微信式延续护理在预防食管癌术后吻合口狭窄中的应用

Application of continuous nursing by wechat to prevent anastomotic stricture after the operation of esophageal carcinoma

  • 摘要: 目的:探讨微信式延续护理在预防食管癌术后吻合口狭窄中的运用效果。方法将277例食管癌术后患者随机分为实验组141例、对照组136例,2组患者出院时均按常规给予出院指导,对照组在出院后2周、1个月、2个月及3个月各电话随访1次,提供常规饮食指导方案;实验组在常规饮食指导的基础上于出院后2周开始至3个月期间,随时或至少每周均通过微信的方式联系,进行答疑和健康指导、饮食干预,仔细询问并记录进食情况。比较2组患者术后1、3个月时营养状况、健康知识掌握情况、吻合口狭窄的发生率。结果实验组患者营养状况、健康知识掌握情况、吻合口狭窄的发生率均显著优于对照组(P <0.05)。结论微信式延续护理方式方便快捷,利于指导和沟通,提高了患者满意度,能有效改善食管癌术后患者的营养状况,有效减少吻合口狭窄的发生,增加患者的健康自护知识,提高患者术后的生活质量。

     

    Abstract: ABSTRACT:Objective To study the effect of continuous nursing by wechat in patients with esophageal carcinoma operation.Methods A total of 277 patients with esophageal cancer were di-vided into experimental group and control group.All the patients received routine discharge guid-ance before discharge.The 136 patients in the control group were phoned for one time at the end of 2 weeks,the 1st month,the 2nd month and the 3rd month and were provided instruction for regu-lar diet.The 141 patients in the experimental group received continuous nursing once a week to in-struct diet intervention and health guidance by wechat from 2 weeks to 3 months after discharge. The condition of health knowledge,the ability of self-nursing and the rate of complications be-tween the two groups was compared.Results The incident rates of health knowledge,the ability of self-nursing and the rate of complications in the experimental group were higher than that in the control group.Conclusion Wechat is a convenient way to follow up patients.Continuous nursing by wechat can greatly enhance the patients’self-nursing ability and significantly decrease the rate of anastomotic stricture after esophageal cancer operation.

     

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