微信平台在老年慢性疼痛患者延续护理中的应用
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摘要
目的探讨应用微信平台进行延续护理对老年慢性疼痛患者自我效能及生活质量的影响。方法将100例老年慢性疼痛患者随机分为对照组、实验组,每组各50例,对照组采用常规电话随访,实验组在对照组基础上采用微信平台进行延续护理指导,观察比较两组患者出院时和出院3个月后自我效能感及生活质量评分。结果 (1)出院3个月后,除对照组功能性自我效能感评分外,两组患者其他自我效能感评分均较出院时提高,差异有统计学意义(P<0.05);实验组均高于对照组,差异有统计学意义(P<0.05)。(2)出院3个月后,实验组评分均有提高,差异有统计学意义(P<0.05);对照组除躯体疼痛、精神健康、总体健康外,其余各维度评分均有提高,差异有统计学意义(P<0.05);实验组生活质量各维度评分均高于对照组,差异有统计学意义(P<0.05)。结论微信平台可提高老年慢性疼痛患者的自我效能和生活质量,从而提高出院患者延续护理服务质量。
Objective To investigate the effect of extended care through the We Chat platform on the self-efficacy and quality of life in elderly patients with chronic pain. Methods A hundred elderly patients with chronic pain were randomly divided into control group(n =50) and experimental group(n =50). The control group was regularly followed up by telephone. The experimental group was given extended care through the We Chat platform in addition to the regular follow-up. Self-efficacy and quality of life score at the time of discharge and 3 months post-discharge were compared between the two groups. Results All selfefficacy scores, except the functional self-efficacy score in the control group, were significantly higher at 3 months post-discharge in both groups(P<0.05), and were significantly higher in the experimental group than in the control group(P<0.05). Each subscale score was significantly increased at 3 months post-discharge in the experimental group(all P<0.05), while all scores except those of body pain, mental health, and overall health were significantly increased at 3 months post-discharge in the control group(all P<0.05). Furthermore, all subscale scores of quality of life were also significantly higher in the experimental group than in the control group(all P<0.05). Conclusion The We Chat platform can improve the self-efficacy and quality of life in elderly patients with chronic disease, and enhance the quality of extended care services for discharged patients.
Objective To investigate the effect of extended care through the We Chat platform on the self-efficacy and quality of life in elderly patients with chronic pain. Methods A hundred elderly patients with chronic pain were randomly divided into control group(n =50) and experimental group(n =50). The control group was regularly followed up by telephone. The experimental group was given extended care through the We Chat platform in addition to the regular follow-up. Self-efficacy and quality of life score at the time of discharge and 3 months post-discharge were compared between the two groups. Results All selfefficacy scores, except the functional self-efficacy score in the control group, were significantly higher at 3 months post-discharge in both groups(P<0.05), and were significantly higher in the experimental group than in the control group(P<0.05). Each subscale score was significantly increased at 3 months post-discharge in the experimental group(all P<0.05), while all scores except those of body pain, mental health, and overall health were significantly increased at 3 months post-discharge in the control group(all P<0.05). Furthermore, all subscale scores of quality of life were also significantly higher in the experimental group than in the control group(all P<0.05). Conclusion The We Chat platform can improve the self-efficacy and quality of life in elderly patients with chronic disease, and enhance the quality of extended care services for discharged patients.
引文
[1]郭婷,丁平俊,孙学峰,等.社区老年慢性疼痛患者的应对方式及影响因素的调查分析[J].中国实用护理杂志,2014,30(6):25-28.
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[3]陈亮.关于银行业“微信小程序”应用的调查与思考[J].农银学刊,2017(6):35-38.
[4]赵华硕,许爱琴,金英良,等.徐州市农村空巢老人生存质量调查[J].中国老年学杂志,2009,29(8):1006-1008.
[5]何海燕,朱京慈,彭娜.慢性疼痛自我效能感量表应用于慢性癌痛病人的信效度研究[J].护理研究,2008,22(9):764-766.
[6]SU D,WU X N,ZHANG Y X,et al.Depression and social support between China'rural and urban empty-nest elderly[J].Arch Gerontol Geriatr,2012,55(3):564-569.
[7]陈毓雯,王晓庆.胃癌疼痛病人生活质量及影响因素的调查分析[J].护理研究,2013,27(12):1076-1079.
[8]张慧,薛博瑜.肝硬化中医生存质量量表的研究以及应用[J].吉林中医药,2011,31(12):1192-1194.
[9]魏萌,张瑞丽,李慧娟,等.慢性疼痛对社区老年人日常生活的影响及其应对方式研究进展[J].护理学杂志,2013,28(9):95-97.
[10]付佳丽,冯晨秋,娄凤兰.依恋与疼痛信念在应对方式与疼痛调适间的中介作用[J].中国实用护理杂志,2014,30(28):49-52.
[2]颜红,贾伟.慢性疼痛的中医治疗[C]//第四届国际中医药学术交流会论文集.天津:国际中医药学术交流会,2004:7-9.
[3]陈亮.关于银行业“微信小程序”应用的调查与思考[J].农银学刊,2017(6):35-38.
[4]赵华硕,许爱琴,金英良,等.徐州市农村空巢老人生存质量调查[J].中国老年学杂志,2009,29(8):1006-1008.
[5]何海燕,朱京慈,彭娜.慢性疼痛自我效能感量表应用于慢性癌痛病人的信效度研究[J].护理研究,2008,22(9):764-766.
[6]SU D,WU X N,ZHANG Y X,et al.Depression and social support between China'rural and urban empty-nest elderly[J].Arch Gerontol Geriatr,2012,55(3):564-569.
[7]陈毓雯,王晓庆.胃癌疼痛病人生活质量及影响因素的调查分析[J].护理研究,2013,27(12):1076-1079.
[8]张慧,薛博瑜.肝硬化中医生存质量量表的研究以及应用[J].吉林中医药,2011,31(12):1192-1194.
[9]魏萌,张瑞丽,李慧娟,等.慢性疼痛对社区老年人日常生活的影响及其应对方式研究进展[J].护理学杂志,2013,28(9):95-97.
[10]付佳丽,冯晨秋,娄凤兰.依恋与疼痛信念在应对方式与疼痛调适间的中介作用[J].中国实用护理杂志,2014,30(28):49-52.