微信延续护理在食管癌术后吻合口狭窄中的应用价值及对患者营养状态的影响(1)
【摘要】 目的：探讨微信延续护理在食管癌术后吻合口狭窄中的应用价值及对患者营养状态的影响。方法：将2017年1月-2018年6月笔者所在医院收治的40例食管癌术后吻合口狭窄患者按照随机数字法分为对照组和研究组，每组20例，对照组予以常规延续护理服务，研究组加以微信延续护理。比较两组患者吻合口狭窄康复情况、健康知识掌握情况，以及血清白蛋白、总蛋白、血红蛋白含量、体质量改善情况。结果：研究组症状改善情况及健康知识掌握率均显著优于对照组(P<0.05);干预后研究组血清白蛋白、总蛋白、血红蛋白含量、体质量高于对照组(P<0.05)。
结论：微信延续护理在食管癌术后吻合口狭窄中应用可促进患者临床症状消失，提升健康知识掌握率，改善营养状态。
【关键词】 食管癌; 吻合口狭窄; 微信延续护理; 营养状态
doi：10.14033/j.cnki.cfmr.2019.14.051 文献标识码 B 文章编号 1674-6805(2019)14-0-03
Application Value of WeChat Continuous Nursing in Anastomotic Stenosis after Esophageal Cancer Operation and Its Effect on Nutritional Status of Patients/ZENG Yi，ZHENG Chunyi.//Chinese and Foreign Medical Research，2019，17(14)：-115
【Abstract】 Objective：To explore the application value of WeChat continuous nursing in anastomotic stenosis after esophageal cancer operation and its effect on nutritional status of patients.Method：From January 2017 to June 2018，40 patients with anastomotic stenosis after esophageal cancer operation were divided into the control group and the research group according to random number method.20 patients in each group were given routine continuing nursing service in the control group and WeChat continuing nursing in the research group.Rehabilitation of anastomotic stenosis，mastery of health knowledge and improvement of serum albumin，total protein，hemoglobin content and body mass were compared between the two groups.Result：The improvement of symptoms and the mastery rate of health knowledge in the study group were significantly better than those in the control group(P<0.05).The serum albumin，total protein，hemoglobin content and body mass in the study group were higher than those in the control group(P<0.05).Conclusion：The application of WeChat continuous nursing in anastomotic stenosis after esophageal cancer surgery can promote the disappearance of clinical symptoms，improve the mastery rate of health knowledge and improve nutritional status.
【Key words】 Esophageal cancer; Anastomotic stenosis; WeChat continuing care; Nutritional status
First-author’s address：Fifth Affiliated Hospital of Sun Yat-sen University，Zhuhai 519000，China
吻合口狹窄是食管癌术后常见并发症，严重影响患者心理状态及生活质量。常规护理在患者出院后与患者缺乏有效沟通，无法及时了解患者预后情况，给予有效护理服务。有研究表明，延续性护理服务可在患者出院后为患者提供全方位、优质的护理服务，改善患者预后[1]。随着微信平台的普及，加强了人与人间的沟通交流。为提高护理工作中护患间有效交流，本次研究尝试将微信延续护理用于食管癌术后吻合口狭窄患者中，以探寻其临床应用价值，结果如下。
1 资料与方法
1.1 一般资料
经医院医学伦理委员会批准选取笔者所在医院2017年1月-2018年6月收治的40例食管癌术后吻合口狭窄患者为研究对象，纳入标准：(1)经临床诊断、食管吞稀钡X线双重对比造影等检查确诊为食管癌术后吻合口狭窄;(2)患者在出院时各项生命体征稳定。排除标准：(1)已出现远处转移;(2)有糖尿病史、甲亢、慢性消化道疾病;(3)伴有其他严重精神、躯体性疾病;, 百拇医药(曾毅 郑纯宜)
结论：微信延续护理在食管癌术后吻合口狭窄中应用可促进患者临床症状消失，提升健康知识掌握率，改善营养状态。
【关键词】 食管癌; 吻合口狭窄; 微信延续护理; 营养状态
doi：10.14033/j.cnki.cfmr.2019.14.051 文献标识码 B 文章编号 1674-6805(2019)14-0-03
Application Value of WeChat Continuous Nursing in Anastomotic Stenosis after Esophageal Cancer Operation and Its Effect on Nutritional Status of Patients/ZENG Yi，ZHENG Chunyi.//Chinese and Foreign Medical Research，2019，17(14)：-115
【Abstract】 Objective：To explore the application value of WeChat continuous nursing in anastomotic stenosis after esophageal cancer operation and its effect on nutritional status of patients.Method：From January 2017 to June 2018，40 patients with anastomotic stenosis after esophageal cancer operation were divided into the control group and the research group according to random number method.20 patients in each group were given routine continuing nursing service in the control group and WeChat continuing nursing in the research group.Rehabilitation of anastomotic stenosis，mastery of health knowledge and improvement of serum albumin，total protein，hemoglobin content and body mass were compared between the two groups.Result：The improvement of symptoms and the mastery rate of health knowledge in the study group were significantly better than those in the control group(P<0.05).The serum albumin，total protein，hemoglobin content and body mass in the study group were higher than those in the control group(P<0.05).Conclusion：The application of WeChat continuous nursing in anastomotic stenosis after esophageal cancer surgery can promote the disappearance of clinical symptoms，improve the mastery rate of health knowledge and improve nutritional status.
【Key words】 Esophageal cancer; Anastomotic stenosis; WeChat continuing care; Nutritional status
First-author’s address：Fifth Affiliated Hospital of Sun Yat-sen University，Zhuhai 519000，China
吻合口狹窄是食管癌术后常见并发症，严重影响患者心理状态及生活质量。常规护理在患者出院后与患者缺乏有效沟通，无法及时了解患者预后情况，给予有效护理服务。有研究表明，延续性护理服务可在患者出院后为患者提供全方位、优质的护理服务，改善患者预后[1]。随着微信平台的普及，加强了人与人间的沟通交流。为提高护理工作中护患间有效交流，本次研究尝试将微信延续护理用于食管癌术后吻合口狭窄患者中，以探寻其临床应用价值，结果如下。
1 资料与方法
1.1 一般资料
经医院医学伦理委员会批准选取笔者所在医院2017年1月-2018年6月收治的40例食管癌术后吻合口狭窄患者为研究对象，纳入标准：(1)经临床诊断、食管吞稀钡X线双重对比造影等检查确诊为食管癌术后吻合口狭窄;(2)患者在出院时各项生命体征稳定。排除标准：(1)已出现远处转移;(2)有糖尿病史、甲亢、慢性消化道疾病;(3)伴有其他严重精神、躯体性疾病;, 百拇医药(曾毅 郑纯宜)