微信平台在乳腺癌术后延伸护理中的应用

Application of continued nursing based on WeC hat with breast cancer patients

目的探讨微信在乳腺癌术后延伸护理中的实施办法和效果。方法选取2015年2月至2016年1月在安徽省肿瘤医院治疗的乳腺癌病人172例,按照随机数字表法分为对照组和观察组,每组86例。对照组出院后给予健康教育,观察组在健康宣教基础上利用微信平台进行延伸护理,医护团队与病人互动,发布医疗科普,传播正能量,告知术后治疗、随访时间。比较两组病人康复知识掌握情况、肢体功能锻炼依从性、患肢锻炼效果。结果术后3个月复查时,观察组功能锻炼依从性、康复知识掌握情况、患肢锻炼效果均优于对照组(P<0.01)。回复病人提问651个,发布正面信息93条,预约床位,平均每人提前入院1 d,病人信任感和满意度提高。结论微信平台交流节约了医护患的时间;基于微信的延伸护理提高了病人肢体功能锻炼依从性及康复知识掌握度,增进了医护患互信。

Objective To study the methods and effects of continued nursuing based on WeChat in breast cancer patients after discharge.Methods 172 breast cancers patients involved from February 2015 to January 2016 in Anhui Provincial Cancer Hospital were divided into control group and observation group,with 86 case in each,according to random number table method.Patients in the control group were given routine health education after discharge,while patients in the observation group were given continued nursing based on WeChat.Medical workers answered patients questions,carried out health information and medical science popularization,remind the patients treatment time,share positive news,made bed appointment by the nurse-patient Wechat.At the time 3 months postoperative,exercise knowledge,and physical function exercise compliance and effects were compared.Results Physical function exercise compliance score,exercise knowledge in the observation group were higher than that in the control group(P<0.01).651 questions of patients were timely replied and 93 pieces of positive information were released.Patients’discharge time was before handed by one day and compliance and satisfaction were improved.Conclusions Continued nursing based on WeChat among nurses and patients provide a platform,which can save time and energy,improve limb function exercise complinance,improve degree of rehabilitation exercise knowledge,which can promote mutual trust of nurse-patients.