微信医患互动平台管理干预在乳腺癌放疗患者中的应用效果  

Application effect of WeChat doctor-patient interaction platform management intervention in breast cancer patients after radiotherapy

作　　者：吴青[1] 吴冰[1] 韩敏[1] WU Qing;WU Bing;HAN Min(Department of Breast Surgery,the First Affiliated Hospital of He’nan University of Chinses Medicine,Zhengzhou 450000,He’nan,China)

机构地区：[1]河南中医药大学第一附属医院乳腺外科,郑州4500000

出　　处：《癌症进展》2022年第9期946-948,955,共4页Oncology Progress

摘　　要：目的探讨微信医患互动平台管理干预在乳腺癌放疗患者中的应用效果。方法根据干预方法的不同将112例乳腺癌放疗患者分为对照组(n=55)和研究组(n=57),对照组患者进行常规护理干预,研究组患者在对照组的基础上应用微信医患互动平台进行管理干预。分别采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评价干预前后两组患者的心理状态,分别采用Herth希望量表(HHI)和健康调查简表(SF-36)评价干预前后两组患者的希望水平和生活质量。结果干预后,两组患者的SAS、SDS评分均低于本组干预前,且研究组患者的SAS、SDS评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者HHI量表各维度评分均高于本组干预前,研究组患者HHI量表总分高于本组干预前,且研究组患者HHI量表各维度评分及总分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者的角色功能、认知功能、躯体功能、情绪功能、社会功能评分均高于本组干预前,且研究组患者的上述评分均高于对照组,差异均有统计学意义(P﹤0.05)。结论微信医患互动平台管理干预能够缓解乳腺癌放疗患者的焦虑、抑郁情绪,提高患者的希望水平和生活质量,从而促进患者恢复,值得临床推广应用。Objective To investigate the application effect of WeChat doctor-patient interaction platform manage-ment intervention in breast cancer patients after radiotherapy.Method A total of 112 breast cancer patients undergoing radiotherapy were divided into the control group(n=55)and the study group(n=57)according to different intervention methods.The patients in the control group received the routine nursing intervention,and the patients in the study group applied WeChat doctor-patient interaction platform management intervention based on the regimen taken by the control group.The self-rating anxiety scale(SAS)and the self-rating depression scale(SDS)were taken to evaluate the psycho-logical state of the two groups before and after the intervention.The Herth hope index(HHI)and the MOS item short form health survey(SF-36)were used to evaluate the hope level and quality of life of the two groups before and after the intervention.Result After the intervention,the SAS and SDS scores of the two groups were lower than those before the intervention,and the scores of the study group were lower than those of the control group,the differences were statistical-ly significant(P<0.05).After the intervention,the scores of each dimension of the HHI scale in the two groups were high-er than those before the intervention,the total score of the HHI scale in the study group was higher than that before the in-tervention,and the scores in each dimension and the total score of the HHI scale in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).After the intervention,the scores of role function,cognitive function,physical function,emotional function,and social function of the two groups were higher than those before the intervention,and the foregoing scores of the patients in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The management intervention of the WeChat doctor-patient interactive platfor

关 键 词：微信医患互动平台管理 乳腺癌 心理状态 希望水平 生活质量 

分 类 号：R737.9[医药卫生—肿瘤]