微信平台支持下的延续性护理在直肠癌术后肠造瘘口患者中的应用效果  

Effectiveness of WeChat Platform-Supported Continuous Care in Patients with Postoperative Enterostomy Fistulae After Rectal Cancer Surgery

作　　者：伍丽珍 娄光明[1] 廖晓燕 WU Lizhen;LOU Guangming;LIAO Xiaoyan(The First Hospital of Longyan City,Longyan 364000,China)

机构地区：[1]龙岩市第一医院,龙岩364000

出　　处：《中国医药指南》2024年第2期179-181,共3页Guide of China Medicine

摘　　要：目的观察微信平台支持下的延续性护理在直肠癌术后肠造瘘口患者中的应用效果。方法选择于2021年1月至2023年1月龙岩市第一医院收治的90例直肠癌手术患者,随机掷骰子法将其等分为对照组、观察组,每组45例,对照组:常规延续性护理,观察组:基于微信平台支持下四位一体短距沟通的延续性护理,对比两组排便情况,焦虑自评量表(SAS)、抑郁自评量表(SDS),自我护理能力评分(ESCA),造口适应性以及并发症发生率。结果护理后,两组对比,观察组规律排便占比更高、排便不规律占比更低(均P<0.05);两组有规律排便的占比对比差异无统计学意义(P>0.05);护理后,观察组SAS评分、SDS评分、并发症发生率均低于对照组,ESCA评分、OAI评分均高于对照组(均P<0.05)。结论直肠癌患者术后肠造瘘口延续性护理中,应用微信平台支持下四位一体短距沟通护理可改善患者排便情况,缓解不良情绪,提高自我护理能力及造口适应性,降低并发症发生率。Objective To observe the effect of continuous care supported by microsoft platform in patients with postoperative enterostomy fistula after rectal cancer.Methods Ninety rectal cancer surgery patients admitted to the First Hospital of Longyan City from January 2021 to January 2023 were randomly divided into a control group and an observation group by dice rolling,with 45 cases in each group.The control group:conventional continuity of care,and the observation group:continuity of care based on the WeChat platform with the support of the four-in-one short-distance communication,were compared to the defecation situation,the Self-assessment Scale of Anxiety(SAS),the Self-assessment Scale of Depression(SDS),the score of Self-care Ability(ESCA),the adaptation to the stoma,and the incidence of complications between two groups.Results After nursing care,comparing the two groups,the observation group had a higher percentage of regular bowel movements and a lower percentage of irregular bowel movements(both P<0.05);the difference between the two groups in terms of the percentage of sometimes regular bowel movements was not statistically significant(P>0.05);after nursing care,the observation group's SAS scores,SDS scores,and complication rates were lower than those of the control group,ESCA scores,OAI scores were higher than those of the control group(all P<0.05).Conclusions In the continuous nursing of postoperative enterostomy for rectal cancer patients,four-in-one short-distance communication nursing supported by wechat platform can improve the defecation situation of patients,alleviate adverse emotions,improve self-care ability and stomostomy adaptability,and reduce the incidence of complications.

关 键 词：微信平台支持 四位一体短距沟通 直肠癌 肠造瘘口 延续性护理 

分 类 号：R473.73[医药卫生—护理学] R735.3[医药卫生—临床医学]