作者：梁丽娴, 熊伟昕, 林小洁, 赵琼云

单位：中山大学附属第一医院 胃肠外科中心胃肠三科, 广东 广州510080

Authors: Liang Lixian, Xiong Weixin, Lin Xiaojie, Zhao Qiongyun

Unit:  Department of Gastrointestinal Surgery, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, Guangdong, China

摘要：

目的 探讨肠道肿瘤手术后造口患者出院后延续护理理念下微信随访降低患者焦虑的效果。方法 选取中山大学附属第一医院2018年1月至2020年1月期间肠道肿瘤手术后患者151例,按照随机数字表法将患者分为对照组74例和试验组77例,分别给予常规电话随访和微信随访,对出院后1个月、3个月时两组患者的生活质量(EORTC QLQ-C30)、自我护理能力测定量表(ESCA)、并发症的发生以及广泛性焦虑障碍量表-7(GAD-7)进行比较。结果 出院后1个月、3个月时试验组患者EORTC QLQ-C30评分、ESCA评分、GAD-7评分均高于对照组(P<0.05),并发症均低于对照组。结论 微信随访在造口患者延续性护理中能提高患者的生活质量和自我护理能力,降低并发症的发生率,进而减少出院后患者的焦虑。

关键词：造口患者; 延续性护理; 焦虑

Abstract：

Objective To explore the effect of wechat continuous nursing on reducing patients' anxiety after enterostomy. Methods 151 postoperative patients with intestinal tumors in the First Affiliated Hospital of Sun Yat-sen University from January 2018 to January 2020 were randomly divided into 74 cases in the control group and 77 cases in the experimental group. They were given routine telephone follow -up and wechat follow-up respectively. The quality of life(EORTC QLQ-C30), self-care ability (ESCA) and The incidence of complications and patients' anxiety screening scale (GAD-7) were compared. Results the patients were given self-care ability scale, quality of life scale and psychological anxiety scale at 1 and 3 months after discharge. The scores of patients in the experimental group were higher than those in the control group (P<0.05), and the complications were lower than those in the control group. Conclusion Wechat follow-up can improve patients' quality of life and self-care ability, reduce the incidence of complications, and then reduce patients' anxiety after discharge.

Key Words:  Stoma patients; Continuous nursing; Anxiety