微信延续性营养干预对院外胃癌术后患者希望水平、生活质量及营养状态的影响

Effect of WeChat continuous nutritional intervention on the level of hope,quality of life,and nutritional status of patients after gastric cancer surgery outside the hospital

目的探究微信延续性营养干预对院外胃癌术后患者希望水平、生活质量及营养状态的影响。方法纳入海南省人民医院2017年1月至2020年1月收取的85例胃癌手术患者进行调查,采用电脑数字随机分组方式将其分为对照组(42例)和观察组(43例)。对照组采用常规护理,其中包含出院指导和随访记录,观察组则是在前者的基础之上应用微信延续性营养干预护理。采取希望量表和健康调查量表36评价两组出院时和出院3个月的希望水平、生活质量及并发症发生率。结果两组出院3个月积极态度、亲密关系、积极行动及总分高于出院时,且观察组高于对照组,差异有统计学意义(P<0.05)。两组出院3个月健康感觉、躯体感觉、社会融入、睡眠质量高于出院时,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论微信延续性营养干预,可在患者逐渐恢复胃肠道功能下,逐渐促进患者回归生活和社会,增强患者生活质量,对患者的治疗效果也有一定的帮助。

Objective To explore the influence of WeChat continuous nutritional intervention on the hope level,quality of life,and nutritional status of patients with external gastric cancer after surgery.Methods A total of 85 patients undergoing gastric cancer surgery collected from Hainan General Hospital from January 2017 to January 2020 were included in the survey,and they were divided into control group(42 cases)and observation group(43 cases)by computer-digital randomization.The control group used routine nursing care,which included discharge guidance and follow-up records,while the observation group used WeChat continuous nutrition intervention nursing on the basis of the former.The Herth hope index and the short form 36-item health survey were used to evaluate the hope level,quality of life,and complication rate of the two groups at discharge and three months after discharge.Results The positive attitude,intimacy,positive action,and total scores of the two groups were higher than those three months after discharge,while the observation group was higher than the control group,and the differences were statistically significant(P<0.05).The health feeling,physical sensation,social integration,and sleep quality of two groups were higher than those three months after discharge,while the observation group was higher than the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion WeChat continuous nutritional intervention can gradually promote the return of patients to life and society under the gradual restoration of gastrointestinal function,enhance the quality of life of patients,and also have certain help for the treatment effect of patients.