摘要
目的:构建食管癌“互联网+”延续护理平台,并探讨食管癌“互联网+”延续护理平台对食管癌患者术后不同时间段内生命质量的影响。方法:回顾性分析117例食管癌患者的临床资料,按照是否干预将患者分为干预组(n=59)与对照组(n=58)。干预组严格按照本研究构建的延续护理平台进行干预;对照组采用电话随访、门诊随访和家庭访视进行调查。确定食管癌患者术后“互联网+”延续护理平台的构建体系和平台内容。在“互联网+”延续护理干预前后的不同时间点,收集两组患者术后随访数据。比较两组患者干预前后的症状和生命质量的差异。结果:干预前,两组患者总体健康状况得分比较,差异无统计学意义(P>0.05)。干预后3、6个月,干预组总体健康状况得分均高于对照组,差异有统计学意义(P<0.05)。干预前,两组躯体、角色、情绪、认知及社会维度得分比较,差异均无统计学意义(P>0.05)。干预后3、6个月,干预组躯体、角色、情绪及认知各维度得分均高于对照组,差异均有统计学意义(P<0.05)。干预后,干预组患者总体健康状况、躯体功能、角色功能、情绪功能、社会功能等生命质量指标均优于对照组(P<0.05)。结论:相较于常规的延续护理,基于微信平台的延续护理可明显改善患者总体健康状况。
Objective:To construct an“Internet+”extended care platform for esophageal cancer and to explore the impact of the“Internet+”extended care platform on the quality of life of esophageal cancer patients in different time periods after surgery.Methods:The clinical data of 117 patients with esophageal cancer were retrospective analysis,and they were divided into intervention group(n=59)and control group(n=58)based on whether or not to intervene.The intervention group strictly followed the continuous care platform constructed in this study for intervention,and the control group was surveyed using telephone follow-up,outpatient follow-up,and home visits.The construction system and content of the“Internet+”extended care platform for postoperative patients with esophageal cancer were determined.The postoperative follow-up data of esophageal cancer patients in the intervention and control groups were collected at different time points before and after the“Internet+”extended care intervention.The differences in symptoms and quality of life between the intervention group and the control group before and after the intervention were analyzed.Results:Before the intervention,there was no statistically significant difference between the overall health status scores of the two groups(P>0.05).At 3 and 6 months after the intervention,the overall health status scores of the intervention group were higher than those of the control group,and the differences were statistically significant(P<0.05).Before the intervention,there was no statistically significant difference between the scores of somatic,role,emotional,cognitive and social dimensions in the two groups(P>0.05).At 3 and 6 months after the intervention,the scores of the somatic,role,emotional and cognitive dimensions were higher in the intervention group than in the control group,and the differences were statistically significant(P<0.05).After the intervention,the patients in the intervention group had better overall health status,somatic function,role function,emotional function,social function and other quality of life indicators than the control group(P<0.05).Translated with www.DeepL.com/Translator(free version).Conclusion:Compared with conventional extended care,the extended care based on the WeChat platform can significantly improve the overall health status of patients.
作者
张小燕
李红云
黎辰晨
申春梅
文红英
ZHANG Xiao-yan;LI Hong-yun;LI Chen-chen;SHEN Chun-mei;WEN Hong-ying(Department of Thoracic Surgery,Affiliated Hospital of North Sichuan Medical,Nanchong 637000,Sichuan,China;Department of Cardiothoracic Surgery ICU,Affiliated Hospital of North Sichuan Medical,Nanchong 637000,Sichuan,China;Interventional Room,Affiliated Hospital of North Sichuan Medical,Nanchong 637000,Sichuan,China)
出处
《川北医学院学报》
CAS
2023年第5期711-714,共4页
Journal of North Sichuan Medical College
基金
南充市社会科学研究“十四五”规划项目(NC22B043)
南充市市校科技战略合作项目(22SXQT0203)。
关键词
互联网+
延续护理
食管癌
“Internet+”
Extended care
Esophageal cancer
