摘要
目的探讨基于微信群的同伴教育干预策略对接受喉癌切除术患者术后康复质量和自我效能的影响。方法选取2018年7月至2019年12月于华中科技大学同济医学院附属同济医院行喉癌切除术的112例患者,采用随机数字表法将其分入对照组(n=56)和观察组(n=56)。对照组患者采用常规围手术期护理干预,观察组患者在常规围手术期护理的基础上采用基于微信群的同伴教育干预策略。比较两组患者的并发症发生率和康复依从性,以及干预前和干预6个月后的自我效能和疾病感知能力。结果观察组的并发症发生率为5.36%,显著低于对照组的17.86%(P<0.05)。观察组的康复依从性评分为(95.28±4.25)分,显著高于对照组的(88.21±3.86)分(P<0.001)。干预6个月后,两组的自我效能评分和疾病感知问卷(BIPQ)评分均显著高于同组干预前(P值均<0.05),且观察组的上述评分均显著高于对照组(P值均<0.05)。结论基于微信群的同伴教育干预策略不仅能够有效提高患者的自我效能、疾病感知能力和康复依从性,而且可以显著降低患者的并发症发生风险,从而提高康复质量。
Objective To explore the effect of peer education intervention strategy based on WeChat group on postoperative rehabilitation quality and self-efficacy of patients after laryngeal cancer surgery.Methods A total of 112 patients who underwent surgery for laryngeal cancer at Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology from July 2018 to December 2019 were selected.They were divided into a control group(n=56)and an observation group(n=56)by using a random number table.The control group was given conventional perioperative care,and the observation group was given peer education intervention based on WeChat group on the basis of conventional care.The incidence of complications,compliance with rehabilitation,self-efficacy and disease perception before and 6 months after intervention were compared between the two groups.Results The incidence of complications in the observation group was 5.36%,which was significantly lower than 17.86%in the control group(P<0.05).The rehabilitation compliance scores of the observation group were(95.28±4.25)points,which was significantly higher than(88.21±3.86)points of the control group(P<0.001).After 6 months of intervention,the scores of self-efficacy and brief illness perception questionnaire(BIPQ)of the two groups were significantly higher than those before the intervention(all P<0.05),and the self-efficacy scores and BIPQ scores of the observation group were significantly higher than those of the control group(both P<0.05).Conclusion Peer education intervention strategy based on WeChat group not only effectively improve self-efficacy,disease perception and rehabilitation compliance,but also significantly reduce the risk of complications,thereby improving the quality of rehabilitation.
作者
汪琳
张维维
WANG Lin;ZHANG Wei-wei(Department of Otolaryngology,Head and Neck Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,430030,China)
出处
《中西医结合护理（中英文）》
2021年第3期30-33,共4页
Journal of Clinical Nursing in Practice
关键词
微信群
同伴教育
喉癌
自我效能
WeChat group
peer education
laryngeal cancer
self-efficacy
