基于微信群、患友交流会下的同伴支持在肝硬化食管胃底静脉曲张断流术患者自我管理能力中的应用  

Application of peer support based on WeChat group and patient-friend exchange meeting in self-management ability of liver cirrhotic patients undergoing endoscopic selective varices devascularization

作　　者：孙红梅 朱其华 贺贞 朱锐锐 张芳芳[1] 于梦磊 SUN Hongmei;ZHU Qihua;HE Zhen;ZHU Ruirui;ZHANG Fangfang;YU Menglei(Department of Gastroenterology(Southern District),the First Affiliated Hospital of University of USTC(Anhui Provincial Hospital),Anhui Province,Hefei230001,China)

机构地区：[1]中国科学技术大学附属第一医院(安徽省立医院)消化内科(南区),安徽合肥230001

出　　处：《中国当代医药》2025年第6期169-173,共5页China Modern Medicine

摘　　要：目的探讨基于微信群、患友交流会下的同伴支持在肝硬化食管胃底静脉曲张断流术(ESVD)患者自我管理能力中的应用效果。方法选取2023年3月至9月于中国科学技术大学附属第一医院(安徽省立医院)行肝硬化ESVD术的60例患者作为研究对象,根据随机数字表法分为对照组和观察组,每组各30例。对照组采用常规护理,观察组在常规护理基础上实施基于微信群和患友交流会下的同伴支持护理干预,即患友们参加医护人员每周组织的病友交流会,通过同伴之间互相分享疾病管理经验、传递情感支持,学习微信群内推送的科普并分享饮食日记,比较两组患者肝硬化自我管理能力、抑郁和焦虑评分。结果干预1个月后,患者自我管理能力包括饮食管理、疾病监测管理、日常生活管理、用药管理4个维度评分均高于对照组,抑郁及焦虑评分低于对照组,差异有统计学意义(P<0.05)。结论基于微信群、患友交流会下的同伴支持护理干预有助于提高肝硬化ESVD术后自我管理能力,降低患者焦虑及抑郁负性情绪,提高了对肝硬化疾病的认知,增强其战胜疾病的信心。Objective To explore the application effect of peer support in self-management ability of liver cirrhotic among patients undergoing endoscopic selective varices devascularization(ESVD)through exchange meeting in WeChat group and patient-friend.Methods A total of 60 patients with liver cirrhosis who underwent ESVD in the First Affiliated Hospital of University of USTC(Anhui Provincial Hospital)from March to September 2023 were selected as the research objects.According to the random number table method,they were divided into control group and observation group,with 30 cases in each group.The control group was given routine nursing,while the observation group was given peer support nursing intervention based on WeChat group and patient-friend exchange meeting on the basis of routine nursing.In other words,patients participated in the weekly patient-friend exchange meeting organized by medical staff,shared disease management experience and emotional support among peers,learned popular science pushed in WeChat group and shared food diaries.Cirrhosis self-management ability,depression and anxiety scores were compared between the two groups.Results After 1 month of intervention,the scores of patients'self-management ability,including diet management,disease monitoring management,daily life management and medication management,were higher than those of the control group,while the scores of depression and anxiety were lower than those of the control group,with statistical significances(P<0.05).Conclusion The peer support nursing intervention based on WeChat group and patient-friend exchange meeting can help improve the self-management ability of liver cirrhotic patients after ESVD,reduce the anxiety and depression of patients,improve the cognition of cirrhosis and enhance their confidence in overcoming the disease.

关 键 词：微信群 患友交流会 同伴支持 肝硬化自我管理能力 

分 类 号：R657.31[医药卫生—外科学]