“互联网+”延续护理平台对食管癌患者生命质量的影响  

The impact of“Internet+”extended care platform on the quality of life of patients with esophageal cancer

作　　者：张小燕[1] 李红云 黎辰晨 申春梅[1] 文红英[2] ZHANG Xiao-yan;LI Hong-yun;LI Chen-chen;SHEN Chun-mei;WEN Hong-ying(Department of Thoracic Surgery,Affiliated Hospital of North Sichuan Medical,Nanchong 637000,Sichuan,China;Department of Cardiothoracic Surgery ICU,Affiliated Hospital of North Sichuan Medical,Nanchong 637000,Sichuan,China;Interventional Room,Affiliated Hospital of North Sichuan Medical,Nanchong 637000,Sichuan,China)

机构地区：[1]川北医学院附属医院,胸外科,四川南充637000 [2]川北医学院附属医院,心胸外科ICU,四川南充637000 [3]川北医学院附属医院,介入室,四川南充637000

出　　处：《川北医学院学报》2023年第5期711-714,共4页Journal of North Sichuan Medical College

基　　金：南充市社会科学研究“十四五”规划项目(NC22B043);南充市市校科技战略合作项目(22SXQT0203)。

摘　　要：目的:构建食管癌“互联网+”延续护理平台,并探讨食管癌“互联网+”延续护理平台对食管癌患者术后不同时间段内生命质量的影响。方法:回顾性分析117例食管癌患者的临床资料,按照是否干预将患者分为干预组(n=59)与对照组(n=58)。干预组严格按照本研究构建的延续护理平台进行干预;对照组采用电话随访、门诊随访和家庭访视进行调查。确定食管癌患者术后“互联网+”延续护理平台的构建体系和平台内容。在“互联网+”延续护理干预前后的不同时间点,收集两组患者术后随访数据。比较两组患者干预前后的症状和生命质量的差异。结果:干预前,两组患者总体健康状况得分比较,差异无统计学意义(P>0.05)。干预后3、6个月,干预组总体健康状况得分均高于对照组,差异有统计学意义(P<0.05)。干预前,两组躯体、角色、情绪、认知及社会维度得分比较,差异均无统计学意义(P>0.05)。干预后3、6个月,干预组躯体、角色、情绪及认知各维度得分均高于对照组,差异均有统计学意义(P<0.05)。干预后,干预组患者总体健康状况、躯体功能、角色功能、情绪功能、社会功能等生命质量指标均优于对照组(P<0.05)。结论:相较于常规的延续护理,基于微信平台的延续护理可明显改善患者总体健康状况。Objective:To construct an“Internet+”extended care platform for esophageal cancer and to explore the impact of the“Internet+”extended care platform on the quality of life of esophageal cancer patients in different time periods after surgery.Methods:The clinical data of 117 patients with esophageal cancer were retrospective analysis,and they were divided into intervention group(n=59)and control group(n=58)based on whether or not to intervene.The intervention group strictly followed the continuous care platform constructed in this study for intervention,and the control group was surveyed using telephone follow-up,outpatient follow-up,and home visits.The construction system and content of the“Internet+”extended care platform for postoperative patients with esophageal cancer were determined.The postoperative follow-up data of esophageal cancer patients in the intervention and control groups were collected at different time points before and after the“Internet+”extended care intervention.The differences in symptoms and quality of life between the intervention group and the control group before and after the intervention were analyzed.Results:Before the intervention,there was no statistically significant difference between the overall health status scores of the two groups(P>0.05).At 3 and 6 months after the intervention,the overall health status scores of the intervention group were higher than those of the control group,and the differences were statistically significant(P<0.05).Before the intervention,there was no statistically significant difference between the scores of somatic,role,emotional,cognitive and social dimensions in the two groups(P>0.05).At 3 and 6 months after the intervention,the scores of the somatic,role,emotional and cognitive dimensions were higher in the intervention group than in the control group,and the differences were statistically significant(P<0.05).After the intervention,the patients in the intervention group had better overall health status,somatic function,role function,e

关 键 词：互联网+ 延续护理 食管癌 

分 类 号：R248.2[医药卫生—中医临床基础]