标题 | 基于微信平台的护理干预应用于结直肠癌造口患者的价值 |
范文 | 周红 何丹玲 邱怀玉
[摘要]目的 探讨基于微信平台护理干预用于结直肠癌造口患者的效果。方法? 选取2018年1月~2019年2月我院收治的98例结直肠癌造口患者,按照随机数字表法分为对照组和研究组,每组各49例。对照组给予常规出院指导,研究组给予基于微信平台护理干预。比较两组自我护理能力、腹壁人工肛门功能评分、排便功能及并发症发生情况。结果 研究组自我护理能力评分、腹壁人工肛门功能评分高于对照组,差异有统计学意义(P<0.05)。研究组排便规律比例高于对照组,差异有统计学意义(P<0.05)。研究组并发症总发生率(10.20%)低于对照组(28.57%),差异有统计学意义(P<0.05)。结论 基于微信平台护理干预用于结直肠癌造口患者可提高患者自我护理能力,改善患者人工肛门功能及排便功能,降低并发症发生率。 [关键词]结直肠癌;直肠癌造口术;自我护理能力;排便功能 [Abstract] Objective To explore the effect of nursing intervention based on Wechat platform in patients with colorectal cancer stoma. Methods From January 2018 to February 2019, 98 patients with colorectal cancer treated in our hospital were selected and divided into control group and research group according to random number table method, 49 cases in each group. The control group was given routine discharge guidance, and the research group was given nursing intervention based on Wechat platform. The self-care ability, abdominal wall anal function score, defecation function and complications were compared between the two groups. Results The scores of self-care ability and artificial anal function in the research group were higher than those in the control group, with statistical differences (P<0.05). The proportion of defecation regularity in the research group was higher than that in the control group, and the difference was statistically significant (P<0.05). The incidence of complications in the research group (10.20%) was lower than that in the control group (28.57%), and the difference was statistically significant (P<0.05). Conclusion The nursing intervention based on Wechat platform can improve the self-care ability of patients with colorectal cancer stoma, improve the artificial anus function and defecation function, and reduce complications. [Key words] Colorectal cancer; Rectal cancer stoma; Self-care ability; Defecation function 結直肠癌是临床常见的一种消化道肿瘤,临床常采用手术治疗。而多数患者要永久性造口,不仅对患者术后生活质量产生影响,患者术后还要接受长期护理[1]。而患者自我护理能力越好,对患者康复越有利。需要采取有效的护理干预提高患者自我护理能力,改善患者肛门功能及排便功能[2]。但多数患者由于缺乏针对性、专业性的指导,患者对疾病认知程度不高,导致无法有效预防和处置各类情况,极大降低了生活质量。微信是流行的一种即时通讯工具,可加强人与人的交流,通过网路即时传递文字讯息、档案、语音与视频交流,不受时间、空间的约束[3]。有研究表明,微信护理在患者护理中有良好的应用效果[4]。本研究给予结直肠癌造口患者加以基于微信平台护理干预,现报道如下。 1资料与方法 1.1一般资料 选取2018年1月~2019年2月我院收治的98例结直肠癌造口患者,按照随机数字表法分为对照组和研究组,每组各49例。对照组中,男25例,女24例;年龄19~62岁,平均(43.44±4.98)岁;文化程度:本科及以上8例,高中或大专29例,小学、初中及中专12例。研究组中,男28例,女21例;年龄20~64岁,平均(42.63±4.59)岁;文化程度:本科及以上10例,高中或大专28例,小学、初中及中专11例。两组的一般资料比较,差异无统计学意义(P>0.05)具有可比性。本研究经医院医学伦理委员会批准。 |
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