摘要
目的分析在乳腺癌改良根治术患者康复期护理中,实施微信平台延续性护理的效果。方法2020年1月—2022年12月,将110例乳腺癌改良根治术患者作为研究样本,其中55例作为对照组实施常规护理,55例为研究组在常规护理的基础上增加3周的微信平台延续性护理。使用乳腺癌患者生命质量测定量表(FACT-B)、焦虑自评量表(Self-rating Anxiety Scale,SAS)和抑郁自评量表(Self-rating Depression Scale,SDS)评估微信平台延续性护理对患者生命质量、心理状况的影响。结果干预后,研究组乳腺癌患者生命质量测定量表中生理状况、社会/家庭状况、情感状况、功能状况、附加关注得分分别为(23.64±3.58)分、(25.63±3.24)分、(19.63±2.28)分、(22.27±2.34)分和(28.56±3.35)分,而对照组得分分别为(19.45±3.44)分、(20.36±3.25)分、(15.52±2.25)分、(19.46±2.23)分和(24.45±3.32)分。两组相比,研究组相应分值均高于对照组(t值分别为6.259、8.516、9.515、6.447和6.463,P均<0.001);干预后,研究组SAS评分为(40.30±2.16)分,对照组为(57.13±2.24)分,2组差异有统计学意义(t=16.278,P<0.001)。研究组SDS得分为(40.21±3.26)分,对照组为(58.16±4.24)分,2组差异有统计学意义(t=9.637,P<0.001)。结论微信平台延续性护理可以提高乳腺癌患者生命质量,改善患者心理状况。
Objective To analyze the effect of implementing the WeChat platform continuous nursing in the convalescent nursing of patients undergoing modified radical mastectomy.Methods From January 2020 to December 2022,110 patients with modified radical mastectomy for breast cancer were selected as research samples,of which 55 patients were selected as a control group for routine nursing,and 55 cases were selected as a research group for 3 weeks of continuous nursing on WeChat platform on the basis of routine nursing.The impacts of continuous nursing on the quality of life and psychological status of patients with breast cancer were evaluated by using the quality of life measurement scale for breast cancer patients(FACT-B),self-rating anxiety scale(SAS,)and self-rating depression scale(SDS).Results After the intervention,the scores of physiological status,social/family status,emotional status,functional status,and additional attention in the research group were(23.64±3.58)(25.63±3.24)(19.63±2.28)(22.27±2.34)and(28.56±3.35)on the quality of life measurement scale,while the control group was(19.45±3.44)(20.36±3.25)(15.52±2.25),(19.46±2.23),and(24.45±3.32),respectively.Compared with the two groups,the corresponding scores of the research group were higher than those of the control group(t=6.259,8.516,9.515,6.447,6.463,all P<0.001).After the intervention,SAS scores were(40.30±2.16)in the study group and(57.13±2.24)in the control group,and the difference between the two groups was statistically significant(t=16.278,P<0.001).The SDS score in the research group was(40.21±3.26)and that in the control group was(58.16±4.24),and the difference between the two groups was statistically significant(t=9.637,P<0.001).Conclusion Continuous nursing on the We-Chat platform can improve the quality of life and psychological condition of breast cancer patients.
作者
朱娟
张元红
魏倩
刘芬
李新娴
ZHU Juan;ZHANG Yuan-hong;WEI Qian;LIU Fen;LI Xinxian(Thyroid and Mammary Department,Xuzhou Central Hospital,Xuzhou 221000,Jiangsu,China)
出处
《中国校医》
2023年第11期854-857,共4页
Chinese Journal of School Doctor
关键词
乳腺癌
改良根治术
康复期
微信平台
延续性护理
生命质量
遵医行为
不良情绪
Breast cancer
Modified radical resection
Convalescent period
WeChat platform
Continuous nursing
Quality of life
Medical compliance
Bad emotion
