微信指导在甲状腺癌术后中医延续性护理的应用

The Application of Postoperative Traditional Chinese Medicine Continuation Nursing for Thyroid Cancer Based on Internet WeChat Guidance

目的 讨论基于互联网微信指导对甲状腺癌患者术后开展中医延续性护理的效果。方法 将符合纳入标准的80例甲状腺癌术后患者随机分为对照组和试验组,每组40例,对照组给予常规出院宣教和出院后电话随访,试验组于上述基础开展基于微信指导的中医延续性护理,持续3个月。比较2组护理前后负性情绪、疼痛、自护能力以及生活质量评分。结果 试验组护理3个月后焦虑(SAS)、抑郁(SDS)以及疼痛(VAS)评分低于对照组(P<0.05),自护能力(ESCA)以及生活质量(QLQ-C30)评分高于对照组(P<0.05)。结论 对于甲状腺癌术后患者开展基于互联网微信指导的中医延续性护理可以改善患者焦虑和抑郁,减轻疼痛,并增强自护能力,提高生活质量。

Objective To discuss the effect of traditional Chinese medicine(TCM)continuation care for thyroid cancer patients based on internet WeChat guidance.Methods 80 postoperative patients of thyroid cancer who met the inclusion criteria were randomly divided into control group and experimental group,with 40 patients in each group.The control group was given routine discharge education and post-discharge telephone follow-up,and the experimental group carried out TCM continuation care based on WeChat guidance for 3 months.Negative emotion,pain,self-care ability and quality of life scores were compared between the two groups before and after care.Results After 3 months of nursing,the scores of anxiety(SAS),depression(SDS)and pain(VAS)of the experimental group were lower than those of the control group(P<0.05),and the scores of self-care ability(ESCA)and quality of life(QLQ-C30)of the experimental group were higher than those of the control group(P<0.05).Conclusion For patients after thyroid cancer surgery,TCM continuation care based on internet WeChat guidance can improve patients'anxiety and depression,reduce pain,enhance self-care ability,and improve the quality of life.