基于微信公众平台的延伸护理在妇女两病筛查中的应用
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摘要
目的 :评估微信公众平台对被妇女两病(妇科病、乳腺病)筛查检出患有疾病人群实施延伸护理的效果。方法 :选取妇女两病筛查后被检出有妇科疾病患者156例,随机分为干预组和对照组,对照组有患者78例,平均年龄为(30.13±3.27)岁;干预组有患者78例,平均年龄为(36.14±3.19)岁。对对照组患者实施常规护理及随访,对干预组患者是在对照组的基础上利用微信公众平台开展健康教育与心理干预等延伸护理。用汉密尔顿焦虑量表(HAMA)、简易应对方式问卷(SCSQ)和满意度问卷进行评价。结果:干预后,干预组患者的HAMA评分明显低与对照组(12.27±2.80比24.67±3.43,P <0.05),SCSQ积极应对评分明显高于对照组(21.47±4.23比16.78±4.15,P <0.05),对医护人员的满意度也明显高于对照组(97.44%比69.23%,P <0.05)。结论 :应用微信公众平台开展延伸护理可以缓解患者的焦虑情绪,改善患者的心理状况,有助于患者早期康复,提高患病妇女的满意度,对妇女两病筛查工作具有重要意义。
Objective: To evaluate the effect of WeChat public platform on the extended care of the patients with two diseases(gynecological diseases and breast diseases) detected by screening. Methods: One hundred and fifty-six cases of gynecological diseases that were detected after screening for women's two diseases were selected and randomly divided into an intervention group and a control group. There were 78 patients in the control group, with an average age of(30.13±3.27) years;there were 78 patients in the intervention group, with an average age of(36.14±3.19) years. The patients in the control group were given routine nursing and follow-up, on the basis of the control group, the intervention group used the WeChat public platform to carry out extended care of health education, psychological intervention and others. The Hamilton anxiety scale(HAMA),the simple coping style questionnaire(SCSQ), and the satisfaction questionnaire were used for evaluation. Results: After the intervention, the HAMA score of the intervention group was significantly lower than that of the control group(12.27±2.80 vs. 24.67±3.43, P<0.05), the positive response score of SCSQ of the intervention group was significantly higher than that of the control group(21.47±4.23 vs. 16.78±4.15, P<0.05), and satisfaction with medical staff of the intervention group was also significantly higher than that of the control group(97.44% vs. 69.23%, P<0.05). Conclusion: The application of WeChat public platform to carry out extended care can relieve patients' anxiety, improve patients' psychological status, help patients to recover early, and improve the satisfaction of the sick women, which is of great significance for screening women with two diseases.
Objective: To evaluate the effect of WeChat public platform on the extended care of the patients with two diseases(gynecological diseases and breast diseases) detected by screening. Methods: One hundred and fifty-six cases of gynecological diseases that were detected after screening for women's two diseases were selected and randomly divided into an intervention group and a control group. There were 78 patients in the control group, with an average age of(30.13±3.27) years;there were 78 patients in the intervention group, with an average age of(36.14±3.19) years. The patients in the control group were given routine nursing and follow-up, on the basis of the control group, the intervention group used the WeChat public platform to carry out extended care of health education, psychological intervention and others. The Hamilton anxiety scale(HAMA),the simple coping style questionnaire(SCSQ), and the satisfaction questionnaire were used for evaluation. Results: After the intervention, the HAMA score of the intervention group was significantly lower than that of the control group(12.27±2.80 vs. 24.67±3.43, P<0.05), the positive response score of SCSQ of the intervention group was significantly higher than that of the control group(21.47±4.23 vs. 16.78±4.15, P<0.05), and satisfaction with medical staff of the intervention group was also significantly higher than that of the control group(97.44% vs. 69.23%, P<0.05). Conclusion: The application of WeChat public platform to carry out extended care can relieve patients' anxiety, improve patients' psychological status, help patients to recover early, and improve the satisfaction of the sick women, which is of great significance for screening women with two diseases.
