基于“互联网+”新媒体的全程专业个案化管理模式在肺癌病人中的应用

Application of whole process professional case management mode based on"internet+"new media in patients with lung cancer

目的:探讨基于“互联网+”新媒体的全程专业个案化管理模式在肺癌病人的应用效果。方法:选取2017年1月至2019年3月收治并行肺癌手术的病人120例,按照入院时间先后分成对照组和观察组,各60例。对照组病人术后予以实施常规全程专业个案化管理,观察组则在基于“互联网+”新媒体平台管理的基础上予以实施全程专业个案化管理。干预6个月后比较2组病人的康复锻炼依从性、肺功能、生活质量以及护理满意度。结果:观察组术后康复锻炼依从性明显优于对照组(P<0.05)。干预6个月后观察组病人的呼气峰流速、用力肺活量以及呼气中段流速水平均高于对照组(P<0.01);观察组病人的QLQ-C30生活质量评价量表各项维度评分均显著高于对照组(P<0.01);干预后观察组的护理满意度显著高于对照组(P<0.05)。结论:在基于“互联网+”新媒体的平台管理基础上对肺癌术后病人实施全程专业个案化管理,能够显著提高病人的康复锻炼依从性,改善肺功能以及生活质量,取得较满意的护理效果。

Objective:To explore the application effect of the whole process professional case management mode based on"internet"new media in lung cancer patients.Methods:A total of 120 patients with concurrent lung cancer surgery from January 2017 to March 2019 were selected and divided into control group and observation group according to the admission time,with 60 cases in each group.The patients in the control group were given routine whole process professional case management after operation,while the patients in the observation group were given whole process professional case management on the basis of"internet"new media platform management.After 6 months of intervention,the rehabilitation exercise compliance,pulmonary function,quality of life and nursing satisfaction of the two groups were compared.Results:The compliance of postoperative rehabilitation exercise in the observation group was significantly better than that in the control group(P<0.05).After 6 months of intervention,the levels of peak expiratory flow rate,forced vital capacity and middle expiratory flow rate in the observation group were higher than those in the control group(P<0.01);the scores of all dimensions of QLQ-C30 quality of life evaluation scale in the observation group were significantly higher than those in the control group(P<0.01);after the intervention,the nursing satisfaction of the observation group was significantly higher than that of the control group(P<0.05).Conclusions:On the basis of the platform management based on"internet"new media,the implementation of the whole process professional case management for postoperative patients with lung cancer can significantly improve the compliance of patients′rehabilitation exercise,improve their lung function and quality of life,and achieve satisfactory nursing results.