微信公众平台对鼻咽癌放疗患者治疗及护理依从性的影响  

Effect of wechat public platform on the treatment and nursing compliance of the patients with nasopharyngeal carcinoma receiving radiotherapy

作　　者：郑小雅[1] 刘同欣[1] 王方正[1] 李卫阳[1] 谢淑萍[1] 

机构地区：[1]浙江省肿瘤医院放疗科,浙江杭州310022

出　　处：《中国现代医生》2017年第2期156-160,共5页China Modern Doctor

基　　金：国家自然科学基金青年项目(81502647)

摘　　要：目的探讨微信公众平台对鼻咽癌放疗患者的治疗及护理依从性的影响。方法选取2015年12月~2016年9月在浙江省肿瘤医院接受根治性调强放疗的鼻咽癌患者80例,按入院时间顺序信封抽签法,随机分为治疗组和对照组,每组40例,对照组给予常规放疗护理干预,治疗组在常规干预的基础上通过微信平台发送相关干预知识,用自设依从性问卷对所有患者进行调查,比较两组的治疗依从情况和功能锻炼的效果。结果治疗组在功能锻炼、皮肤保护、口腔护理、生活方式改善方面的治疗依从性优于对照(P<0.05),放疗不良反应发生率低于对照组,差异有统计学意义(P<0.01)。结论通过微信公众平台加强健康教育能使鼻咽癌患者积极配合治疗,提高治疗依从性,减少治疗副作用,提高患者生存质量。Objective To investigate the effect of Weehat public platform on the treatment and nursing compliance in the patients with nasopharyngeal carcinoma receiving radiotherapy. Methods A total of 80 patients with nasopharyngeal carcinoma who were given radical intensity-modulated radiotherapy from December 2015 to September 2016 in Zhe- jiang Cancer Hospital were selected. According to the time of admission, the patients were randomly divided into treat- ment group and control group by envelop draw lots, with 40 patients in each group. The control group was given routine nursing intervention of radiotherapy, and the treatment group was given the intervention of sending relevant intervention knowledge via the Weehat platform on the basis of the control group. All patients were investigated by self-adminis- tered questionnaire, The treatment compliance and effects of functional exercises were compared between the two groups. Results The treatment compliance in the treatment group was better than that in the control group in terms of functional exercise, skin protection, oral care and lifestyle improvement （P〈0.05）. The incidence rate of adverse reac- tions of radiotherapy was lower than that in the control group, and the difference was statistically significant （P〈0.01）. Conclusion Strengthening the health education via Wechat public platform can make the patients with nasopharyngeal carcinoma actively cooperate with the treatment, improve the treatment compliance, reduce side effects and improve patients＂ quality of life.

关 键 词：鼻咽癌 放疗 微信平台 依从性 

分 类 号：R473.73[医药卫生—护理学]