基于微信平台的延续性护理对鼻咽癌放疗出院患者自护能力和生活质量的影响  

Effects of continued care on self-care ability and life quality of nasopharyngeal cancer patients discharged from radiotherapy base on WeChat platform

作　　者：马立双 吴江[1] 杨秉坤[1] 张春榕 高胜洁 杨毅[1] MA Lishuang;WU Jiang;YANG Bingkun;ZHANG Chunrong;GAO Shengjie;YANG Yi(Yunnan Provincial Cancer Hospital,Kunming 650000,China)

机构地区：[1]云南省肿瘤医院,云南省昆明市650000

出　　处：《护理实践与研究》2024年第7期950-955,共6页Nursing Practice and Research

基　　金：国家癌症中心攀登基金(编号:NCC201925B03)。

摘　　要：目的探讨基于微信平台的延续性护理对鼻咽癌首次放疗出院患者自护能力和生活质量的影响。方法选取2021年8月—2022年12月某三级甲等肿瘤专科医院放疗科鼻咽癌首次放疗出院患者122例,按组间基本资料具有可比性的原则分为对照组和观察组,每组61例。对照组采用常规出院指导,观察组在常规出院指导的基础上开展基于微信平台的延续性护理。比较两组患者生活质量、自我护理能力得分。结果两组患者在出院时、出院后1个月、出院后3个月三个时点,生活质量量表总分及各维度得分均先递增的趋势(P_(时间)<0.05);各时点除社会/家庭状况维度外,其他维度及总分均以观察组高于对照组,差异有统计学意义(P_(组间)<0.05),并且随观察时间延长,情感和头颈模块维度组间差异逐渐增大,身体状况、社会/家庭状况,功能状况维度及总分均呈先增大后减少的趋势(P_(交互)<0.05)。两组患者在出院时、出院后1个月、出院后3个月三个时点,自我护理能力量表总分及各维度得分均呈逐渐增加的趋势(P_(时间)<0.05);各时点自我护理能力量表总分及各维度得分均以观察组高于对照组,差异有统计学意义(P_(组间)<0.05),并且随观察时间延长,自护责任感维度1个月后组间差异最大,以后逐渐减小(P_(交互)<0.05),自我概念、自我护理技能、健康知识水平及总分呈先增大后减少的趋势(P_(交互)<0.05)。结论对鼻咽癌首次放疗出院患者给予微信平台延续性护理干预,能明显提高患者自我护理能力和生活质量,有利于促进患者及时康复。Objective To explore the effect of continuous nursing based on WeChat platform on the self-care ability and quality of life of patients discharged from the first radiotherapy for nasopharyngeal cancer.Methods 122 patients discharged from the first radiotherapy for nasopharyngeal cancer in the radiotherapy department of a Class III Grade A oncology hospital from August 2021 to December 2022 were selected and divided into a control group and an observation group,with 61 cases in each group according to the principle of the basic information between the groups is comparable.The control group received routine discharge guidance,and the observation group received continuous care on the basis of routine discharge guidance base on the WeChat platform.The scores of quality of life and self-care ability were compared between the two groups.Results At the time of discharge,1 month after discharge,and 3 months after discharge,the total score of the quality of life scale and the scores of each dimension showed an increasing trend(P<0.05).At each time point,except for the social/family status dimension,the other dimensions and the total score were higher in the observation group than in the control group,the difference was statistically significant(P<0.05),and with the prolongation of the observation time,the difference between the groups except for the emotion and headneck module dimension gradually increased,physical condition,social/family condition,function coindition dimention and the total score showed a increase trend and then decrease(P<0.05).At the time of discharge,1 month after discharge,and 3 months after discharge,the total score of the self-care ability scale and the scores of each dimension showed a gradual increase trend(P<0.05);the total score of the self-care ability scale and the scores of each dimension at each time point were higher in the observation group than in the control group,with a statistically significant difference(P<0.05),the difference of the self responsibility level between groups was the h

关 键 词：延续护理 鼻咽癌 放疗 自我护理能力 生活质量 

分 类 号：R473.76[医药卫生—护理学]