[1]李 航,王茹雪.基于微信平台同伴教育护理模式对肝癌介入患者术后心理、自我护理能力及癌因性疲乏影响的研究[J].医学信息,2024,37(10):161-164.[doi:10.3969/j.issn.1006-1959.2024.10.035]
　LI Hang,WANG Ru-xue.Study on the Effect of Peer Education Nursing Model Based on WeChat Platform on Postoperative Psychology, Self-care Ability and Cancer-related Fatigue of Patients with Liver Cancer Intervention[J].Journal of Medical Information,2024,37(10):161-164.[doi:10.3969/j.issn.1006-1959.2024.10.035]
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基于微信平台同伴教育护理模式对肝癌介入患者术后心理、自我护理能力及癌因性疲乏影响的研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年10期
页码:
161-164
栏目:
护理研究
出版日期:
2024-05-15

文章信息/Info

Title:
Study on the Effect of Peer Education Nursing Model Based on WeChat Platform on Postoperative Psychology, Self-care Ability and Cancer-related Fatigue of Patients with Liver Cancer Intervention
文章编号:
1006-1959（2024）10-0161-04
作者:
李 航; 王茹雪
（天津市第二人民医院消化内科，天津 300192）
Author(s):
LI Hang; WANG Ru-xue
(Gastroenterology Department of Tianjin Second People’s Hospital,Tianjin 300192,China)
关键词:
微信平台; 同伴教育护理; 肝癌介入术; 心理状态; 自我护理能力
Keywords:
WeChat platform; Peer education nursing; Liver cancer intervention; Psychological status; Self-care ability
分类号:
R473.73
DOI:
10.3969/j.issn.1006-1959.2024.10.035
文献标志码:
A
摘要:
目的 研究基于微信平台同伴教育护理模式对肝癌介入患者术后心理、自我护理能力及癌因性疲乏的影响。方法 选取2021年3月-2022年3月在我院进行肝癌介入治疗的92例患者为研究对象，采用随机数字表法分为对照组和观察组，各组46例。对照组采用常规护理，观察组在对照组基础上给予基于微信平台的同伴教育护理干预，比较两组患者心理应激反应评分、心理状态评分、自我护理能力、癌因性疲乏评分以及并发症发生率。结果 两组干预后屈服、回避状态评分低于均低于干预前，应对状态评分高于干预前，且观察组屈服、回避状态评分低于对照组，应对状态评分高于对照组（P＜0.05）；两组干预后焦虑、抑郁评分均低于干预前，且观察组低于对照组（P＜0.05）；两组干预后自护护理能力总评分高于干预前，且观察组高于对照组（P＜0.05）；两组干预后癌因性疲乏评分均低于干预前，且观察组低于对照组（P＜0.05）；观察组并发症发生率为17.39%，低于对照组的36.96%（P＜0.05）。结论 肝癌介入患者术后开展于基于微信平台的同伴教育护理干预，可提高患者心理应激反应水平，改善焦虑、抑郁情绪，提升自我护理能力，降低癌因性疲乏，预防并发症，可实现较理想的护理效果。
Abstract:
Objective To study the effect of peer education nursing model based on WeChat platform on postoperative psychology, self-care ability and cancer-related fatigue in patients with liver cancer intervention.Methods A total of 92 patients who underwent interventional therapy for liver cancer in our hospital from March 2021 to March 2022 were selected as the research objects. They were divided into control group and observation group by random number table method, with 46 patients in each group. The control group was given routine nursing, and the observation group was given peer education nursing intervention based on WeChat platform on the basis of the control group. The psychological stress response score, psychological state score, self-care ability, cancer-related fatigue score and complication rate were compared between the two groups.Results The scores of yield and avoidance state in the two groups after intervention were lower than those before intervention, and the scores of coping state were higher than those before intervention, meanwhile, the scores of yield and avoidance state in the observation group were lower than those in the control group, and the scores of coping state were higher than those in the control group (P<0.05). The scores of anxiety and depression in the two groups after intervention were lower than those before intervention, and those in the observation group were lower than those in the control group (P<0.05). The total score of self-care nursing ability in the two groups after intervention was higher than that before intervention, and that in the observation group was higher than that in the control group (P<0.05). The cancer-related fatigue score of the two groups after intervention was lower than that before intervention, and that in the observation group was lower than that in the control group (P<0.05). The incidence of complications in the observation group was 17.39%, which was lower than 36.96% in the control group (P<0.05).Conclusion Peer education nursing intervention based on WeChat platform for patients with liver cancer after interventional surgery can improve the level of psychological stress response, anxiety and depression, as well as improve self-care ability, reduce cancer-related fatigue, prevent complications, and achieve better nursing effect.

