微信平台应用于乳腺癌患者出院后的随访及健康指导研究(1)
[摘要] 目的 探讨微信平台应用于乳腺癌患者出院后的随访情况及健康指导。 方法 选取2014年7月～2015年6月本院收治即将出院的乳腺癌患者64例作为研究对象，采取随机数字表法将其分为观察组和对照组各32例，对照组采取常规电话随访的方式进行随访，观察组则采取微信平台进行随访，比较两组随访情况及健康指导的效果。 结果 观察组的优良率为96.67%，对照组优良率为77.42%，观察组优良率高于对照组，差异有统计学意义(P<0.05)。观察组患侧上肢不良反应发生率为26.67%，对照组不良反应发生率为54.84%，观察组不良反应发生率低于对照组，差异有统计学意义(P<0.05)。观察组PICC置管并发症发生率为16.67 %，对照组并发症发生率为54.84%，观察组并发症发生率低于对照组，差异有统计学意义(P<0.05)。观察组生活质量总分高于对照组，差异有统计学意义(P<0.05)。 结论 微信平台是一种方便的沟通方式，可以使乳腺癌手术患者在出院后与医护人员保持联系，提高患者依从性，并且获得更多的专业支持，有利于患肢功能恢复和对PICC管道的维护等。
[关键词] 微信平台；乳腺癌；随访；健康指导
[中图分类号] R473.7 [文献标识码] A [文章编号] 1674-4721(2016)05(b)-0187-04
[Abstract] Objective To explore the follow-up status and health guidance of using WeChat platform in breast cancer patients after discharge. Methods 64 breast cancer patients that to be released soon from July 2014 to June 2015 of our hospital were selected as study objects.Patients were randomly divided into observation group and control group by using random number table，and each group was 32 cases.Patients in control group were used regular telephone follow-up，and patients in observation group were used WeChat platform.The follow-up status and health guidance in two groups were compared. Results The good rate in observation group was 96.67%，which was higher than that was 77.42% in control group，and the difference was statistical significance (P<0.05).The incidence rate of affected upperarm adverse effect in observation group was 26.67%，which was lower than that was 54.84% in control group，and the difference was statistical significance (P<0.05).The incidence rate of PICC cathetering complication in observation group was 16.67%，which was lower than that was 54.84% in control group，and the difference was statistical significance (P<0.05).The life quality score in observation group was higher than control group，and the difference was statistical significance (P<0.05). Conclusion WeChat platform is a convenient way to communicate，which can make discharged breast cancer patients keeping in touch with medical personnel，enhance patient compliance，get more professional support and is helpful to affected limb function recovery and maintain the PICC cathetering.
[Key words] WeChat platform；Breast cancer；Follow-up；Health guidance
乳腺癌是一种棘手的恶性肿瘤，一般应尽早施行手术治疗并辅助以化疗、放疗、免疫等措施的综合治疗。手术对患侧上肢功能会有不同程度的影响，恢复不好者甚至会影响到其以后的生活质量，因此研究适宜的方法帮助患者术后快速恢复患肢功能对提高患者的生存质量有利[1]，而且此类患者绝大多数需要留置PICC导管，出院后患者对PICC管道的维护也十分重要，关系到术后患者化疗能否顺利进行。常规护理往往在患者出院后与患者联系较少，患者解惑困难，并且难以保持依从性，因此患侧上肢功能恢复及PICC置管维护效果欠佳[2-3]。本研究利用目前使用广泛的通讯工具微信平台与患者保持联系，并且在患者居家恢复时给予患者足够的心理支持、安慰及技术性指导，帮助患者并及时解惑答疑，以改善患者患肢功能恢复情况[4]，减少PICC置管后并发症的发生。, 百拇医药(肖薇 贺晓连 彭蓉蓉)
[关键词] 微信平台；乳腺癌；随访；健康指导
[中图分类号] R473.7 [文献标识码] A [文章编号] 1674-4721(2016)05(b)-0187-04
[Abstract] Objective To explore the follow-up status and health guidance of using WeChat platform in breast cancer patients after discharge. Methods 64 breast cancer patients that to be released soon from July 2014 to June 2015 of our hospital were selected as study objects.Patients were randomly divided into observation group and control group by using random number table，and each group was 32 cases.Patients in control group were used regular telephone follow-up，and patients in observation group were used WeChat platform.The follow-up status and health guidance in two groups were compared. Results The good rate in observation group was 96.67%，which was higher than that was 77.42% in control group，and the difference was statistical significance (P<0.05).The incidence rate of affected upperarm adverse effect in observation group was 26.67%，which was lower than that was 54.84% in control group，and the difference was statistical significance (P<0.05).The incidence rate of PICC cathetering complication in observation group was 16.67%，which was lower than that was 54.84% in control group，and the difference was statistical significance (P<0.05).The life quality score in observation group was higher than control group，and the difference was statistical significance (P<0.05). Conclusion WeChat platform is a convenient way to communicate，which can make discharged breast cancer patients keeping in touch with medical personnel，enhance patient compliance，get more professional support and is helpful to affected limb function recovery and maintain the PICC cathetering.
[Key words] WeChat platform；Breast cancer；Follow-up；Health guidance
乳腺癌是一种棘手的恶性肿瘤，一般应尽早施行手术治疗并辅助以化疗、放疗、免疫等措施的综合治疗。手术对患侧上肢功能会有不同程度的影响，恢复不好者甚至会影响到其以后的生活质量，因此研究适宜的方法帮助患者术后快速恢复患肢功能对提高患者的生存质量有利[1]，而且此类患者绝大多数需要留置PICC导管，出院后患者对PICC管道的维护也十分重要，关系到术后患者化疗能否顺利进行。常规护理往往在患者出院后与患者联系较少，患者解惑困难，并且难以保持依从性，因此患侧上肢功能恢复及PICC置管维护效果欠佳[2-3]。本研究利用目前使用广泛的通讯工具微信平台与患者保持联系，并且在患者居家恢复时给予患者足够的心理支持、安慰及技术性指导，帮助患者并及时解惑答疑，以改善患者患肢功能恢复情况[4]，减少PICC置管后并发症的发生。, 百拇医药(肖薇 贺晓连 彭蓉蓉)