微信延续护理在甲状腺癌131I治疗中的效果

Effects of WeChat Extended Nursing in 131I Treatment of Thyroid Cancer

目的分析微信延续护理干预在甲状腺癌131I治疗中的应用效果,为优化护理工作提供研究依据。方法选取2017年6月-2019年6月本院收治的180例分化型甲状腺癌(DTC)患者,将其随机分为研究组和对照组,每组90例。对照组患者在出院时给予常规护理指导,研究组患者在常规护理指导的基础上利用微信给予延伸护理干预,连续干预6个月。对两组患者的出院时和出院后6个月时的焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、癌症自我管理效能量表评分及131I治疗并发症的发生率进行观察和对比。结果在出院后6个月时,研究组患者的SAS评分、SDS评分低于对照组,癌症自我管理效能量表评分高于对照组,在131I治疗期间,研究组患者的并发症总发生率低于对照组,差异均有统计学意义(P <0.05)。结论在DTC患者术后131I治疗期间给予微信延伸护理干预,可缓解负性情绪、提高自我管理效能、减少治疗并发症,有助于确保治疗效果、提高生活质量。

Objective To analyze the effects of WeChat extended nursing interventions in 131I treatment of thyroid cancer to provide research basis for optimizing nursing work.Methods From June 2017 to June 2019,180 patients with differentiated thyroid cancer(DTC)in our hospital were selected and randomly divided into the study group and the control group.The patients in the control group were treated with the routine nursing guidance at discharge,while the patients in the study group were treated with extended nursing interventions by WeChat on the basis of the routine nursing guidance for 6 months.The self-rating anxiety scale(SAS),the self-rating depression scale(SDS),the selfmanagement efficacy scale for cancer and the incidence of the complications during 131I treatment were observed and compared between the patients in the two groups.Results At the end of 6 months after discharge,the SAS score and SDS score of the patients in the study group were lower than those in the control group,and the self-management efficacy scale score for cancer were higher than those in the control group.During the 131I treatment,the overall incidence of complications of the patients in the study group was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusions The application of extended nursing interventions by WeChat during 131I treatment to the patients with DTC can relieve negative emotions,improve self-management efficiency,reduce complications of treatment,which help to ensure the treatment effects and improve the quality of life.