基于微信平台的护理干预对子宫颈癌同步放化疗患者认知行为及阴道康复的影响研究

Effects of Nursing Intervention with WeChat Platform on Cognition and Vaginal Rehabilitation in Cervical Cancer Patients Undergoing Concurrent Chemoradiotherapy

目的:探讨基于微信平台的护理干预对子宫颈癌同步放化疗患者认知水平、遵医行为及阴道康复的效果观察。方法:将164例子宫颈癌同步放化疗患者遵循自愿的原则按入院时间分组,对照组和观察组各82例,对照组给予常规护理,观察组在对照组的基础上给予基于微信平台的护理干预,分别用子宫颈癌疾病认知调查问卷评价两组患者疾病认知水平,子宫颈癌患者依从性调查表评价两组患者遵医行为,急性放射反应分级标准评价两组患者放射性阴道炎发生情况,不良事件通用术语标准评价两组患者阴道狭窄发生情况。采用SPSS 20.0统计软件包对资料进行统计学分析。结果:观察组患者疾病认知水平总合格率85.1%,高于对照组的69.6%,差异有统计学意义(χ^(2)=27.700,P<0.05)。观察组患者遵医行为总合格率86.1%,高于对照组(71.5%)(χ^(2)=26.262,P<0.05)。观察组患者放射性阴道炎发生率为74.4%,低于对照组(90.2%),差异有统计学意义(χ^(2)=70.279,P<0.05)。观察组患者阴道狭窄发生率为31.7%,低于对照组(53.7%),差异有统计学意义(χ^(2)=8.075,P<0.05)。结论:基于微信平台的护理干预能提高子宫颈癌同步放化疗患者疾病认知水平及遵医行为,降低放射性阴道炎和阴道狭窄的发生率,促进阴道康复,值得在临床推广应用。

Objective:To explore the effect of nursing intervention with WeChat platform on cognition,compliance and vaginal rehabilitation in cervical cancer patients undergoing concurrent chemoradiotherapy.Methods:A total of 164 cervical cancer patients undergoing concurrent chemoradiotherapy were assigned to the control group and the observation group with 82 patients in each group according to the admission time.The control group was given routine nursing,and the observation group was given routine nursing plus nursing intervention with WeChat platform.The cognitive level was evaluated by the self-made Questionnaire on the Cognition of Cervical Cancer;the compliance of the patients was evaluated by the self-made Questionnaire on the Compliance of Cervical Cancer Patients;the ra-dioactive vaginitis was evaluated by the RTOG Classification Criteria for Acute Radiographic Response;and the occurrence of vaginal stenosis was evaluated by Common Terminology Criteria for Adverse Events(CTCAE)V5.0.Statistical analysis of the data was performed using the SPSS 20.0.Results:The qualified rate of cognitive level in the observation group was 85.1%,significantly higher than that(69.6%)in the control group(χ^(2)=27.700,P<0.05).The qualified rate of compliance in the observation group was 86.1%,significantly higher than that(71.5%)in the control group(χ^(2)=26.262,P<0.05).The in-cidence of radioactive vaginitis in the observation group was 74.4%,significantly lower than that(90.2%)in the control group(χ^(2)=70.279,P<0.05).The incidence of vaginal stenosis in the observation group was 31.7%,significantly lower than that(53.7%)in the control group(χ^(2)=8.075,P<0.05).Conclusion:Nursing intervention with WeChat platform can improve the cognitive level and compliance of cervical cancer patients undergoing concurrent chemoradiotherapy,reduce the in-cidences of radioactive vaginitis and vaginal stenosis,which is worthy of application in clinical practice.