微信平台延续护理对癌痛患者生活质量的影响

Influence of Wechat Platform Continuous Nursing on the Quality of Life of Cancer Patients

[目的]分析微信平台延续护理对癌痛患者生活质量、心理状况的影响.[方法]回顾性分析2016年7月至2019年7月本院收治的240例晚期肿瘤癌痛患者的临床资料,根据出院随访护理方式的不同将其分为观察组(微信平台延续性护理)和对照组(电话延续随访护理),每组120例.采用癌症病人生活质量评定量表(EORTC QLQ-C30)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、疼痛数字评定量表(NRS)进行测评.比较两组患者护理前后生活质量、焦虑抑郁、疼痛耐受程度.[结果]观察组患者躯体、角色、情绪、社会、认知功能维度评分高于对照组,疲倦、疼痛、恶心呕吐症状维度评分均低于对照组,差异有统计学意义(P<0.05).观察组呼吸困难、经济困难、失眠、食欲丧失、便秘、腹泻评分均低于对照组,差异有统计学意义(P<0.05).观察组轻度焦虑、中度焦虑、重度焦虑、抑郁发病率均低于对照组,差异有统计学意义(P<0.05).观察组N RS评分低于对照组,回访方式、健康教育满意率均高于对照组,差异有统计学意义(P<0.05).[结论]微信平台延续护理能够有效缓解癌痛患者的疼痛程度,提高癌痛患者的生活质量及其满意度.

[Objective]To analyze the influence of wechat platform continuous nursing on the quality of life and psycho-logical status of cancer pain patients.[Methods]The clinical data of 240 patients with advanced cancer pain admitted to our hospital from July 2016 to July 2019 were analyzed retrospectively.According to the different ways of follow up nursing after discharge,they were divided into observation group(wechat platform continuous nursing)and control group(telephone con-tinuous follow-up nursing),120 cases in each group.EORTC QLQ-C30,SAS,SDS and NRS were used to assess the quality of life of cancer patients.The quality of life,anxiety,depression and pain tolerance of the two groups were compared before and after nursing.[Results]The scores of body,role,emotion,society and cognitive function in the observation group were higher than those in the control group,and the scores of fatigue,pain,nausea and vomiting were lower than those in the con-trol group(P<0.05).The scores of dyspnea,economic difficulty,insomnia,loss of appetite,constipation and diarrhea in the observation group were lower than those in the control group(P<0.05).The incidence rate of mild anxiety,moderate anxiety,severe anxiety and depression in observation group was lower than that in control group,the difference was statisti-cally significant.The NRS score of the observation group was lower than that of the control group,and the satisfaction rate of return visit and health education was higher than that of the control group(P<0.05).[Conclusion]Wechat platform continu-ous nursing can effectively alleviate the pain of cancer pain patients,improve the quality of life and satisfaction of cancer pain patients.