微信式延续护理对直肠癌术后化疗患者生命质量及身心健康的影响

Effects of Wechat continuous nursing on the quality of life and physical and mental health of patients with rectal cancer undergoing postoperative chemotherapy

目的探讨微信式延续护理对直肠癌术后化疗患者生命质量及身心健康的影响。方法选取2017年12月至2018年11月我院收治的直肠癌术后化疗患者84例,随机将其分为对照组与研究组,各42例。对照组给予常规护理,研究组给予微信式延续护理。比较两组患者护理前及护理后2个月的生命质量、护理依从性、护理前、后的身心健康及总体幸福感。结果护理前,两组患者的躯体功能、角色功能、认知功能、情绪功能及社会功能评分比较,差异无统计学意义(P>0.05);护理后2个月,研究组患者的躯体功能、角色功能、认知功能、情绪功能及社会功能评分均高于护理前和对照组(P<0.05)。研究组患者定期复查、服药、康复锻炼及饮食依从性评分均高于对照组(P<0.05)。护理前,两组患者的生理健康、心理健康、社会健康、GWB评分比较,差异无统计学意义(P>0.05);护理后,两组患者的生理健康、心理健康、社会健康、GWB评分均高于护理前,且研究组生理健康、心理健康、GWB评分均高于对照组(P<0.05)。结论直肠癌术后化疗患者采用微信式延续护理的效果理想,可改善患者的生命质量和身心健康,值得临床进一步推广应用。

Objective To investigate the effects of Wechat continuous nursing on the quality of life and physical and mental health of patients with rectal cancer undergoing postoperative chemotherapy. Methods From December 2017 to November 2018, 84 patients with rectal cancer undergoing postoperative chemotherapy admitted in our hospital were selected and randomly divided into control group and study group, with 42 cases in each group. The control group was given conventional nursing, and the study group was given Wechat continuous nursing. The quality of life before and at 2 months after nursing, nursing compliance, physical and mental health and general well-being before and after nursing were compared between the two groups. Results Before nursing, there were no significant differences in scores of physical function, role function, cognitive function, emotional function and social function between the two groups(P >0.05);at 2 months after nursing, the scores of physical function, role function, cognitive function, emotional function and social function in the study group were higher than those before nursing and in the control group(P<0.05). The compliance scores of regular reexamination, medication, rehabilitation exercise and diet in the study group were higher than those in the control group(P<0.05). Before nursing, there were no significant differences in the scores of physical health, mental health,social health and GWB between the two groups(P>0.05);after nursing, the scores of physical health, mental health, social health and GWB in the two groups were higher than those before nursing, and the scores of physical health, mental health and GWB in the study group were higher than those in the control group(P<0.05). Conclusion The Wechat continuous nursing in patients with rectal cancer undergoing postoperative chemotherapy has ideal effect, it can improve patients’ quality of life and physical and mental health, which is worthy of further promotion and application in clinic.