微信随访对宫颈癌放疗患者家庭阴道冲洗依从性的影响研究
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摘要
目的分析研究微信随访对宫颈癌放疗患者家庭阴道冲洗依从性的影响。方法选择2015年12月～2017年12月我院收治的96例宫颈癌放疗患者,运用随机数字表法将其分为对照组(n=48)与试验组(n=48),对照组施以常规的出院指导,试验组在此基础上施以微信随访,观察两组患者出院1、3、6个月的按时复诊情况与出院6个月后的家庭阴道冲洗、阴道粘连狭窄等情况及患者的护理满意度。结果两组患者出院1个月的按时复诊率,差异无统计学意义(P> 0.05);试验组出院3、6个月的按时复诊率明显高于对照组,并且出院6个月后的家庭阴道冲洗率与患者的护理满意度明显较高,阴道粘连狭窄发生率从明显降低,差异有统计学意义(P <0.05)。结论微信随访对宫颈癌放疗患者家庭阴道冲洗依从性具有积极影响,不仅能够提升出院后的复诊率、家庭阴道冲洗率与患者的护理满意度,同时能够降低阴道粘连狭窄发生率,具有较高的临床推广价值。
Objective To study the effect of WeChat follow-up on compliance of home vaginal douching in cervical cancer patients receiving radiotherapy. Methods Ninety-six cervical cancer patients receiving radiotherapy who were admitted and treated in our hospital from December 2015 to December 2017 were selected.According to random number table method,they were randomly divided into the control group(n=48)and the experimental group(n=48).The control group was given routine discharge guidance while the experimental group was given WeChat follow-ups on basis of it.The conditions of return visit on time of 1 month,3 months and 6 months after discharge and home vaginal douching,vaginal adhesion stenosis and satisfaction degree of patients in 6 months after discharge in two groups were observed. Results There was no significant difference in the rate of return visit on time of 1 month after discharge between the two groups(P > 0.05).Rates of return visit on time of 3 months and 6 months after discharge in the experimental group were both significantly higher than those in the control group.The rate of home vaginal douching and satisfaction degree of patients in 6 months after discharge in the experimental group were significantly higher and the incidence of vaginal adhesion stenosis was significantly decreased.Differences were significant(P < 0.05). Conclusion WeChat follow-up has a positive effect on compliance of home vaginal douching in cervical cancer patients receiving radiotherapy.It can not only improve the rate of return visit,the rate of receiving and the satisfaction of nursing.At the same time,it can reduce the incidence of vaginal adhesion stenosis which has higher clinical values of promotion.
Objective To study the effect of WeChat follow-up on compliance of home vaginal douching in cervical cancer patients receiving radiotherapy. Methods Ninety-six cervical cancer patients receiving radiotherapy who were admitted and treated in our hospital from December 2015 to December 2017 were selected.According to random number table method,they were randomly divided into the control group(n=48)and the experimental group(n=48).The control group was given routine discharge guidance while the experimental group was given WeChat follow-ups on basis of it.The conditions of return visit on time of 1 month,3 months and 6 months after discharge and home vaginal douching,vaginal adhesion stenosis and satisfaction degree of patients in 6 months after discharge in two groups were observed. Results There was no significant difference in the rate of return visit on time of 1 month after discharge between the two groups(P > 0.05).Rates of return visit on time of 3 months and 6 months after discharge in the experimental group were both significantly higher than those in the control group.The rate of home vaginal douching and satisfaction degree of patients in 6 months after discharge in the experimental group were significantly higher and the incidence of vaginal adhesion stenosis was significantly decreased.Differences were significant(P < 0.05). Conclusion WeChat follow-up has a positive effect on compliance of home vaginal douching in cervical cancer patients receiving radiotherapy.It can not only improve the rate of return visit,the rate of receiving and the satisfaction of nursing.At the same time,it can reduce the incidence of vaginal adhesion stenosis which has higher clinical values of promotion.
引文
[1]石晓婷,强云凤,豆翠萍.微信随访对宫颈癌放疗患者家庭阴道冲洗依从性及性生活恢复的影响[J].中国实用护理杂志,2016,32(35):2750-2752.
[2]张莹,孙晖,王英,等.微信随访管理平台在宫颈癌同步放化疗患者中的运用效果分析[J].现代预防医学,2016,43(13):2385-2388.
[3]魏晚霞,夏为书,刘东星.电话随访对宫颈癌放疗患者阴道冲洗的影响[J].临床心身疾病杂志,2015,21(s2):173-174.
