摘要
目的探讨微信随访对初诊妇科恶性肿瘤患者术后自我效能和生存质量的影响。方法选择2014年5月—2015年5月入住四川省人民医院首次诊断为妇科恶性肿瘤的住院患者102例,将患者按照入院时间分为对照组(2014年5月—2014年10月)和试验组(2014年11月—2015年5月)各51例。对照组接受常规妇科护理和每月一次出院后电话随访,试验组在此基础上建立名为"馨予"的微信交流信息平台,接受为期6个月的微信随访,内容包括疾病相关知识、健康指导、心理与情感支持等。分别于出院时和出院6个月后采用一般自我效能量表(GSES)及癌症患者生存质量测定量表(EORTC QLQ-C30)调查自我效能和生存质量。结果出院时,对照组与试验组患者GSES得分比较,差异无统计学意义(P>0.05);出院6个月后,试验组患者GSES得分较对照组升高,差异有统计学意义(P<0.05)。对照组患者出院时与出院6个月后GSES得分比较,差异无统计学意义(P>0.05);试验组患者出院6个月后GSES得分较出院时升高,差异有统计学意义(P<0.05)。出院时,对照组与试验组患者躯体功能、角色功能、认知功能、情绪功能、社会功能、总体健康状况、恶心和呕吐、疼痛、疲劳得分比较,差异无统计学意义(P>0.05);出院6个月后,试验组患者躯体功能、角色功能、认知功能、情绪功能、社会功能、总体健康状况、恶心和呕吐、疼痛、疲劳得分比较,差异有统计学意义(P<0.05)。结论采用微信随访开展延续护理,可提高初诊妇科恶性肿瘤患者自我效能,并提高其生存质量。
Objective To evaluate the effect of WeChat follow-up on self-efficacy and quality of life in newly diagnosed gynecologic cancer patients. Methods 102 hospitalized patients with newly diagnosed gynecologic cancer in Sichuan Provincial People’s Hospital from May 2014 to May 2015,divided into the control group（ from May 2014 to October 2014） and the experimental group（ from November 2014 to May 2015） according to the time of admission,51 patients in each group. The control group received routine care and telephone interviews after hospital discharge. The experimental group received six-month WeChat follow-up on top of routine care and telephone interviews. The WeChat platform was called ＂ Xinyu ＂. The Self Efficacy Scale（ GSES） and the Cancer Patient Quality of Life Scale（ EORTC QLQ-C30） were used to investigate self-efficacy and quality of life at the time of discharge and 6 months after discharge. Results At discharge,the GSES scores of the control group and the experimental group were not statistically significant（ P 〉 0. 05）; 6 months after discharge, the GSES scores in the experimental group was higher than that in the control group,the difference was statistically significant（ P 〈 0. 05）.The GSES scores in the control group was not statistically significant at the time of discharge and 6 months after discharge（ P 〉0. 05）; GSES scores in the experimental group 6 months after discharge was higher than that at discharge,the difference was statistically significant（ P 〈 0. 05）. At discharge,the scores of physical function,role function,cognitive function,emotional function,social function,general health,nausea and vomiting,pain and fatigue of the control group and the experimental group were not statistically significant（ P 〉 0. 05）; 6 months after discharge,the scores of physical function,role function,cognitive function,emotional function,social function,general health,nausea and vomiting,pain and fatigue of the control group and the experimental group were sta
出处
《中国全科医学》
CAS
北大核心
2017年第A02期251-254,共4页
Chinese General Practice
基金
四川省卫计委课题项目(16PJ502)
关键词
肿瘤
微信随访
自我效能
生活质量
Neoplasm
WeChat follow-up
Self-efficacy
Quality of life
