摘要
目的:探讨基于微信平台中期照护对食管癌患者自我管理效能及生活质量的影响。方法:选取医院收治的60例食管癌患者,采用随机数表法将其分为观察组和对照组,每组30例。对照组采用常规护理,观察组采用中期照护,患者出院时和出院后3个月采用癌症自我管理效能量表(SUPPH)和生活质量核心问卷(QLQ-C30)进行调查,比较两组自我管理效能及生活质量。结果:两组出院时自我效能和生活质量相似。出院后3个月观察组自我效能的正性态度、自我决策、自我减压和总分均高于对照组,差异有统计学意义(t=4.260,t=8.078,t=12.553,t=6.919;P<0.05);观察组生活质量总体健康状况、躯体功能、情感功能、社会功能和角色功能评分好于对照组,差异有统计学意义(t=2.120,t=1.821,t=1.981,t=2.064,t=2.180;P<0.05),疲劳、疼痛、呼吸困难及失眠好于对照组,差异有统计学意义(t=-3.251,t=-2.963,t=-2.582,t=-2.685;P<0.05)。结论:基于微信平台中期照护可明显改善患者自我管理效能,提高患者生活质量。
Objective:To explore the effect of the intermediate care model based on WeChat platform on selfmanagement efficacy and quality of life(QOL)of patients with esophageal cancer.Methods:60 patients with esophageal cancer admitted to the hospital were selected and divided into observation group and control group by random number table method,with 30 cases in each group.The control group adopted routine care,and the observation group adopted intermediate care.The self-management efficacy and quality of life of the patients were compared using the Strategies Used by People to Promote Health(SUPPH)and Quality of Life-Core 30 Questionnaire(QLQ-C30)at and within 3 months after discharge.Results:Self-efficacy and quality of life at discharge were similar in both groups.The positive attitude,self-decision,self-decompression and total scores of self-efficacy of the observation group were higher than those of the control group 3 months after discharge,and the difference was statistically significant(t=4.260,t=8.078,t=12.553,t=6.919;P<0.05);the overall health,physical function,emotional function,social function and role function scores of the observation group's quality of life were better than those of the control group,and the difference was statistically significant(t=2.120,t=1.821,t=1.981,t=2.064,t=2.180;P<0.05),fatigue,pain,dyspnea and insomnia were better than the control group,the difference was statistically significant(t=-3.251,t=-2.963,t=-2.582,t=-2.685;P<0.05).Conclusion:Intermediate care model based on WeChat platform can significantly improve self-management efficacy and quality of life of patients.
作者
邓雪
许莹莹
黄婧
徐静
仝宇梭
朱卫国
DENG Xue;XU Ying-ying;HUANG Jing(Department of Radiotherapy Oncology,The Affiliated Huaian No.1 People’s Hospital of Nanjing Medical University,Huai’an 223300,China;不详)
出处
《中国医学装备》
2021年第5期163-166,共4页
China Medical Equipment
基金
国家自然科学基金(81602118)“pou3f3促进食管鳞癌细胞增殖和侵袭的分子机制”
淮安市自然科学研究计划(HAB201930)“肿瘤相关成纤维细胞通过外泌体介导IncRNA HNFIA-ASI转运促进食管鳞癌化疗抵抗机制研究”。
关键词
食管癌
微信
中期照护
自我管理效能
生活质量
Esophageal cancer
WeChat platform
Intermediate care
Self-management efficacy
Quality of life