参考文献/References:

[1]邵玉香,毛辉.鸦胆子油软胶囊联合XELOX化疗方案对晚期肝癌患者肝功能及生存质量的影响[J].医学理论与实践,2020,33(4):590-591.[2]秦晓凤.认知行为干预对肝癌介入术后患者不良情绪及心理应激反应的影响[J].国际护理学杂志,2020,39(5):806-807,809.[3]胡玉辉,刘杰.肝癌合并胆管癌栓治疗方式对预后的影响[J].现代仪器与医疗,2018,24(6):76-78.[4]马文芳,王秀花,王晓伟.医院-社区-家庭一体化护理模式对肝癌介入患者身心应激、生活质量及应对方式的影响[J].护理实践与研究,2022,25(1):179-181.[5]王文珣,陈青梅,郑爱林.循证护理模式对改善肝癌介入治疗患者术后疼痛效果研究[J].内蒙古医学杂志,2019,31(3):120-123.[6]魏洁,董浩宇.同伴教育对伴有情绪障碍的老年2型糖尿病病人血糖、心理压力、情绪变化及生活质量的影响研究[J].实用老年医学,2020,34(1):58-61.[7]中华人民共和国卫生和计划生育委员会医政医管局.原发性肝癌诊疗规范(2017年版)[J].传染病信息,2019,16(3):705-720.[8]向贵,蔡艳珠,汪婷,等.循证护理在肝癌介入栓塞术后并发症的预防和生活质量分析[J].长春中医药大学学报,2020,3(1):196-199.[9]李德敬,汤超,吕全军.中西结合护理干预对肝癌介入术后患者并发症及生活质量的影响分析[J].现代诊断与治疗,2019,30(10):1745-1747.[10]Mazmishvili K,Jayant K,Janikashvili N,et al.Study to evaluate the immunomodulatory effects of radiofrequency ablation compared to surgical resection for liver cancer[J].J Cancer,2018,9(17):3187-3195.[11]刘敏,李国宏,张扬.同伴教育对2型糖尿病患者自我效能和生存质量的影响[J].山东医药,2016,56(24):98-100.[12]张丽敏,宿桂霞,李新省,等.舒适型护理在肝癌介入患者中的应用[J].河北医药,2018,40(6):955-957.[13]范素云,贾彦彦,施雁.同伴教育对甲状腺癌患者术后服用放射性131I治疗效果的影响[J].中华护理杂志,2017,52(3):285-288.[14]黄佳燕,郭梦霞,简杏清.临床护理路径在肝癌介入治疗患者术后护理中的应用[J].护理实践与研究,2019,16(18):83-85[15]李洁,居朝霞.基于微信平台的生命网健康教育对肝癌介入术后患者应对方式及生活质量的影响[J].医学临床研究,2018,35(12):2494-2496.[16]林华蓉.纽曼系统护理模式对中晚期肝癌介入治疗术后病人生活质量和不良情绪的影响[J].安徽医药,2019,23(9):1834-1838.[17]唐慧琳,朱忠,万玲君,等.系统性护理干预对原发性肝癌手术患者心理和生活质量的影响[J].中华现代护理杂志,2018,24(10):1207-1210.[18]赵红莉,杨海侠,杨会,等.微信平台对于改善原发性肝癌患者疼痛强度及服药依从性的效果研究[J].检验医学与临床,2017,14(18):2758-2760.[19]李晓娇,武琳琳.精准护理在轻度妊娠期高血压患者中的应用及对妊娠结局的影响[J].贵州医药,2019,43(1):156-158.[20]何好好,贺彩芳,章若锦,等.肝癌介入术后基于微信平台的垂直护理模式的研究及效果评价[J].介入放射学杂志,2018,27(10):983-985.

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更新日期/Last Update: 1900-01-01