腹腔镜辅助胃癌根治术联合基于微信平台的延续性干预对患者自我护理能力的影响  

Effect of laparoscopic assisted gastric gastrectomy combined with continuous intervention based on WeChat platform on patient self-care ability

作　　者：盛梦宇 吕贞贞 张幻幻 王静[1] SHENG Mengyu;L Zhenzhen;ZHANG Huanhuan;WANG Jing(First Department of Gastrointestinal,Hepatobiliary Surgery,Shangqiu First People's Hospital,Shangqiu 476000,China)

机构地区：[1]商丘市第一人民医院胃肠肝胆外一科,河南商丘476000

出　　处：《黑龙江医药科学》2024年第6期65-68,共4页Heilongjiang Medicine and Pharmacy

基　　金：河南省医学利技攻关计划(联合共建)项目,编号:LHGJ20191284。

摘　　要：目的:探讨腹腔镜辅助胃癌根治术联合基于微信平台的延续性干预对患者自我护理能力的影响。方法:本研究选取商丘市第一人民医院2021年1月至2023年1月110例行腹腔镜下胃癌根治术患者,进行回顾性分析,将所有患者按照干预方法的不同分为对照组55例和研究组55例。给予对照组患者传统院外护理措施,研究组患者则在对照组的基础上实施基于微信平台的延续性干预措施,均进行为期1年的干预。将两组患者术后康复相关指标进行对比,将两组患者干预前后自我护理能力测定量表(ESCA)评分和生活质量评分进行对比。结果:研究组患者首次肛门排气时间、住院时间均相较于对照组缩短(P<0.05);两组患者胃管拔除时间、下地活动时间、进食流质饮食时间经对比,均未见明显差异(P>0.05);干预后两组患者健康知识水平、自我概念、自我护理技能及总分均相较于干预前上升,且研究组患者上述评分均较对照组高(P<0.05),而两组患者干预前后组内、组间自我责任感评分对比,均未见明显差异(P>0.05);干预后两组患者躯体功能、情绪功能、社会功能、认知功能及总体健康状况评分与干预前比均上升,且研究组患者与对照组相比更高(P<0.05),而干预前后两组患者角色功能评分组内、组间经对比,未见明显差异(P>0.05)。结论:基于微信平台的延续性干预运用于腹腔镜胃癌根治术后患者中,可缩短患者住院时间,促进患者快速康复,同时可有助于自我护理能力、生活质量的提升。Objective:To investigate the effect of laparoscopic assisted gastric cancer combined with continuous intervention based on WeChat platform on self-care ability.Methods:A total of 110 patients undergoing laparoscopic radical resection of gastric cancer were included in this study,and all cases were obtained from Shangqiu First People's Hospital,selected from January 2021 to January 2023.For retrospective analysis,all patients were divided into control group(55 cases)and study group(55 cases)according to different intervention methods.Traditional out-of-hospital nursing measures were given to the control group,while the patients in the study group implemented the continuous intervention based on WeChat platform in the control group for 1 year.The relevant indicators of postoperative rehabilitation were compared between the two groups,the self-care ability scale(ESCA)score between the two groups,and the quality of life scores of the two groups before and after intervention.Results:The first anal discharge time and hospitalization time were all shorter compared with the control group(P<0.05),Comparison of gastric tube removal time in the two groups,There were no obvious differences(P>0.05);After the intervention,the health knowledge level,self-concept,self-care skills and total score in both groups increased compared to the intervention,Moreover,the above scores of the study group were higher than the control group(P<0.05),Comparing the self-responsibility score within and after the intervention,There were no obvious differences(P>0.05);After the intervention,the physical function,emotional function,social function,cognitive function and overall health status score increased to the pre-intervention ratio,Moreover,the ratio of the study group increased(P<0.05),Before and after the intervention,the two groups were compared within and between groups,No significant difference was found(P>0.05).Conclusion:The continuous intervention based on WeChat platform in patients after laparoscopic gastric resection can shorten the

关 键 词：腹腔镜辅助胃癌根治术 微信平台 延续性干预 自我护理能力 影响 

分 类 号：R473.73[医药卫生—护理学]