基于医院微信平台联合回授法健康教育在提高前列腺癌患者术后生命质量中的应用

The application of health education with the combination of hospital WeChat platform and teach-back method in improving the quality of life of patients with prostate cancer after operation

目的探讨基于医院微信平台联合回授法健康教育在提高前列腺癌患者术后生命质量中的应用效果,为前列腺癌术后患者的健康教育提供建议。方法采用随机对照试验方法。以便利抽样法选择2022年6月至2023年7月在盐城市第三人民医院住院接受前列腺癌根治术的80例男性患者为研究对象,采用随机数字表法分为对照组和试验组各40例。对照组采用常规护理健康教育,试验组采用医院微信平台联合回授法进行健康教育,比较2组患者尿失禁严重程度、生命质量,以及出院后对健康教育的满意度。结果2组最终各有40例完成研究。对照组年龄(73.40±4.02)岁,试验组年龄(73.25±4.00)岁。试验组患者在出院后1周、1个月、3个月尿失禁评分分别为(14.00±1.41)、(11.90±1.34)、(5.13±3.45)分,与同期对照组的(16.10±2.04)、(15.00±1.20)、(10.90±3.70)分比较差异均有统计学意义(t=-5.36、-10.93、-7.23,均P<0.05)。试验组出院后1、3个月生命质量总分为(77.51±6.11)、(79.53±5.42)分,显著高于对照组的(67.70±6.62)、(69.05±6.92)分,差异均有统计学意义(t=6.89、7.62,均P<0.05)。试验组患者出院后对健康教育方式、态度、评价各条目满意度得分分别为(5.03±0.70)、(4.95±0.81)、(5.33±0.86)分,均高于对照组的(3.93±1.00)、(3.65±1.10)、(3.80±0.72)分,差异均有统计学意义(t=5.72、6.01、8.59,均P<0.05)。结论医院微信平台联合回授法能够有效改善前列腺癌术后患者尿失禁情况,提高患者生命质量及健康教育满意度,有望为临床前列腺癌患者健康教育方案的制订提供借鉴。

Objective To explore the application of'hospital WeChat'platform combined with feedback method in improving the quality of life of patients with prostate cancer after operation,to provide suggestions for health education of patients with prostate cancer after operation.Methods A randomized controlled trial was conducted.A total of 80 male patients who underwent radical prostatectomy in the Third People's Hospital of Yancheng City from June 2022 to July 2023 were selected by convenient sampling method.They were divided into control group and experimental group by random number method,with 40 cases in each group.The control group used routine nursing health education,the experimental group used the'hospital WeChat'platform combined with feedback method for health education.The severity of urinary incontinence,quality of life,and satisfaction with health education after discharge were compared between the two groups.Results Forty patients in each group completed the study.The age of the control group was(73.40±4.02)years old,and the age of the experimental group was(73.25±4.02)years old.The urinary incontinence scores of the experimental group at 1 week,1 month and 3 months after discharge were(14.00±1.41),(11.90±1.34)and(5.13±3.45)points,respectively,which were significantly different from those of the control group(16.10±2.04),(15.00±1.20)and(10.90±3.70)points,the differences were statistically significant(t=-5.36,-10.93,-7.23,all P<0.05).The total scores of quality of life in the experimental group at 1 and 3 months after discharge were(77.51±6.11)and(79.53±5.42)points,which were significantly higher than(67.70±6.62)and(69.05±6.92)points in the control group,the differences were statistically significant(t=6.89,7.62,both P<0.05).The satisfaction scores of health education mode,attitude and evaluation items in the experimental group after discharge were(5.03±0.70),(4.95±0.81)and(5.33±0.86)points,respectively,which were higher than those in the control group(3.93±1.00),(3.65±1.10)and(3.80±0.72)points,the differences were statistically significant(t=5.72,6.01,8.59,all P<0.05).Conclusions The'hospital WeChat'platform combined with feedback method can effectively improve the urinary incontinence of patients after prostate cancer surgery,and improve the quality of life and satisfaction of health education for patients.This study is hopeful to provide specific measures for health education for clinical prostate cancer patients.