[4]田峰,付佳,崔丽红,等.强化健康教育对宫颈癌病人调强放疗依从性的影响[J].循证护理,2015,1(3):130-133.
[5]鞠小梅,陆云燕,许燕,等.人文护理在中晚期宫颈癌放疗病人阴道冲洗中的应用[J].全科护理,2017,15(26):3273-3275.
[6]吴晶洁.临床护理路径对宫颈癌腔内后装放疗患者治疗依从性与临床疗效的影响分析[J].中国现代医生,2016,54(4):147-150.
[7]于静.全程护理干预对宫颈癌患者护理质量的效果分析[J].中国现代医生,2017,55(26):141-143.
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[9]鞠小梅,张曦霞,张兰凤,等.放置阴道模联合盆底肌肉锻炼在减轻宫颈癌放疗患者阴道狭窄中的应用[J].中华护理杂志,2016,51(9):1124-1126.
[10]彭伟萍.临床路径对宫颈癌根治术患者护理依从性的影响[J].中外医学研究,2015,13(30):63-65.
[11]王永丽,张凡,张秀萍,等.综合护理干预对宫颈癌患者化疗依从性的影响[J].中国误诊学杂志,2011,11(5):1067-1068.
[12]吴芙蓉,李红.护理干预对宫颈癌患者术后化疗期间生活质量及依从性的影响[J].河北医学,2016,22(3):504-506.
[13]贾芳,赵丽丽.心理干预对妇科宫颈癌术后患者化疗依从性的影响[J].齐鲁护理杂志,2015,21(4):27-28.
[14]徐敏,王海琴,杜新香.护理干预对宫颈癌放疗患者身心影响的观察[J].华南国防医学杂志,2015,29(2):141-142.
[15]邹玉仙,王代梅,刘明蓉,等.早期心理护理对宫颈癌患者负性情绪及治疗依从性的临床研究[J].国际精神病学杂志,2017,44(2):371-373.
[2]张莹,孙晖,王英,等.微信随访管理平台在宫颈癌同步放化疗患者中的运用效果分析[J].现代预防医学,2016,43(13):2385-2388.
[3]魏晚霞,夏为书,刘东星.电话随访对宫颈癌放疗患者阴道冲洗的影响[J].临床心身疾病杂志,2015,21(s2):173-174.
[4]田峰,付佳,崔丽红,等.强化健康教育对宫颈癌病人调强放疗依从性的影响[J].循证护理,2015,1(3):130-133.
[5]鞠小梅,陆云燕,许燕,等.人文护理在中晚期宫颈癌放疗病人阴道冲洗中的应用[J].全科护理,2017,15(26):3273-3275.
[6]吴晶洁.临床护理路径对宫颈癌腔内后装放疗患者治疗依从性与临床疗效的影响分析[J].中国现代医生,2016,54(4):147-150.
[7]于静.全程护理干预对宫颈癌患者护理质量的效果分析[J].中国现代医生,2017,55(26):141-143.
[8]戈永华,周强平.微信平台在宫颈癌高危患者自我管理行动力和健康知识水平的影响[J].当代医学,2017,23(34):172-174.
[9]鞠小梅,张曦霞,张兰凤,等.放置阴道模联合盆底肌肉锻炼在减轻宫颈癌放疗患者阴道狭窄中的应用[J].中华护理杂志,2016,51(9):1124-1126.
[10]彭伟萍.临床路径对宫颈癌根治术患者护理依从性的影响[J].中外医学研究,2015,13(30):63-65.
[11]王永丽,张凡,张秀萍,等.综合护理干预对宫颈癌患者化疗依从性的影响[J].中国误诊学杂志,2011,11(5):1067-1068.
[12]吴芙蓉,李红.护理干预对宫颈癌患者术后化疗期间生活质量及依从性的影响[J].河北医学,2016,22(3):504-506.
[13]贾芳,赵丽丽.心理干预对妇科宫颈癌术后患者化疗依从性的影响[J].齐鲁护理杂志,2015,21(4):27-28.
[14]徐敏,王海琴,杜新香.护理干预对宫颈癌放疗患者身心影响的观察[J].华南国防医学杂志,2015,29(2):141-142.
[15]邹玉仙,王代梅,刘明蓉,等.早期心理护理对宫颈癌患者负性情绪及治疗依从性的临床研究[J].国际精神病学杂志,2017,44(2):371-373.