基于手机APP的延续性护理在喉癌术后患者中的应用

发布时间：2018-01-03 11:15

本文关键词：基于手机APP的延续性护理在喉癌术后患者中的应用　出处：《郑州大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的评价基于手机APP的延续性护理在喉癌术后患者中的应用效果,以其提供便于患者及其家庭照顾者获取护理相关知识及指导的延续性服务模式,从而减轻护理人员的工作量,提高喉癌术后患者的生活质量。方法选取2015年9月至2016年6月河南省某三级甲等医院耳鼻喉科收治的经病理检查确诊为喉癌,并实施全喉或者部分喉切除术的120例喉癌患者作为研究对象。为每一位研究对象进行编号并利用随机数字表法将研究对象分为对照组和干预组,每组各60例。两组患者办理入院手续后,患者或其家庭照顾者即下载“康复助手”软件,登录喉癌术后知识平台,获取健康知识。接受相关信息推送如手术前后注意事项、康复锻炼的注意事项、心理放松训练技巧等知识。干预组患者出院后家庭及其照顾者继续使用该软件,可继续反复复习相关注意事项以及接受出院后的相关知识的推送,还可以通过软件平台获得专业医护人员答疑与护理知识,并接受定期的电话随访,对照组患者不再接受出院后相关知识的推送。在软件的后台工作人员可以调查患者及其照顾者使用的频次,干预组患者在使用频次少时,通过电话告知患者及其照顾者加强使用。分别在出院前1天、出院后3个月让两组患者填写欧洲癌症调查治疗研究组制定的癌症患者生活质量问卷EORTC QLQ-C30、EORTC生命质量测定量表QLQ-HN35和修正版自我护理能力评分量表,调查患者的生活质量及自护水平。研究数据采用SPSS19.0软件包进行统计处理,采用卡方检验、t检验、秩和分析等统计方法分析结果。结果1.出院后三个月,生活质量量表中的各功能性领域和总体健康水平得分干预组高于对照组,差异具有统计学意义(P0.05)。生活质量量表中的各症状性领域得分干预组低于对照组,差异具有统计学意义(P0.05)。2.出院后三个月,患者自护能力评分干预组高于对照组,差异具有统计学意义(P0.05)。结论1.基于手机APP的延续性护理能够减轻护理人员的工作量,拓宽护理人员的服务理念,提高服务效率。2.基于手机APP的延续性护理减少患者及其照顾者的路途奔波,减轻其经济负担,提高患者自我护理能力,改善患者术后生活质量。
[Abstract]:Objective to evaluate the effect of continuous nursing based on mobile phone APP in postoperative patients with laryngeal cancer, so as to provide a continuous service model which is convenient for patients and their family caregivers to acquire relevant nursing knowledge and guidance. So as to reduce the workload of nursing staff. Methods from September 2015 to June 2016, the patients admitted to the Department of Otorhinolaryngology, Grade 3A Hospital in Henan Province were diagnosed as laryngeal carcinoma by pathological examination. 120 patients with laryngeal cancer underwent total laryngectomy or partial laryngectomy were divided into two groups: control group and intervention group. Each group of 60 cases. Two groups of patients after the admission procedures, patients or their family caregivers immediately download "rehabilitation assistant" software, access to laryngeal cancer postoperative knowledge platform. Access to health knowledge. Receive relevant information such as pre-and post-operative issues, rehabilitation exercises, psychological relaxation training skills and other knowledge. The intervention group patients after discharge from hospital families and their caregivers continue to use the software. Can continue to review the relevant matters for attention and accept the relevant knowledge after discharge push, but also through the software platform to obtain professional health care staff questions and nursing knowledge, and receive regular telephone follow-up. The patients in the control group no longer accept the push of relevant knowledge after discharge. The backstage staff in the software can investigate the frequency of the patients and their caregivers, while the patients in the intervention group are using less frequently. Patients and their caregivers were informed by telephone to use more. 1 day before discharge. Three months after discharge, the two groups were asked to fill out EORTC QLQ-C30, a quality of life questionnaire developed by the European Cancer Survey Research Group. EORTC quality of life measurement scale (QLQ-HN35) and revised self-care ability scale. The quality of life and the level of self-care were investigated. The data were processed by SPSS19.0 software package and chi-square test was used. Results 1. Three months after discharge, the scores of functional areas and overall health level in the quality of life scale in the intervention group were higher than those in the control group. 2. The difference was statistically significant (P 0.05). The scores of all symptom areas in the quality of life scale in the intervention group were lower than those in the control group, and the difference was statistically significant (P 0.05). 2. Three months after discharge from the hospital, the scores of the intervention group were significantly lower than those of the control group. The scores of patient self-care ability in the intervention group were higher than those in the control group, and the difference was statistically significant (P0.050.Conclusion 1. Continuous nursing based on mobile phone APP can reduce the workload of nursing staff. 2. Expand the service concept of nursing staff, improve service efficiency .2. continuous care based on mobile phone APP reduce the patients and their caregivers travel, reduce their economic burden, improve the ability of self-care of patients. 2. To improve the quality of life after operation.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R473.73

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