微信平台自我管理项目对肠造口出院患者自我管理行为的影响  

Effects of WeChat self-management program on self-management behavior in discharged patients with ostomies

作　　者：刘春娥[1] 宋琴芬 Liu Chun'e;Song Qinfen(Nursing Department,Dalian University Affiliated Xinhua Hospital,Dalian 116021,China)

机构地区：[1]大连大学附属新华医院护理部,大连116021

出　　处：《中华现代护理杂志》2018年第30期3662-3666,共5页Chinese Journal of Modern Nursing

基　　金：大连市医学科学研究计划项目(1611088).

摘　　要：目的探讨微信平台自我管理项目对肠造口出院患者自我管理行为的影响。方法采用方便抽样法,选取2015年3月-2016年2月在大连市某三甲医院结直肠癌诊疗基地接受结直肠癌造口术患者120例为研究对象。以2015年3-8月的患者为对照组,以2015年9月-2016年2月的患者为干预组,每组各60例。对照组采用常规方式指导,干预组采用微信平台自我管理项目进行管理,包括微信公众平台干预、微信群干预、肠造口日记监测和个案管理,比较两组患者的自我管理能力。结果120例患者实际完成研究111例,干预组为56例,对照组为55例。两组患者自我管理能力各维度得分及总分的时间差异均有统计学意义(P<0.01),且干预组造口护理管理、日常生活管理、信息管理、心理管理及总体自我管理能力的提升高于对照组,在干预后1、6周两组比较差异有统计学意义(P<0.05)。结论微信平台自我管理项目能提高肠造口出院患者的自我管理能力。Objective To explore the effects of WeChat self-management program on self-management behavior in discharged patients with ostomies.Methods Using convenience sampling method,a total of 120 cases of colorectal cancer patients undergoing colostomy from March 2015 to February 2016 in the colorectal cancer treatment center of a Class Ⅲ Grade A hospital in Dalian were selected as the research subjects.The patients from March to August 2015 were assigned as the control group,and the patients from September 2015 to February 2016 were assigned as the intervention group,with 60 cases in each group.The control group was guided by routine methods,while the intervention group was managed by self-management project of Wechat platform, including Wechat public platform intervention,Wechat group intervention,enterostomy diary monitoring and case management.The self-management abilities of the two groups were compared.Results Of the 120 patients,111 were completed,56 in the intervention group and 55 in the control group.The time difference of self-management ability in each dimension and total score between the two groups were statistically significant (P <0.01),and the improvement of stoma nursing management,daily life management,information management,psychological management and overall self-management ability in the intervention group were higher than those in the control group.There were significant differences between the two groups at 1 and 6 weeks after the intervention (P<0.05).Conclusions The Wechat self-manegement program can improve the ability of self-management among patients with ostomies after discharge.

关 键 词：结直肠肿瘤 肠造口术 微信平台 自我管理 

分 类 号：R473.73[医药卫生—护理学]