基于微信平台的延续性护理在结直肠癌造口患者中的应用效果

Application effects of continuous nursing based on WeChat platform in patients with colorectal cancer stoma

目的:基于微信平台的延续性护理在结直肠癌造口患者中的应用效果。方法:选取2019年12月至2021年7月该院收治的81例结直肠癌造口患者进行前瞻性研究,按照随机数字表法将其分为对照组(n=40)和观察组(n=41)。对照组给予常规护理,观察组在对照组基础上给予基于微信平台的延续性护理,比较两组护理前后自我护理能力[自我护理能力量表(ESCA)]评分、造口适应程度[造口适应量表(OAS)]评分、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分和并发症发生率。结果:护理后,两组自我护理技能、自护概念、自护责任感、健康知识等ESCA评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组生理适应、社会适应、心理适应等OAS评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组SAS、SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为9.76%,低于对照组的30.00%,差异有统计学意义(P<0.05)。结论:在常规护理基础上给予基于微信平台的延续性护理可提高ESCA评分、OAS评分,降低负性情绪评分和并发症发生率,其效果优于单纯常规护理。

Objective:To observe application effects of continuous nursing based on WeChat platform in patients with colorectal cancer stoma.Methods:A prospective study was conducted on 81 patients with colorectal cancer stoma admitted to the hospital from December 2019 to July 2021.According to the random number table method,they were divided into control group(n=40)and observation group(n=41).The control group was given routine nursing,while the observation group was given continuous nursing based on WeChat platform on the basis of that of the control group.The self-care ability score[exercise of self-care agency scale(ESCA)],the stoma adaptation[stoma adaptation scale(OAS)],the negative emotion score[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],and the incidence of complications were compared between the two groups before and after the nursing Results:After the nursing,the ESCA scores of self-care skills,self-concept,self-responsibility and health knowledge in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The OAS scores of physiological adaptation,social adaptation and psychological adaptation in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The SAS and SDS scores of the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the observation group had lower incidence of complications(9.76%)than the control group(30.00%),and the difference was statistically significant(P<0.05).Conclusions:The continuous nursing based on WeChat platform on the basis of the routine nursing can improve the ESCA and OAS scores and reduce the negative emotion scores and the incidence of complications.Moreover,it is superior to single routine nursing.