摘要
目的：探讨应用网络信息平台的延续护理对中晚期宫颈癌患者社会支持和遵医行为影响。方法选取中晚期宫颈癌同步放化疗患者120例，随机分为干预组和对照组，每组60例。两组患者出院前均按常规给予出院指导，干预组患者出院后由专职随访护士应用自行设计的网络信息系统，实施延续护理3个月。出院前、出院后3个月对患者的社会支持状况和遵医行为（复诊、阴道冲洗及饮食依从性）进行问卷调查，比较两组患者的社会支持状况和遵医行为。结果出院前两组患者社会支持各项得分差异无统计学意义；出院3个月后干预组患者社会支持状况包括主观支持、客观支持、社会支持利用度和社会支持总得分均明显高于对照组（均P＜0.05），患者遵医行为的按时复诊、按要求阴道冲洗及遵照饮食指导均明显高于对照组（均P＜0.05）。结论应用网络信息平台的延续护理能够使护理人员高效、快捷地为离院患者提供康复指导，能有效提高中晚期宫颈癌同步放化疗出院后患者社会支持和遵医行为，从而改善患的治疗效果。
Objective To discuss the application of network information platform care social support in patients with locally ad -vanced cervical cancer and the medical behavior influence .Methods To select 120 cases met inclusion and exclusion criteria of locally ad-vanced cervical cancer patients with chemoradiation , and randomly divided into intervention group and control group （ n =60 ） .Two groups of patients were routinely given before leaving hospital discharge guidance , the intervention group patients were designed by professional nur-ses used in our follow-up research and development of network information system after discharge , and implement continue nursing for 3 months.For patients social support condition and according to the medical behavior （ visit, douching and dietary adherence ） questionnaire be-fore discharge and 3 months after discharge , to compare two groups of patients＇social support condition and according to the medical behav-ior.Results To compare two groups of patients＇social support score before discharge , there was no statistically significant difference （ P〉0.05 ） .Social support condition including subjective support , objective support , social support utilization degree and the total score of social support of the intervention group patients were significantly higher than the control group discharged from hospital after 3 months;according to the medical behaviors such as return on time , douching and comply with dietary guidance as required of the intervention group patients were significantly higher than the control group , the above data had significant differences after statistics processing （ P〈0.05 ） .Conclusions The application of network information platform of continuation of care can efficiently and quickly provide rehabilitation guidance for departure from the hospital patients by nursing staff , and effectively improve the patients with locally advanced cervical cancer chemoradiation after dis -charge social support and medical behavior , thus improve therapeutic effect .
出处
《国际护理学杂志》
2014年第6期1277-1280,共4页
international journal of nursing
基金
广西医疗卫生重点科研项目（编号：重2011081）
关键词
宫颈肿瘤
延续护理
网络平台
社会支持
遵医行为
Cervical cancer
Continuation of care
Network platform
Social support
Compliance behavior
