| 基于微信平台的同伴教育对肝癌患者介入术后心理、自我护理能力和生活质量的影响 |
| |
| 引用本文： | 张如新,董真真,马波,张淑娣. 基于微信平台的同伴教育对肝癌患者介入术后心理、自我护理能力和生活质量的影响[J]. 中华全科医学, 2019, 17(11): 1951. DOI: 10.16766/j.cnki.issn.1674-4152.001099 |
| |
| 作者姓名： | 张如新 董真真 马波 张淑娣 |
| |
| 作者单位： | 1. 浙江医院手术室, 浙江 杭州 310013; |
| |
| 基金项目： | 浙江省自然科学基金项目(LY18H040010) |
| |
| 摘 要： | 目的 探讨基于微信平台的同伴教育对肝癌患者介入术后心理、自我护理能力和生活质量的影响。 方法 选择浙江医院2017年6月—2018年6月间112例首次进行肝癌介入术的患者作为研究对象，根据随机数字法将所有患者分为2组，每组56例。对照组给予术后常规护理干预，观察组在对照组的基础上实施基于微信平台的同伴教育护理干预，2组均护理至患者出院后4周。于护理前后采用抑郁自评量表(SDS)及焦虑自评量表(SAS)对2组患者抑郁情况及焦虑情况进行评价，采用自我护理能力测量量表(ESCA)评价2组患者在自我概念、健康知识、自我护理技能及自我责任感等方面的自我护理能力情况，采用QOL-30生活质量量表评价2组患者在生理功能、心理功能、躯体功能及社会功能等方面的生活质量情况。 结果 护理后，2组SDS、SAS评分均显著下降，且观察组明显低于对照组(均P<0.05)。护理后，2组自我概念、健康知识、自我护理技能及自我责任感评分均明显升高，且观察组显著高于对照组(均P<0.05)。护理后，2组生理功能、心理功能、躯体功能及社会功能评分均显著升高，且观察组明显高于对照组(均P<0.05)。 结论 基于微信平台的同伴教育可减轻肝癌患者介入术后抑郁与焦虑心理状态，提高患者自我护理能力，从而提高患者的生活质量。
|
| 关 键 词： | 肝癌介入术后护理 同伴教育 微信 效果分析 |
| 收稿时间： | 2019-02-22 |
Effect of peer education based on WeChat platform on psychological,self-care ability and quality of life in patients with liver cancer after intervention |
| |
| Affiliation: | Operating Room of Zhejiang Hospital, Hangzhou, Zhejiang 310013, China |
| |
| Abstract: | Objective To explore the influence of peer education based on WeChat platform on psychological, self-care ability and quality of life in patients with liver cancer after interventional therapy. Methods One hundred and twelve patients with liver cancer intervention in Zhejiang Hospital from June 2017 to June 2018 were selected as research subject and divided into 2 groups according to random number method, 56 cases in each group. The control group was received postoperative routine nursing intervention. The observation group was added peer education nursing intervention based on WeChat platform. Both groups were nursed 4 weeks after discharge. Before and after nursing, the depression self-rating scale (SDS) and anxiety self-rating scale (SAS) were used to evaluate the depression and anxiety of the two groups. The self-care ability measurement scale (ESCA) was used to evaluate the self-concept of the two groups. Self-care ability in health knowledge, self-care skills and self-responsibility. The QOL-30 quality of life scale was used to evaluate the life quality of the two groups in terms of physiological function, psychological function, physical function and social function. Results After nursing, the SDS and SAS scores of the two groups were significantly decreased compared with the control group (P<0.05). After nursing, the self-concept, health knowledge, self-care skills and self-responsibility scores of the two groups were significantly increased compared with the control group (P<0.05). After nursing, the physiological function, psychological function, physical function and social function scores of the two groups were significantly increased compared with the control group (P<0.05). Conclusion Peer education based on WeChat platform can alleviate the depression and anxiety state of, improve the self-care ability of patients, and improve the life quality of patients with liver cancer after interventional therapy. |
| |
| Keywords: | |
|
| 点击此处可从《中华全科医学》浏览原始摘要信息 |
|
点击此处可从《中华全科医学》下载免费的PDF全文 |
|