引文
[1]张军.张掖市南关社区3 620例已婚妇女妇科病普查情况分析[J].卫生职业教育,2016,34(11):127-129.
[2]张玉花.天祝藏族自治县妇女病普查分析及对策[J].心理医生,2015,21(22):241-242.
[3]秦玉霞.4 880例妇女病普查情况分析与对策[J].世界最新医学信息文摘,2018,18(8):146-147.
[4]兰维娟.健康教育和心理护理在妇科护理中的应用效果评估[J].中国医药指南,2015,13(4):268-269.
[5]余艳芸,林和萍.健康教育对提高真菌性阴道炎患者治疗依从性的价值分析[J].世界最新医学信息文摘,2015,14(77):167-167;13.
[6]黄宝英.健康教育护理干预对妇科阴道炎的影响分析[J].医药前沿,2015,7(21):255.
[7]卢雪珍,陈文霞,吴辉霞.Roy适应模式实施心理舒适护理在产后抑郁症患者中应用的效果[J].中国医药导报,2016,13(22):168-171.
[8]汪向东,王希林,马弘,等.心理卫生评定量表手册[M].增订版.北京:中国心理卫生杂志社,1999:31-381.
[9]李艳波,陈锐.上海练塘镇社区妇女两病筛查结果分析[J].上海医药,2018,39(20):50-51;62.
[10]Mushtaq M,DIFede DL,Golpanian S,et al.Rationale and design of the percutaneous stem cell injection delivery effects on neomyogenesis in dilated cardiomyopathy(the POSEIDON-DCM study):aphase,randomized pilot study of the comparative safety and efficacy of transendocardial injection of autologous mesenchymal stem cell vs.allogeneic mesenchymal stem cells in patients with non-ischemic dilated cardiomyopathy[J].J Cardiovasc Transl Res,2014,7(9):769-780.
[11]曹雪辉,周丽娟,谢玉香,等.人性化护理在妇科急腹症手术患者中的应用效果观察[J].当代医学,2012,18(21):110-111.
[2]张玉花.天祝藏族自治县妇女病普查分析及对策[J].心理医生,2015,21(22):241-242.
[3]秦玉霞.4 880例妇女病普查情况分析与对策[J].世界最新医学信息文摘,2018,18(8):146-147.
[4]兰维娟.健康教育和心理护理在妇科护理中的应用效果评估[J].中国医药指南,2015,13(4):268-269.
[5]余艳芸,林和萍.健康教育对提高真菌性阴道炎患者治疗依从性的价值分析[J].世界最新医学信息文摘,2015,14(77):167-167;13.
[6]黄宝英.健康教育护理干预对妇科阴道炎的影响分析[J].医药前沿,2015,7(21):255.
[7]卢雪珍,陈文霞,吴辉霞.Roy适应模式实施心理舒适护理在产后抑郁症患者中应用的效果[J].中国医药导报,2016,13(22):168-171.
[8]汪向东,王希林,马弘,等.心理卫生评定量表手册[M].增订版.北京:中国心理卫生杂志社,1999:31-381.
[9]李艳波,陈锐.上海练塘镇社区妇女两病筛查结果分析[J].上海医药,2018,39(20):50-51;62.
[10]Mushtaq M,DIFede DL,Golpanian S,et al.Rationale and design of the percutaneous stem cell injection delivery effects on neomyogenesis in dilated cardiomyopathy(the POSEIDON-DCM study):aphase,randomized pilot study of the comparative safety and efficacy of transendocardial injection of autologous mesenchymal stem cell vs.allogeneic mesenchymal stem cells in patients with non-ischemic dilated cardiomyopathy[J].J Cardiovasc Transl Res,2014,7(9):769-780.
[11]曹雪辉,周丽娟,谢玉香,等.人性化护理在妇科急腹症手术患者中的应用效果观察[J].当代医学,2012,18(21):110-111.