基于微信平台的延续性护理在基层医院癌痛出院患者中的应用效果  

Application effect of WeChat platform applied continuous nursing of discharged patients with cancer pain in primary hospital

作　　者：许琼[1] 李怡[1] 梁思燕 XU Qiong;LI Yi;LIANG Si-yan(Department of Oncology,Zhongshan Xiaolan People′s Hospital,Guangdong Province,Zhongshan 528415,China)

机构地区：[1]广东省中山市小榄人民医院肿瘤科,广东中山528415

出　　处：《中国当代医药》2021年第31期221-224,共4页China Modern Medicine

基　　金：广东省中山市医学科研基金项目(2020J275)。

摘　　要：目的探讨基于微信平台延续性护理在基层医院癌痛出院患者的应用效果。方法选取2020年2月至7月中山市小榄人民医院收治的80例出院癌痛患者,采用随机数字表法分为观察组和对照组,每组各40例。观察组采用微信平台+延续护理模式,对照组采用出院前常规健康教育+电话随访护理模式,比较两组对于口服药的依从性、疼痛缓解程度,干预前后两组的心理状态评分,以及对护理满意度。结果观察组的用药依从性及疼痛缓解率高于对照组,差异均有统计学意义(P<0.05)。观察组的护理各方面满意度高于对照组,差异有统计学意义(P<0.05)。干预前,两组的心理状态评分比较,差异无统计学意义(P>0.05);干预后,两组的焦虑、抑郁评分低于干预前,且观察组的焦虑、抑郁评分低于对照组,差异均有统计学意义(P<0.05)。结论基于微信平台延续性护理对基层医院癌痛出院患者效果显著,可提高患者用药依从性,改善患者疼痛,减轻负面情绪,提高护理满意度。Objective To explore the application effect of continuous nursing based on WeChat platform in patients discharged from cancer pain in primary hospitals.Methods A total of 80 cancer pain discharged patients admitted to Zhongshan Xiaolan People′s Hospital in Guangdong Province from February to July 2020 were selected and divided into the observation group and the control group by random number table method,40 cases in each group.The observation group adopts the WeChat platform+continued nursing model,and the control group adopts routine health education before discharge+telephone follow-up.The compliance of the two groups of patients with oral medication,the degree of pain relief,the scores of the mental state of the two groups before and after the intervention,and the satisfaction with nursing were compared.Results The medication compliance and pain relief rate of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).The satisfaction degree in all aspects of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Before the intervention,there were no statistically significant difference between the two groups′mental status scores(P>0.05);after the intervention,the anxiety and depression scale scores of the two groups were lower than before the intervention,and the anxiety and depression scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion Continuing nursing based on WeChat platform has significant effect on patients discharged from cancer pain in primary hospitals.It can improve patient compliance with medication,improve patient pain,reduce negative emotions,and improve nursing satisfaction.

关 键 词：微信平台 基层医院癌痛患者 延续性护理 常规教育 

分 类 号：R473.73[医药卫生—护理学]