李艳波 侯瑛

摘 要 目的：評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。

关键词 微信公众平台；妇女两病筛查；延伸护理

中图分类号：R197.1 文献标志码：A 文章编号：1006-1533（2019）14-0045-03

Application of extended care based on WeChat public platform in womens two diseases screening

LI Yanbo1， HOU Ying2（1. Obstetrics and Gynecology Department of Liantang Community Health Service Center of Qingpu District， Shanghai 201700， China； 2. Ophthalmology Department of Beijing First Integrated Traditional Chinese and Western Medicine Hospital， Beijing 100026， China）

ABSTRACT 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 womens 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.