【摘要】 目的研究基于微信平台的延续性护理措施对促进直肠癌造口术患者康复的效果。方法将本院92例直肠癌造口术患者随机分为观察组与对照组,观察组采取微信平台延续性护理,对照组采取常规院外宣教,采用造口患者生活质量问卷和自我护理量表比较两组干预前后生活质量、自护能力及3个月内并发症发生率。结果干预后,观察组概念、知识、责任、技能评分及总分均显著高于本组干预前(均P<0.05),且明显高于对照组干预后(均P<0.05);干预后,两组精神健康评分显著高于本组干预前(均P<0.05),观察组生理、心理评分显著高于本组干预前(均P<0.05),观察组生理、心理、精神健康评分显著高于对照组(均P<0.05);观察组并发症总发生率为19.57%,显著低于对照组的39.13%,差异有统计学意义(P<0.05)。结论基于微信平台的延续性护理具有便捷性、实时性,可显著提高患者院外自护能力及生活质量,且可降低造口相关并发症风险,是较为有效的延续性护理方式之一。更多还原

【Abstract】 Objective To study the effect of continuous nursing platform based on We Chat on postoperative recovery of patients with rectal cancer. Methods 92 patients with rectal cancer ostomy admitted to our hospital were randomly assigned to treatment group and control group.The treatment group was treated with We Chat-based continuity nursing,the control group was treated with routine hospital education. Two groups were compared before and after intervention regarding the quality of life and self-care ability as well as incidence of complications at 3 months. Results The concept,knowledge,responsibility,skills and total score of the treatment group were significantly higher than those before intervention and those in the control group after intervention(P < 0.05). After intervention,the mental health of the two groups was significantly higher than that before intervention(P < 0.05). The physiological and psychological social scores of the treatment group were significantly higher than those before intervention(P < 0.05). The physiological,psychological and mental health scores of the treatment group were significantly higher than those of the control group(P < 0.05). The incidence of complications in the treatment group was significantly lower than that in the control group(39.13%),and the difference was statistically significant(P < 0.05). Conclusion The continuity of care based on We Chat has convenient,real-time effect. It can significantly improve patients self-care ability and life quality,and can reduce the risk of stoma complications. It is an effective way of continuing nursing care.更多还原