基于微信的多元化健康教育在乳腺癌患者术后康复训练中的应用  

Application of WeChat-based diversified health education in postoperative rehabilitation training for patients with breast neoplasms

作　　者：刘虹[1] 李清霞[1] 刘永侠[1] 张玉连 Liu Hong;Li Qingxia;Liu Yongxia;Zhang Yulian(Department of Thyroid and Breast Surgery,Shangqiu First People's Hospital,Henan Province,Shangqiu 476100,China)

机构地区：[1]河南省商丘市第一人民医院甲乳外科,476100

出　　处：《中华现代护理杂志》2020年第26期3681-3685,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨基于微信主导的多元化健康教育在乳腺癌患者术后康复训练中的应用效果。方法采用便利抽样法,选取2017年3月-2018年10月在商丘市第一人民医院住院的98例乳腺癌手术患者为研究对象,将其分为对照组(n=46)和试验组(n=52)。对照组患者采用常规健康教育方法,试验组患者采用基于微信主导的多元化健康教育。分别于教育前、随访6个月后采用乳腺癌术后患者自我感受负担调查问卷和康复自我效能量表比较干预的效果。结果随访6个月后,试验组乳腺癌患者情感与经济负担、对家庭结构的影响、疾病和治疗负担、自我感受负担问卷总分均低于对照组,差异均有统计学意义(P<0.05)。随访6个月后,试验组乳腺癌患者康复自我效能量表总分及各维度得分均高于对照组,差异均有统计学意义(P<0.05)。结论基于微信主导的多元化健康教育有助于缓解乳腺癌患者自我感受负担,提高其康复自我效能。Objective To explore the application effect of WeChat-led diversified health education in postoperative rehabilitation training for patients with breast neoplasms.Methods Using the convenient sampling method,a total of 98 patients with breast neoplasms who were hospitalized and underwent surgery in Shangqiu First People's Hospital from March 2017 to October 2018 were selected as research objects and they were divided into the control group(n=46)and the experimental group(n=52).Patients in the control group adopted conventional health education methods,while patients in the experimental group adopted diversified health education based on WeChat.The Self-perceived Burden Questionnaire and Rehabilitation Self-efficacy Scale for patients after breast neoplasms surgery were used to compare the effects of intervention before education and 6 months after follow-up.Result After 6 months of follow-up,the emotional and economic burden,the impact on family structure,the burden of disease and treatment and the total score of self-perceived burden of patients with breast neoplasms in the experimental group were all lower than those in the control group,and the differences were statistically significant(P<0.05).After 6 months of follow-up,the total score and scores of all dimensions of rehabilitation self-efficacy scale of patients with breast neoplasms in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions Diversified health education based on WeChat can help alleviate self-perceived burden of patients with breast neoplasms and improve their rehabilitation self-efficacy.

关 键 词：乳腺肿瘤 微信 多元化健康教育 自我感受负担 康复自我效能 生活质量 

分 类 号：R473.73[医药卫生—护理学]