摘要
目的探讨基于微信平台的多学科干预对低位直肠癌术后结肠造口患者自我管理水平与心理状态的影响。方法将198例低位直肠癌术后结肠造口患者按干预方法的不同分为常规组99例和观察组99例,常规组采用常规干预,观察组采用基于微信平台的多学科干预。比较两组患者的自我管理水平(自我管理水平调查问卷)、应对方式(简易应对方式量表)、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、生活质量[健康调查简表(SF-36)]及造口并发症发生情况。结果干预后,两组患者自我管理水平调查问卷各维度评分、SF-36量表各维度评分均高于干预前,且观察组患者自我管理水平调查问卷各维度评分、SF-36量表各维度评分均高于常规组,差异均有统计学意义(P﹤0.05)。干预后,两组患者积极应对评分均高于干预前,消极应对评分均低于干预前,且观察组患者积极应对评分高于常规组,消极应对评分低于常规组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SAS、SDS评分均低于干预前,且观察组患者SAS、SDS评分均低于常规组,差异均有统计学意义(P﹤0.05)。观察组患者造口并发症总发生率低于常规组,差异有统计学意义(P﹤0.05)。结论基于微信平台的多学科干预能够有效增强低位直肠癌术后结肠造口患者的自我管理水平,改善患者心理状态,使患者以积极心态面对造口与后续相关治疗,从而更好地提升患者生活质量。
Objective To explore the effects of multidisciplinary intervention based on WeChat platform on self-management level and psychological state of postoperative colostomy patients with low rectal cancer.Method A total of 198 patients with postoperative colostomy for low rectal cancer were divided into conventional group(99 cases)and observation group(99 cases)according to different intervention methods.The conventional group was treated with routine intervention,while the observation group was treated with multidisciplinary intervention based on WeChat platform.The selfmanagement level(self-management level questionnaire),coping style(simple coping style scale),psychological state[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],quality of life[the MOS 36-item short form health survey(SF-36)]and the incidence of ostomy complications were compared between the two groups.Result After intervention,the dimensional scores of self-management level questionnaire and SF-36 scale were higher than those before intervention,and the dimensional scores of self-management level questionnaire and SF-36 scale in the observation group were higher than those in the conventional group,the differences were statistically significant(P<0.05).After intervention,the positive coping scores in both groups were higher than those before intervention,and the negative coping scores were lower than those before intervention,and the positive coping score in the observation group was higher than that in the conventional group,and the negative coping score was lower than that in the conventional group,the differences were statistically significant(P<0.05).After intervention,the scores of SAS and SDS in two groups were lower than those before intervention,and the scores of SAS and SDS in observation group were lower than those in conventional group,the differences were statistically significant(P<0.05).The total incidence of ostomy complications in observation group was lower than that in conventional group,and the difference was sta
作者
王佳奇
王志霞
杜灿灿
赵天云
宋笑飞
闫玉萍
WANG Jiaqi;WANG Zhixia;DU Cancan;ZHAO Tianyun;SONG Xiaofei;YAN Yuping(Department of Gastrointestinal Surgery,He’nan Provincial Key Medicine Laboratory of Nursing,He’nan Provincial People’s Hospital,Zhengzhou University People’s Hospital,Zhengzhou 450000,He’nan,China)
出处
《癌症进展》
2024年第13期1435-1439,共5页
Oncology Progress
基金
河南省科技研发项目(182102310147)。
关键词
低位直肠癌
结肠造口
多学科
微信平台
自我管理
心理状态
low rectal cancer
colostomy
multidisciplinary
WeChat platform
self-management
psychological state
