网络平台延续健康管理在鼻咽癌出院病人延续护理中的应用  

Appliation of continuous health management through internet platform in continuity of care of discharged patients with nasopharyngeal carcinoma

作　　者：卢佳美[1] 杨丽[1] 黄晓君 廖金莲[1] 潘冬梅[1] 汤秋明[1] 吕君[1] 胡凯[1] 梁丽敏 唐秋红[1] LU Jiamei;YANG Li;HUANG Xiaojun;LIAO Jinlian;PAN Dongmei;TANG Qiuming;LYU Jun;HU Kai;LIANG Limin;TANG Qiuhong(The First Affiliated Hospital of Guangxi Medical University,Guangxi 530021 China)

机构地区：[1]广西医科大学第一附属医院,广西530021

出　　处：《护理研究》2020年第20期3587-3593,共7页Chinese Nursing Research

基　　金：中央引导地方科技发展专项资金项目,编号:桂科ZY18076006;中华护理学会2019年度科研课题,编号:ZHKY201919。

摘　　要：[目的]探讨网络平台延续健康管理在鼻咽癌出院病人延续护理中的应用效果。[方法]选取2019年2月—2019年11月收治的初治鼻咽癌出院病人168例,随机分成两组各84例,对照组实施常规出院延续护理,观察组实施网络平台延续健康管理,比较两组病人出院时及出院后3个月遵医行为依从性、抑郁评分、营养指标(体重、血红蛋白、清蛋白、前清蛋白)变化情况、并发症发生情况以及生活质量评分。[结果]出院3个月,观察组病人张口锻炼、鼻腔冲洗、口腔护理依从性均高于对照组,抑郁评分低于对照组,血红蛋白、清蛋白、前清蛋白恢复情况优于对照组,鼻咽黏膜反应、鼻腔/鼻咽分泌物分度、口腔干燥程度改善情况优于对照组,生活质量功能领域各维度评分高于对照组,症状领域中疲乏和疼痛评分低于对照组,差异均有统计学意义(P<0.05)。观察组总体健康状况评分为(62.50±10.84)分,对照组为(55.83±13.77)分,两组比较差异有统计学意义(P<0.05)。[结论]实施网络平台延续健康管理有助于提高鼻咽癌出院病人遵医行为依从性,降低抑郁程度,改善营养状况,提高生活质量。Objective:To explore the impact of continuous health management through the internet platform on the quality of life(QOL)of discharged patients with nasopharyngeal carcinoma(NPC).Methods:A total of 168 discharged NPC patients who were treated from February 2019 to November 2019 were selected and randomly divided into two groups,84 cases in each.The control group received routine discharge continuation care,and the observation group implemented continuous health management through the internet platform.The compliance,depression score,nutritional indicators(weight,hemoglobin,albumin,prealbumin)changes,complications,and QOL scores were compared between the two groups of patients at discharge from the hospital and 3 months after discharge.Results:At 3 months after the discharge,the observation group had higher compliance with mouth-opening exercise,nasal irrigation,and oral care than those of the control group,and lower depression scores than that if the control group.The recovery of hemoglobin,albumin,and prealbumin was better than those of the control group.The improvement of nasopharyngeal mucosal reaction,nasal/nasopharyngeal secretions index,and dry mouth were better than those of the control group.The scores of all dimensions of the QOL function were higher than those of the control group.The fatigue and pain scores in the symptom area were lower than those of the control group.The differences were all statistically significant(P<0.05).The overall health status score of the observation group was(62.50±10.84)points,and the control group was(55.83±13.77)points.The difference between the two groups was statistically significant(P<0.05).Conclusions:The continuous health management through the internet platform could help to improve the compliance of discharged NPC patients,reduce the degree of depression,improve the nutritional status,and improve their QOL.

关 键 词：网络平台 健康管理 鼻咽癌 生活质量 抑郁 营养状况 并发症 延续护理 

分 类 号：R473.76[医药卫生—护理学]