云随访平台在老年胃癌患者延续护理中的应用

Application of cloud follow-up platform in transitional nursing of elderly patients with gastric cancer

目的探讨云随访平台在老年胃癌延续性护理中的应用价值。方法采用便利抽样法,选取2016年4月—2018年4月郑州大学第一附属医院收治的108例老年胃癌根治术后患者为研究对象,按照随机信封法划分为观察组和对照组,各54例。对照组患者接受常规随访护理,观察组患者基于云随访平台进行延续护理,持续干预12个月。采用癌症患者生命质量测定量表(EORTC QLQ-C30)、Herth希望量表、一般自我效能感量表、韧性量表(RS-14)测评干预效果。结果干预后,观察组EORTC QLQ-C30总体健康状况得分(87.35±15.84)分,Herth希望量表总分(44.93±4.19)分,一般自我效能感量表得分(31.37±2.80)分,韧性量表RS-14得分(69.06±8.43)分,均高于对照组,差异有统计学意义(P<0.05)。结论云随访平台有助于提升老年胃癌根治术后患者生活质量、希望水平、自我效能感和韧性水平。

Objective To explore the application value of cloud follow-up platform in transitional nursing of elderly patients with gastric cancer.Methods By the convenient sampling method,a total of 108 elderly patients who underwent radical gastrectomy in the First Affiliated Hospital of Zhengzhou University from April 2016 to April 2018 after radical gastrectomy were selected as the research objects.According to the random envelope method,they were divided into the observation group and the control group,with 54 cases in each group.Patients in the control group were given routine follow-up nursing while patients in the observation group were given transitional nursing bases on the cloud follow-up platform and the intervention lasted for 12 months.The Europe Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30(EORTC QLQ-C30),Herth Hope Index,General Self-Efficacy Scale and 14-Item Resilience Scale(RS-14)were used to evaluate intervention effects.Results After intervention,the overall health status score of EORTC QLQ-C30 was(87.35±15.84),Herth Hope Index was(44.93±4.19),General Self-Efficacy Scale score was(31.37±2.80)and RS-14 score was(69.06±8.43)in the observation group,which were all higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusions Cloud follow-up platform is helpful to improve the quality of life,hope level,sense of self-efficacy and resilience level of elderly patients with gastric cancer after radical gastrectomy.