Snyder希望理论结合微信平台的随访管理对胃癌手术患者术后自我管理行为、希望水平及生活质量的影响

Effect of Snyder’s hope theory combined with WeChat follow-up management on postoperative self-management behavior,hope level,and quality of life in patients with gastric cancer

目的研究Snyder希望理论结合微信平台的随访管理对胃癌手术患者术后自我管理行为、希望水平及生活质量的影响。方法将112例胃癌手术患者按术后管理方式的不同分为观察组(62例)和对照组(50例),对照组患者在术后接受常规管理和微信平台的随访管理,观察组在对照组基础上结合Snyder希望理论进行干预,两组均干预6个月,比较干预前后两组患者的自我管理行为量表(SMBS)、Herth希望量表(HHI)、健康状况调查简表(SF-36)评分;干预前后比较两组患者体重指数(BMI)、血红蛋白、血清总蛋白水平;观察两组胃癌患者术后并发症的发生情况。结果干预后,观察组患者SMSH、HHI、SF-36各维度得分及总分,BMI、血红蛋白、血清总蛋白水平均高于对照组,差异均有统计学意义(P﹤0.05)。干预期间,观察组患者疲倦乏力、营养不良发生率均低于对照组,差异均有统计学意义(P﹤0.05)。结论Snyder希望理论结合微信平台的随访管理对胃癌手术患者术后自我管理行为能力、希望水平、生活质量和营养状况产生积极影响,减少术后不良反应的发生,效果较好。

Objective To study the effect of Snyder’s hope theory combined with WeChat follow-up management on postoperative self-management behavior,hope level,and quality of life of patients with gastric cancer(GC).Method A total of 112 patients with GC were divided into observation group(62 cases)and control group(50 cases)according to varying postoperative management methods.The patients in the control group received routine management and followup management on the WeChat platform,while those in the observation group received the regimen following Snyder’s hope theory based on the intervention taken by the control group patients.The duration of the treatment lasted 6 months.The scores of self-management behavior scale(SMBS),Herth hope index(HHI),and the MOS item-short from health survey(SF-36)were compared between the two groups before and after the intervention.Body mass index(BMI),hemoglobin,and serum total protein levels were also compared between the two groups before and after the intervention.The postoperative complications of GC patients in the two groups were observed.Result After the intervention,the scores of each dimension and total scores of SMSH,HHI,SF-36,BMI,levels of hemoglobin and serum total protein in the observation group were all higher than those in the control group(P<0.05).During the intervention period,the incidences of fatigue and malnutrition in the observation group were lower than those in the control group(P<0.05).Conclusion Snyder’s hope theory combined with the follow-up management on the WeChat platform would generate a positive impact on the postoperative self-management behavior ability,hope level and quality of life,and nutritional status of GC patients.And this regimen would also reduce the risk of postoperative adverse events with a good performance.