微信平台健康教育对口服阿片类镇痛药物中晚期癌痛患者自我效能感和治疗依从性的影响
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摘要
目的:探讨微信平台健康教育对口服阿片类镇痛药物中晚期癌痛患者自我效能感和治疗依从性的影响。方法:选取2016年1月-2018年10月本院收治的84例口服阿片类镇痛药物中晚期癌痛患者作为研究对象,按照随机数字表法分成对照组和观察组,各42例。对照组给予常规癌痛健康教育,观察组在对照组基础上实行基于微信平台的专栏健康教育模式。实施1个月后,比较两组自我效能感评分、疼痛缓解程度及服用镇痛药物治疗的依从性。结果:干预前,两组自我效能感评分比较,差异均无统计学意义(P>0.05)。干预后,观察组自我效能感评分与无明显疼痛率均明显高于对照组,且依从性优于对照组,差异均有统计学意义(P<0.05)。结论:将基于微信平台的专栏健康教育模式应用于口服阿片类镇痛药物中晚期癌痛患者,有利于自我效能感的提升,改善疼痛程度,提高患者对口服阿片类镇痛药物的依从性,值得临床应用推广。
Objective:To explore the effect of Wechat platform health education on self-efficacy and treatment compliance of patients with moderate and advanced cancer pain treated by oral Opioid Analgesics.Method:84 patients with moderate and advanced cancer pain treated by oral Opioid Analgesics in our hospital from January 2016 to October 2018 were selected as the research objects.They were divided into control group and observation group according to the random number table method,42 cases in each group.The control group was given routine cancer pain health education,while the observation group was given special column health education mode based on Wechat platform on the basis of the control group.After one month,the self-efficacy score,pain relief and compliance with analgesic drugs were compared between two groups.Result:Before intervention,there were no significant differences in self-efficacy score between two groups(P>0.05).After intervention,the selfefficacy score and no significant pain rate in the observation group were significantly higher than those of the control group,while the compliance of the observation group was better than that of the control group,the differences were statistically significant(P<0.05).Conclusion:The application of the column health education model based on Wechat platform to the patients with advanced cancer pain caused by oral opioid analgesics is beneficial to the improvement of the self-efficacy,the improvement of the pain degree,and the improvement of the compliance with oral opioid analgesics,it is worthy of clinical application and promotion.
Objective:To explore the effect of Wechat platform health education on self-efficacy and treatment compliance of patients with moderate and advanced cancer pain treated by oral Opioid Analgesics.Method:84 patients with moderate and advanced cancer pain treated by oral Opioid Analgesics in our hospital from January 2016 to October 2018 were selected as the research objects.They were divided into control group and observation group according to the random number table method,42 cases in each group.The control group was given routine cancer pain health education,while the observation group was given special column health education mode based on Wechat platform on the basis of the control group.After one month,the self-efficacy score,pain relief and compliance with analgesic drugs were compared between two groups.Result:Before intervention,there were no significant differences in self-efficacy score between two groups(P>0.05).After intervention,the selfefficacy score and no significant pain rate in the observation group were significantly higher than those of the control group,while the compliance of the observation group was better than that of the control group,the differences were statistically significant(P<0.05).Conclusion:The application of the column health education model based on Wechat platform to the patients with advanced cancer pain caused by oral opioid analgesics is beneficial to the improvement of the self-efficacy,the improvement of the pain degree,and the improvement of the compliance with oral opioid analgesics,it is worthy of clinical application and promotion.
引文
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[14]孙坚,陈梅,王青梅.基于授权理论的健康教育在癌痛口服阿片类镇痛药物患者中的应用[J].护理学杂志,2015,30(21):65-68.
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[16]胡竹芳,万承贤,徐璐,等.运用微信对强直性脊柱炎出院患者行延续护理的效果[J].中华护理杂志,2015,50(2):175-178.
[17]何佩仪,龚小云,陶彩豪,等.延续性护理干预对癌痛患者服药依从性及疼痛治疗效果的影响[J].广州医药,2015,46(1):55-57.
[18]李庆萍,钟明艳.健康教育路径在癌痛规范治疗中的应用[J].中国疼痛医学杂志,2014,20(10):765-766.
[19]沈美娟,曹海红.癌痛患者使用阿片类药物镇痛的个体化护理干预及效果[J].中国医药导报,2014,11(8):128-131.
[20]肖晓山.癌症晚期患者的疼痛治疗与临终关怀[J].现代医院,2006(5):6-8.
[2]周静,王永才,汪鑫.基于微信平台对癌痛患者出院后延续护理效果的分析[J].中国卫生信息管理杂志,2018,15(4):457-460.
[3]汤学丽.微信公众号在服用阿片类药物中晚期癌痛患者健康教育中的应用[J].中医药管理杂志,2018,26(6):8-10.
[4]何娅娜,张月娟,刘蕾.应用微信平台开展健康教育对提高院外癌痛患者止痛依从性的效果评价[J].中国实用护理杂志,2015,31(8):599-600.
[5]许湘华,周莲清,邱洁,等.喉癌术后患者基于微信公众平台延续护理的效果观察[J].护理学报,2017,24(10):67-71.
[6]沈玮炜.癌痛患者使用阿片类药物镇痛的个体化护理干预及效果[J].中国卫生标准管理,2017,8(5):150-151.
[7]江琳,孙青,张雅丽.基于微信平台的延续护理在冠心病介入术后患者中的应用[J].护理管理杂志,2017,17(2):140-142.
[8]胥秀,陈萍,冯丹.微信平台在癌痛出院患者延续性护理中的应用[J].护理管理杂志,2017,17(1):67-69.
[9]朱琳,付万智,聂姜,等.基于微信平台的健康促进模式对慢性病毒性肝炎病人生活方式及生活质量的影响[J].护理研究,2016,30(35):4398-4401.
[10]高琴,刘国红,谢爱贞,等.运用网络微信平台对肠造口出院患者行延续护理的效果[J].广东医学,2016,37(21):3310-3313.
[11]张姬.运用微信对癌痛患者行延续护理的效果[J].中国卫生标准管理,2016,7(17):192-194.
[12]杨媛,张威,甄健存.1例癌症晚期患者疼痛治疗的药学监护[J].临床药物治疗杂志,2016,14(1):67-69.
[13]陶海云,屈中玉,万里新,等.规范化癌痛治疗的疗效及对癌症患者及家属生活质量影响[J].实用癌症杂志,2015,30(11):1747-1749.
[14]孙坚,陈梅,王青梅.基于授权理论的健康教育在癌痛口服阿片类镇痛药物患者中的应用[J].护理学杂志,2015,30(21):65-68.
[15]散洁.个体化护理干预在癌痛患者使用阿片类药物镇痛中的应用[J].现代中西医结合杂志,2015,24(12):1350-1352.
[16]胡竹芳,万承贤,徐璐,等.运用微信对强直性脊柱炎出院患者行延续护理的效果[J].中华护理杂志,2015,50(2):175-178.
[17]何佩仪,龚小云,陶彩豪,等.延续性护理干预对癌痛患者服药依从性及疼痛治疗效果的影响[J].广州医药,2015,46(1):55-57.
[18]李庆萍,钟明艳.健康教育路径在癌痛规范治疗中的应用[J].中国疼痛医学杂志,2014,20(10):765-766.
[19]沈美娟,曹海红.癌痛患者使用阿片类药物镇痛的个体化护理干预及效果[J].中国医药导报,2014,11(8):128-131.
[20]肖晓山.癌症晚期患者的疼痛治疗与临终关怀[J].现代医院,2006(5):6-8.