张 姬

运用微信对癌痛患者行延续护理的效果

张 姬

目的 探讨运用微信对癌痛患者行延续护理的效果。方法 选取92例在我院住院治疗的中重度癌痛患者，均口服阿片类药物止痛治疗，将患者随机分为实验组与对照组，其中实验组46例，对照组46例。对照组在住院期间接受常规的健康教育及出院指导；实验组则在此基础上运用微信对患者提供延续性护理，通过在微信平台发送癌痛治疗相关知识及微信群的互动交流，出院8周后比较两组患者疼痛评分、治疗效果及服药依从性的差异。结果 实验组服药依从性、疼痛评分及治疗效果与对照组比较，差异有统计学意义（P＜0.05）。结论 运用微信对癌痛患者行延续护理，能提高出院癌痛患者服药依从性及疼痛治疗效果，改善患者的生存质量。

微信；延续护理；癌性疼痛；健康教育

【Abstract】

Objective To evaluate the effectiveness of Wechat on continuation of nursing in patients with cancer pain. Methods 92 cases in our hospital treatment of moderate to severe cancer pain，both used oral opioid analgesic therapy. Patients were randomly divided into experimental group and control group，the experimental group of 46 cases，in the control group was 46 cases. The control group received routine health education and discharge guidance during hospitalization. Experimental group on the basis in the use of Wechat to provide continuity of care for patients. Through the treatment of related knowledge and Wechat group interaction in the Wechat platform to send pain. The pain score，treatment effect and medication compliance were compared between the two groups after 8 weeks. Results Experimental group of medication compliance，pain score and treatment effect cpmpared with the control group，the difference was statistically significant（P＜ 0.05）. Conclusion The use of Wechat extended care for patients with cancer pain，improve medication compliance and effect in patients with cancer pain，to improve the quality of life of patients.

【Key words】Wechat，Continuation of nursing，Cancer pain，Health Education

晚期癌症患者约80%发生疼痛，其中30%为难以忍受的剧痛，癌痛从生理、心理、社会和精神等多个方面影响患者的生活质量，导致整体生活质量下降［1］。2011年卫生部下发“癌痛规范化诊疗示范病房”创建活动的文件，要求对住院患者进行规范化镇痛治疗和护理的同时要对出院癌痛患者进行随访，使癌痛规范化治疗和护理得以延续。有研究［2］发现居家癌痛患者镇痛效果不理想，疼痛未能得到良好的控制，大部分患者处于中重度疼痛。

微信是这几年最热门的信息交流平台，集文字、声音、图片、视频多种功能于一体，在信息的传播领域，疾病的健康教育中发挥着重要作用［3］。……