互联网平台下护理服务对新发肿瘤患者自我效能及依从性的影响

Effects of nursing service under the Internet platform on self-efficacy and adherence of newly diagnosed tumor patients

目的探讨互联网平台下护理服务的在肿瘤患者中的应用效果。方法采用便利抽样法,选取2019年7月—2021年7月在中山大学附属肿瘤医院防治中心综合科就诊的首次诊断为肿瘤的患者,通过随机数字表将其分为干预组和对照组。对照组住院期间给予常规护理措施,干预组在常规护理的基础上,以本院的微信公众平台、手机APP和微信群为主要媒介实施干预。比较两组的依从性和自我效能。结果出院后1个月两组患者的依从率差异无统计学意义(P>0.05);出院后3、6个月,干预组的依从率高于对照组,差异有统计学意义(P<0.05)。干预前两组患者的自我效能总分、自我减压、自我决策、正性态度的得分差异无统计学意义(P>0.05);干预后干预组自我效能总分和各维度得分高于对照组,差异有统计学意义(P<0.05)。结论互联网平台护理服务能够提高新发肿瘤患者的依从性,增强患者的自我效能感,值得在临床推广。

Objective To explore the effect of nursing services under the Internet platform in cancer patients.Methods From July 2019 to July 2021,convenience sampling was used to select patients who were diagnosed with cancer for the first time in the Department of Comprehensive Diseases of the Sun Yat-Sen University Cancer Center.The patients were randomly divided into the intervention group and the control group by random number table.The control group was given routine nursing during hospitalization.On the basis of routine nursing,the intervention group implemented the intervention using the hospital's WeChat public platform,mobile APP and WeChat group as the main media.Adherence and self-efficacy were compared between the two groups.Results There was no significant difference in the adherence between the two groups one month after discharge(P>0.05).Three and six months after discharge,the adherence of the intervention group was higher than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the scores of total self-efficacy,self-decompression,self-decision-making and positive attitude between the two groups before intervention(P>0.05).After the intervention,the total score and each dimension score of self-efficacy in the intervention group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusions Nursing services based on the Internet platform can improve the adherence of newly diagnosed tumor patients and enhance patients'self-efficacy,which is worthy of clinical promotion.