“互联网+”延续性护理在老年晚期恶性肿瘤患者中的效果评价  

Evaluation of the effect of"Internet+"continuity nursing in elderly patients with advanced malignant tumour

作　　者：周静[1] 高梦 梁文昌 张晓芳 崔菲[1] ZHOU Jing;GAO Meng;LIANG Wenchang;ZHANG Xiaofang;CUI Fei(Anyang Cancer Hospital,Anyang 455000,China)

机构地区：[1]安阳市肿瘤医院(河南省安阳市,455000)

出　　处：《护理实践与研究》2024年第9期1412-1417,共6页Nursing Practice and Research

基　　金：河南省卫生健康委员会医学科技攻关计划联合共建项目(编号:LHGJ20191293)。

摘　　要：目的探讨“互联网+”延续性护理对缓解老年晚期恶性肿瘤患者癌痛程度的作用。方法选取2020年9月-2022年5月医院收治的晚期恶性肿瘤患者82例为研究对象,按照组间基线资料均衡可比的原则将其分为对照组和观察组,各41例。对照组采用常规护理干预,观察组则采用“互联网+”延续性护理,持续护理1个月。采用总体幸福感量表(GWB)、癌症生命质量评价量表(QLQ-C30)和数字评分法(NRS)分别评估两组患者干预前、干预后总体幸福感、生存质量与疼痛情况。结果干预前,两组患者GWB评分及QLQ-C30中躯体功能、角色功能、情绪功能、认知功能和社会功能评分以及癌痛NRS评分比较差异均无统计学意义(P>0.05)。干预后,观察组患者GWB评分低于对照组,差异具有统计学意义(P<0.05);QLQ-C30中躯体功能、角色功能、情绪功能、认知功能和社会功能评分均高于对照组,差异具有统计学意义(P<0.05);患者癌痛NRS评分低于对照组,差异具有统计学意义(P<0.05)。结论“互联网+”延续性护理在晚期肿瘤患者护理中,能够提高其主观幸福感和生存质量,缓解癌痛。Objective To explore the role of"Internet+"continuity of care in relieving the degree of cancer pain in elderly patients with advanced malignant tumours.Methods 82 patients with advanced malignant tumour admitted to the hospital from September 2020 to May 2022 were selected as study subjects,they were divided into a control group and an observation group,each with 41 cases,according to the principle of balanced and comparable baseline data between the groups.The control group adopted conventional nursing intervention,while the observation group adopted"Internet+"continuity of care for 1 month.The General Well-Being Scale(GWB),Quality of Life in Cancer Scale(QLQ-C30)and Numerical Rating Scale(NRS)were used to assess the general well-being,quality of life and pain of the patients in the two groups before and after the intervention,respectively.Results Before intervention,the differences between the GWB scores and the scores of somatic function,role function,emotional function,cognitive function and social function in the QLQ-C30,as well as the NRS scores of cancer pain in the patients of both groups were not statistically significant(P>0.05).After the intervention,the GWB score of patients in the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05),the scores of somatic function,role function,emotional function,cognitive function and social function in the QLQ-C30 were higher than those of the control group,the difference was statistically significant(P<0.05),and the NRS scores of the patients with cancer pain were lower than those of the control group,and the difference was statistically significant(P<0.05).Conclusion"Internet+"continuity of care in the care of patients with advanced tumours can improve their subjective sense of well-being and quality of survival,and relieve cancer pain.

关 键 词：“互联网+”模式 延续性护理 老年患者 晚期恶性肿瘤 主观幸福感 生存质量 疼痛 微信平台 

分 类 号：R473.73[医药卫生—护理学]