患者互助平台在结直肠癌造口患者中的运用

Peer-assistance Platform and Effect Evaluation Based on WeChat in Patients for Colorectal Cancer Stoma

目的探讨基于微信的患者互助平台在结直肠癌造口患者中的护理效果。方法选择2016年5月-2019年5月治疗的结直肠癌造口患者82例作为对象,随机数字表分为对照组(n=41)和观察组(n=41)。对照组给予常规护理管理,观察组采用基于微信的患者互助平台进行管理,两组均进行3个月管理,比较两组自我效能、生活质量、并发症发生率及知晓率。结果观察组护理3个月后健康知识水平(29.41±3.41)分、自我责任感(21.49±2.54)分、自我概念(32.39±2.74)分及自我护理技能评分(40.29±4.73)分,均高于对照组(t=6.783、8.325、12.194、6.893,P<0.001);除社会关系领域外,观察组护理3个月后生活质量各项评分分别为(23.12±3.58)、(10.48±1.43)、(23.12±1.43)、(17.63±2.74)分,均高于对照组(P<0.05);观察组护理后造口周围皮炎(2.44%)、造口回缩(0.00%)、造口旁疝(2.44%)、造口狭窄(0.00%)及造口脱垂(0.00%)发生率,均低于对照组(P=0.042、0.039、0.027、0.021、0.017);观察组护理3个月后日常饮食(92.68%)、功能锻炼(90.24%)、皮肤护理(95.12%)、并发症预防(97.56%)及造口功能判断知晓率(95.12%),均高于对照组(P=0.039、0.014、0.032、0.048、0.011)。结论基于微信的患者互助平台用于结直肠癌造口患者中有助于提高患者自我效能、生活质量及知晓率,能降低患者术后并发症发生率,值得推广应用。

Objective To explore the nursing effect of peer-assistance platform based on WeChat in patients for colorectal cancer stoma.Methods A total of 82 patients for colorectal cancer stoma treated from May 2016 to May 2019 were enrolled and divided into the control group(n=41)and the observation group(n=41)based on the randomized table.The control group was given routine nursing management.The observation group was managed by peer-assistance platform based on WeChat.Both groups were administered for 3 months.The self-efficacy,quality of life,complication rate and awareness rate were compared between the two groups.Results The health knowledge level(29.41±3.41),self-responsibility(21.49±2.54),self-concept(32.39±2.74)and self-care skill score(40.29±4.73)observed in the observation groupwere higher than those in the control group(P<0.001);In addition to social relations,the quality of life scores of the observation group 3 months after care were(23.12±3.58,10.48±1.43,23.12±1.43,17.63±2.74)points respectively,higher than those of the control group(P<0.05);The incidences of post-treatment ostomy around the stoma(2.44%),stoma retraction(0.00%),parastomal hernia(2.44%),stoma stenosis(0.00%)and stoma prolapse(0.00%)in the observation group were lower than those in the control group(P=0.042,0.039,0.027,0.021,0.017);daily diet(92.68%),functional exercise(90.24%),skin care(95.12%),prevention of complications(97.56%)and the awareness rate of mouth function judgment(95.12%)were higher than those of the control group(P=0.039,0.014,0.032,0.048,0.011).Conclusion Peer-assistance platform based on WeChat for patients for colorectal cancer stoma can improve patients'self-efficacy,quality of life and awareness rate,and can reduce the incidence of postoperative complications.It is worthy of popularization and application.