微信医患互动平台对乳腺癌患者放化疗后自我管理效能感及生活质量的影响

Effects of Wechat doctor-patient interaction platform on self-management efficacy and quality of life of breast cancer patients with radiotherapy and chemotherapy

目的 探讨在乳腺癌放化疗患者中构建微信医患互动平台对患者自我管理效能感、生活质量的影响。方法 选取2021年3月至2022年4月接受放化疗治疗的乳腺癌患者80例,依据随机数字表法分为观察组和对照组,每组40例。对照组接受常规临床指导,观察组构建微信医患互动平台进行干预,对比2组干预前后的自我管理效能感、生活质量。结果 干预前,2组应对情况差异无统计学意义(P>0.05),干预后,2组面对评分明显提高(P<0.05),逃避、屈服评分明显降低(P<0.05),且与对照组相比,观察组面对评分更高(P<0.05),逃避、屈服评分更低(P<0.05)。出院3个月,观察组治疗依从性各项得分均高于对照组(P<0.05)。观察组干预后的自我效能感优良率(95.00%)高于对照组(77.50%)(P<0.05),社会功能、躯体疾病等生活质量量表维度测评结果高于对照组(P<0.05)。结论 构建微信医患互动平台加强对放化疗后乳腺癌患者的干预,能够有效提升患者的自我管理效能感及治疗依从性,促使其生活质量改善,值得临床借鉴。

Objective To investigate the influence of constructing a Wechat doctor-patient interaction platform on self-management efficacy and life quality of breast cancer patients with radiotherapy and chemotherapy.Methods A total of 80 breast cancer patients who received radiotherapy and chemotherapy in our hospital from March 2021 to April 2022 were selected.They were randomized to receive routine clinical guidance(the control group,n=40)or construct a Wechat doctor-patient interaction platform(the observation group,n=40).The self-management efficacy and quality of life between groups were included as comparisons before and after intervention.Results There was no significant difference in coping between the two groups before intervention(P>0.05).After intervention,the face score increased significantly in the two groups(P<0.05),while the scores of escape and yield decreased significantly(P<0.05).Compared with the control group,the face score of the observation group was significantly higher(P<0.05),and the scores of escape and yield were obviously lower(P<0.05).After three months of discharge,the scores of treatment compliance in the observation group were significantly higher than those in the control group(P<0.05).The rate of self-efficacy in the observation group was significantly higher than that in the control group(95.00%vs 77.50%,P<0.05).The measurement results of social function,physical disease and other life quality scales were significantly higher those the control group(P<0.05).Conclusion The construction of a Wechat doctor-patient interaction platform to strengthen the intervention of breast cancer patients with radiotherapy and chemotherapy can effectively improve the self-management efficacy and treatment compliance,and promote the improvement quality of life,which is worthy of clinical reference.