHI)、自我护理能力测定量表(ESCA)及生活质量量表(QLICP-HN)得分并进行效果评价。[结果]干预前,两组HHI、ESCA及QLICP-HN评分比较差异均无统计学意义(P>0.05);干预后,两组HHI、ESCA评分及QLICP-HN评分均改善明显,干预组HHI评分、ESCA评分及QLICP-HN评分与对照组比较差异均有统计学意义(P<0.05)。[结论]基于Snyder希望理论与微信平台制定的护理措施可以提高喉癌病人术后的希望水平,提升病人康复锻炼的依从性、自我管理效能,改善生活质量。

Objective:To explore the evaluation on clinical effect and efficacy of Snyder′s hope theory combined with WeChat platform on postoperative management of laryngeal cancer patients.Methods:A total of 72 cases of laryngeal cancer patients diagnosed and treated in otolaryngology department in our hospital from January 2016 to June 2017 with complete follow-up data were selected as the study subjects,and were randomly divided into the intervention group(36 cases)and the control group(36 cases).The control group received routine health education and regular follow-up,and the intervention group received rehabilitation nursing based on Snyder′s hope theory under the WeChat platform.The Herth Hope Index(HHI),Exercise of Self-care Agency Scale(ESCA)and Quality of Life Instruments for Cancer Patient-Head and Neck Cancer(QLICP-NC)scores of the two groups were observed before and after the intervention(2 months after discharge),and the effect was evaluated.Results:Before intervention,there was no statistically significant difference in HHI,ESCA and QLICP-NC scores between the two groups(P>0.05).After the intervention,HHI,ESCA and QLICP-NC scores of the two groups were significantly improved,and the HHI,ESCA and QLICP-NC scores of the intervention group were significantly different from those of the control group(P<0.05).Conclusion:Nursing measures based on Snyder′s hope theory and the WeChat platform could improve the postoperative hope level of patients with laryngeal cancer,improve the compliance of patients with rehabilitation exercise,self-management efficiency,and improve the quality of life.