基于互联网平台对肝癌肝动脉化疗栓塞术患者的延续性护理实践  

Continuous nursing practice based on internet platform for liver cancer patients undergoing hepatic arterial chemoembolization

作　　者：孙巧琳 臧爽[1] 徐阳[1] SUN Qiaolin;ZANG Shuang;XU Yang(Department of Intervention,First Affiliated Hospital of China Medical University,Shenyang,Liaoning Province 110001,China)

机构地区：[1]中国医科大学附属第一医院介入科,沈阳110001

出　　处：《介入放射学杂志》2020年第7期726-729,共4页Journal of Interventional Radiology

基　　金：辽宁省科学技术计划项目(2013225021)。

摘　　要：目的探讨护士通过互联网平台对肝癌TACE治疗患者实施延续性护理的效果。方法选取中国医科大学附属第一医院介入病房从2019年10月8日至2019年12月31日符合肝癌诊断标准102名患者,按入院先后顺序分成对照组和干预组,给予不同的方法进行延续性护理。对照组延续以往出院患者发放健康教育宣传单的方法,内容包括疾病相关知识、并发症发生的原因、敏感化验指标的标准以及居家自护的方法等。干预组将健康教育宣传单正常发放,并将相关内容转为文字、图片及视频等形式通过互联网平台于患者出院后的2、3和7 d时推送至患者手机端。两组均于出院14 d评估患者在对疾病知识的掌握程度、生命质量及对延续性护理满意度上的差异。结果调查患者对疾病知识掌握程度及其对延续性护理的满意度的结果中,各项结果干预组均优于对照组,数据结果有统计学意义(P<0.05)。在生命质量方面,两组在躯体功能上的差别无统计学意义(P>0.05)。结论利用互联网手机APP对肝癌行TACE患者进行出院后的延续性护理,使患者更加清晰地了解疾病相关知识,有利于提升患者的自护能力和生命质量,提高患者对护理工作的满意度。Objective To investigate the clinical effect of continuous nursing care through internet platform for patients with liver cancer undergoing hepatic artery chemoembolization.Methods A total of 102 patients,who met the diagnostic criteria of liver cancer and who were admitted to the interventional ward of the First Affiliated Hospital of China Medical University of China during the period from October 8,2019 to December 31,2019,were enrolled in this study.The patients were divided,in the order of admission,into the control group and the study group,and different methods of continuous care were carried out.For the patients of the control group,the previous nursing care method of distributing health education leaflets at discharge was continued,the health leaflet contents included the information and knowledge of diseases,the causes of complications,the standard of sensitive laboratory indicators and the method of home self-care.For the patients of the study group,the health education leaflets were routinely distributed,and the health leaflet contents were converted into the form of text,pictures and videos,etc.,which were transmitted to the patient’s mobile phone through internet platform at the second,third and seventh day after discharge.Fourteen days after discharge,the differences in patients’knowledge of disease,quality of life and satisfaction with continuous care were compared between the two groups.Results The investigation of patients’knowledge of disease and satisfaction with continuous care showed that the results of each investigated items in the study group were better than those in the control group,the differences between the two groups were statistically significant(P<0.05).No statistically significant difference in the quality of life related to physical function existed between the two groups(P>0.05).Conclusion The utilization of internet platform and mobile phone APP,the continuous nursing care after discharge for liver cancer patients treated with TACE can enable patients to get a better un

关 键 词：互联网平台 肝动脉化疗栓塞 延续性护理 

分 类 号：K735.7[历史地理—历史学]