微信平台在乳腺癌术后输液港化疗患者延伸护理中的应用  

Application of WeChat platform in the transitional care for postoperative breast cancer patients receiving chemotherapy via venous port

作　　者：王佳[1] 郝飞[1] 付诗[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院乳腺甲状腺疾病诊疗中心,湖北武汉430022

出　　处：《护理学杂志》2016年第8期91-93,共3页Journal of Nursing Science

摘　　要：目的探讨微信公众平台在乳腺癌术后患者输液港化疗带管期间延伸护理中的应用效果。方法按入院时间段将置入输液港的412例乳腺癌化疗患者分为对照组192例、观察组220例。化疗期间及出院后对照组按常规护理;观察组在此基础上建立微信平台,组建"乳甲外科输液港快线"的微信群,为患者提供专业资讯、在线指导、输液港维护提醒等。于第4个化疗疗程开始前评价效果。结果对观察组患者共推送信息326条;观察组患者输液港知识知晓率、输液港按时维护率、患者满意度显著高于对照组,输液港相关并发症发生率显著低于对照组(均P<0.01)。结论微信平台的建立及应用有利于提高乳腺癌化疗患者输液港知识,从而提高输液港维护依从性,避免输液港相关并发症。Objective To explore the application effect of WeChat public platform in the transitional care for postoperative breast cancer patients receiving chemotherapy via venous port.Methods We divided 412 breast cancer patients receiving chemotherapy via venous port into a control group（n=192）and an observation group（n=220）according to chronological order.The control group received routine care both during chemotherapy and after hospitalization,while the observation group,on the basis of the control group,we established WeChat platform and the ＂Imported Port Express in Breast and Thyroid Department＂ WeChat′s user base,and offered professional information,online guidance,imported port maintenance reminding etc.The effectiveness was assessed at the beginning of the 4th chemotherapy period.Results We sent 326 messages to the patients in the observation group,the rates of imported port knowledge and on-time maintenance,and the satisfaction degree of patients in the observation group were significantly higher than the control group,while rates of port-related complication was significantly lower than the control group（P〈0.01 for all）.Conclusion Establishment and application of WeChat platform are conducive to improve knowledge of imported port for breast cancer patients with chemotherapy,and therefore to enhance maintenance compliance and avoid port-related complications.

关 键 词：乳腺癌 化疗 输液港 微信公众平台 延伸护理 

分 类 号：R473.6[医药卫生—护理学]