微信平台的延续性护理对早期胃癌患者ESD术后癌因性疲乏和自护能力的影响

Effect of Continuous Nursing Based on Wechat Platform on Cancer-Related Fatigue and Self-Care Ability of Early Gastric Cancer Patients after ESD Surgery

目的探究微信平台的延续性护理对早期胃癌患者内镜黏膜下剥离术(ESD)术后癌因性疲乏和自护能力的影响。方法选取2021年6月—2022年6月本院收治的80例ESD治疗的早期胃癌患者,根据随机数字表法分为参比组和实验组,每组40例。其中,参比组给予常规出院指导,实验组在参比组的基础上给予微信平台的延续性护理。对比两组的癌因性疲乏状态、自我护理能力以及生活质量。结果护理后,实验组患者躯体疲乏、认知疲乏、情感疲乏各项评分均低于参比组(P<0.05)。实验组患者健康知识水平、自我概念、自我责任感、自我护理技能各项评分均高于参比组(P<0.05)。实验组患者躯体功能、情绪功能、社会功能、认知功能、角色功能各项评分均高于参比组(P<0.05)。结论早期胃癌ESD术后采取微信平台的延续性护理,可减轻患者癌因性疲乏状态,提高患者自护能力、生活质量与护理满意度。

Objective To explore effect of continuous nursing based on WeChat platform on cancer related fatigue and self-care ability of early gastric cancer patients after endoscopic submucosal dissection(ESD).Methods The paper chose 80 early gastric cancer patients treated with ESD in our hospital from June 2021 to June 2022,and divided them into control group and experimental group with random number table method,with 40 cases in each group.Reference group was treated with routine discharge guidance,while experimental group with continuous nursing based on on WeChat platform on the basis of reference group.Cancer-related fatigue status,self-care ability,and life quality were compared between two groups.Results After nursing,scores of physical fatigue,cognitive fatigue,and emotional fatigue in experimental group were lower than control group(P<0.05).Scores of health knowledge,self-concept,sense of responsibility,and self-care skills in experimental group were higher than control group(P<0.05).Scores of physical function,emotional function,social function,cognitive function,and role function in experimental group were higher than control group(P<0.05).Conclusion Continuous nursing based on WeChat platform can alleviate cancer-related fatigue of early gastric cancer patients after ESD surgery,and improve self-care ability,life quality,and nursing satisfaction degree.