作者：熊伟昕，黄倩，乔金方，刘小玲，蔡世荣，陈创奇，赵琼云

单位：中山大学附属第一医院 胃肠外科中心，广东 广州 510080

Authors: Xiong Weixin, Huang Qian, Qiao Jinfang, Liu Xiaoling, Cai Shirong, Chen Chuangqi, Zhao Qiongyun

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

摘要：

目的 探究基于新媒体微信平台的延续性护理措施,对胃癌辅助化疗相关性恶心呕吐的改善效果。方法 回顾性对比新媒体延续性护理方案开展前后的传统护理组(对照组)和延续性护理组的胃癌术后辅助化疗患者,分析其首次、末次化疗期间恶心、呕吐等级,高呕吐风险化疗报告人数、复诊处理并发症问题的次数、QLQ-STO22评分、放弃化疗人数、护理满意度差异。结果 延续性护理组首次、末次化疗恶心、呕吐程度显著低于对照组。末次门诊就诊人数、QLQ-ST022评分,放弃化疗方案人数显著低于对照组,护理满意度显著高于对照组(P<0.05)。首次、末次化疗高呕吐风险化疗报告人数,两组间差异无统计学意义(P>0.05)。结论 基于新媒体微信平台的延续性护理措施可减轻胃癌辅助化疗相关性恶心、呕吐程度,并有助于提高患者生活质量、化疗依从性和就医满意度。

关键词：  微信平台; 延续性护理; 胃癌; 辅助化疗; 呕吐

Abstract：

Objective To explore the effects of new media based continuity nursing by WeChat on improving post-operative adjuvant chemotherapy-related vomiting in patients with gastric cancer. Method Retrospectively compared the patients who received traditional nursing and those who received new mediabased continuity nursing.. We analyzed the data of nausea and vomiting grade in the first and last chemotherapy, the number of chemotherapy patients who was reported as high vomiting risk, the number of follow-up visits to address complications, QLQ-STO22 score, the number of patients who gave up chemotherapy and nursing satisfaction. Result The nausea and vomiting grade in the first or last chemotherapy, the number of outpatient visits, QLQ-STO22 score and the number of patients who abandoned chemotherapy were significantly lower in the group who received new media-based continuity nursing. The number of chemotherapy patients who was reported as high vomiting risk and nursing satisfaction were not different between two groups. Conclusion The new media WeChat-based nursing could help to improve the post-operative adjuvant chemotherapy-related vomiting in patients with gastric cancer. It could also improve the life quality, chemotherapy compliance and nursing satisfaction.

Key Words:  WeChat; New media based nursing; Gastric cancer; Chemotherapy; Vomiting