微信平台延续性护理在乳腺纤维腺瘤合并乳腺囊性增生患者院后护理中的效果观察

Effectiveness of WeChat platform continuing care in post-hospital care of patients with breast fibroadenoma combined with cystic hyperplasia of breast

目的探讨微信平台延续性护理在乳腺纤维腺瘤合并乳腺囊性增生患者院后护理中的效果观察。方法选取2019年2月—2020年8月在河南省某医院行局灶切除术的乳腺纤维腺瘤合并乳腺囊性增生患者97例为研究对象。采用随机数字表法将患者分为观察组(n=49)与对照组(n=48)。对照组患者出院后给予常规延续性护理,观察组患者出院后给予微信平台延续性护理。比较2组患者出院3个月复查时并发症发生情况、疾病知识掌握情况及护理满意度调查量表评分;比较2组患者出院时及出院3个月复查时汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分。结果观察组患者并发症发生率低于对照组,而疾病知识总掌握率高于对照组,差异均有统计学意义(P<0.05)。出院时,2组患者HAMA及HAMD评分比较,差异无统计学意义(P>0.05);出院3个月复查时,2组患者HAMA及HAMD评分均低于出院时,且观察组低于对照组,差异均有统计学意义(P<0.05)。观察组患者护理满意度调查量表中服务态度、操作技术、健康宣教、人文关怀条目得分均高于对照组,差异均有统计学意义(P<0.05)。结论微信平台延续性护理在行局灶切除术后乳腺纤维腺瘤合并乳腺囊性增生患者院后护理中的效果显著,能有效减少患者术后并发症发生率,改善患者负面情绪,提高患者疾病知识掌握率及护理满意度,值得临床推广应用。

Objective To observe the effectiveness of continuing care using the WeChat platform in the post-hospi-tal care of patients with breast fibroadenoma combined with cystic hyperplasia of the breast.Methods Ninety-seven patients with breast fibroadenoma combined with cystic hyperplasia of the breast who underwent focal re-section in a hospital in Henan from February 2019 to August 2020 were selected for the study.The patients were divided into an observation group(n=49)and a control group(n=48)using a random number table.Patients in the control group were given conventional continuing care after discharge,and patients in the observation group were given continuing care using the WeChat platform after discharge.The occurrence of complications,knowl-edge of disease and nursing satisfaction survey scale scores at the 3-month review of the two groups were com-pared;the Hamilton Anxiety Rating Scale(HAMA)and Hamilton Depression Rating Scale(HAMD)scores at the time of discharge and at the 3-month review of the two groups were compared.Results The incidence of complications was lower in the observation group than in the control group,while the total knowledge of disease was higher in the observation group than in the control group,and all differences were statistically significant(P<0.05).At the time of discharge,the differences between the HAMA and HAMD scores of the two groups were not statistically significant(P>0.05);at the 3-month review,the HAMA and HAMD scores of the two groups were lower than those at the time of discharge and lower in the observation group than in the control group,with statistically significant differences(P<0.05).The scores for service attitude,operation technique,health education and humanistic care in the patient care satisfaction survey scale of the observation group were higher than those of the control group,and the differences were all statistically significant(P<0.05).Conclusion We Chat platform continuing care is effective in the care of patients with breast fibroadenoma combined with cyst-ic hyperplasia after focal resection.It can effectively reduce the incidence of postoperative complications,improve patients'negative emotions,increase the rate of patients'disease knowledge and nursing satisfaction,and is wor-thy of clinical promotion and application.