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目的:观察微信微聊群在白血病出院患者院外延续护理中的应用效果。方法:选取接受化疗的白血病患者180例,随机分为观察组92例和对照组88例。对照组采用常规出院流程,出院前进行出院指导;观察组在对照组的基础上,通过微信平台建立微聊群进行延续护理。比较3个月后两组患者心理状况、睡眠质量、生活质量、不良反应及并发症发生情况。结果:观察组抑郁自评量表(SDS)、Epworth嗜睡量表(ESS)评分低于对照组(P<0.001或P<0.05)。观察组5个功能领域量表评分和总体健康状况量表评分较对照组升高;症状领域中疲乏、恶心呕吐评分降低;5项特异性症状中仅失眠、食欲减退比较差异有统计学意义(P<0.05)。除胃肠道反应、脱发外,观察组各项化疗不良反应和并发症的发生率均低于对照组(P<0.05)。结论:微信微聊群的院外延续护理可改善患者焦虑情绪,提高其生活质量,降低不良反应和并发症的发生率。
Objective: To observe the effect of WeChat micro-chat group in the follow-up care of patients with leukemia discharged from hospital. Methods: A total of 180 leukemia patients who underwent chemotherapy were randomly divided into observation group (n = 92) and control group (n = 88). In the control group, the routine discharge procedure was used and the discharge guidance was given before discharge. On the basis of the control group, the observation group established the micro-chat group through the WeChat platform for continuation of nursing. The mental status, sleep quality, quality of life, adverse reactions and complications of two groups were compared after 3 months. Results: The self-rating depression scale (SDS) and Epworth sleepiness scale (ESS) scores in the observation group were lower than those in the control group (P <0.001 or P <0.05). In the observation group, the scores of the five functional domains scale and the overall health status scale were higher than those in the control group; the symptom areas were tired and the scores of nausea and vomiting were decreased; only insomnia and loss of appetite of the five specific symptoms were statistically significant ( P <0.05). In addition to gastrointestinal reactions, hair loss, the observation group of chemotherapy adverse reactions and complications were lower than the control group (P <0.05). CONCLUSIONS: Extensive nursing care in WeChat micro-chat groups can improve anxiety, improve quality of life, and reduce the incidence of adverse reactions and complications.