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作 者:任爱娜[1] 王惠儿[1] 陆启文[1] 张海强[1] 孙凯丽 REN Aina;WANG Huier;LU Qiwen;ZHANG Haiqiang;SUN Kaili(Department of Gastro-anorectal Surgery,the Affiliated Hospital of Medical School,Ningbo University,Ningbo 315000,China)
机构地区:[1]宁波大学医学院附属医院胃肠肛肠外科,浙江宁波315000
出 处:《健康研究》2022年第1期22-25,共4页Health Research
基 金:浙江省自然科学基金项目(LGF20G030005)。
摘 要:目的观察“互联网+健康管理服务”在胃肠肿瘤随访中的应用效果,为患者的临床随访及诊疗提供指导。方法胃肠肿瘤患者328例随机分为对照组和观察组各164例,对照组采用传统护理随访,观察组采用“互联网+健康管理服务”随访措施。6个月后比较两组随访前后焦虑自评量表(SAS)、抑郁自评量表(SDS)及生活质量评分,分析两组并发症发生状况及对随访和护理的满意度。结果干预前,两组患者SAS、SDS评分及生活质量各维度评分差异均无统计学意义(P>0.05);干预6个月后,观察组SAS、SDS评分均高于对照组,观察组认知、情绪、躯体、社会及角色功能评分均高于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率(13.41%)低于对照组(30.49%),对护理态度、护理知识及问题解答的满意度均高于对照组,差异均有统计学意义(均P<0.05)。结论“互联网+健康管理服务”在胃肠肿瘤患者的随访中应用效果显著,能改善患者的焦虑、抑郁状况,减少并发症发生,提高患者生活质量。Objective To observe the application effect of“Internet+health management service”in the follow-up of gastrointestinal tumors,and to provide guidance for clinical follow-up,diagnosis and treatment of patients.Methods 328 gastrointestinal tumor patients were randomly divided into control group and observation group,with 164 cases in each group.Patients in the control group had a traditional nursing follow-up,while the“Internet+health management service”follow-up measures were adopted in the observation group.Six months later,the scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS)and quality of life were compared between the two groups before and after follow-up.The incidence of complications of the two groups and their satisfaction with follow-up and nursing were analyzed.Results Before intervention,there were no statistically significant differences in SAS scores,SDS scores and scores of all dimensions of quality of life between the two groups(P>0.05).After 6 months of intervention,SAS and SDS scores of the observation group were higher than those of the control group,the cognitive,emotional,physical,social and role function scores were higher than those of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group(13.41%)was lower than that in the control group(30.49%).Patients’satisfaction with nursing attitude,nursing knowledge and problem solving of the observation group was higher than that of the control group.The differences were statistically significant(all P<0.05).Conclusions The application of“Internet+health management service”presented a conspicuous effect in the follow-up of gastrointestinal tumor patients,which can relieve patients’anxiety and depression,reduce the incidence of complications and improve their quality of life.
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