信馨 滕立英

[摘要]目的：探究互联网延续性护理对乳腺癌患者术后的身心康复和遵医行为的影响。方法：选取2017年1月-2019年1月于笔者医院护理部治疗的82例行乳癌根治术患者，随机分为互联网延续性护理组和常规护理组，比较分析两组患者护理干预后院外锻炼依从性、生活质量、遵医行为和术后希望水平。结果：出院1个月、3个月后，互联网延续性护理组患者的院外功能锻炼依从性评分均显著高于常规护理组，差异具有统计学意义（P<0.05）。护理干预后，互联网延续性护理组患者躯体功能、心理功能、生活质量、采取的积极行动（P）评分及遵医行为指标均显著优于常规护理组，差异有统计学意义（P<0.05）。结论：相对于常规护理，互联网延续性护理对患者的术后康复有更好的效果，能显著提高患者的生活质量，有利于患者的心理健康。

[关键词]互联网延续性护理;常规护理;乳腺癌根治术;功能锻炼;生活质量

[中图分类号]R473.6    [文献标志码]A    [文章编号]1008-6455（2020）05-0167-04

Abstract： Objective  To explore the effects of the internet continuous nursing on physical and mental recovery and doctor-compliant behavior of breast cancer patients. Methods  82 patients with breast cancer who underwent radical mastectomy between January 2017 and January 2019 were randomly divided into the internet continuous nursing group and the routine nursing group. The compliance behavior and the level of postoperative hope were compared and analyzed between the two groups. Results  One month and three months after discharge from hospital， the score of compliance of patients in the internet continuous nursing group was significantly higher than those in the conventional nursing group， the differences were statistically significant（P<0.05）. After nursing intervention， the scores of physical function， psychological function， quality of life， positive action （P） and the indexs of compliance behavior of patients in the internet continuous nursing group were significantly better than those in the conventional nursing group（P<0.05）. Conclusion  Compared with the routine nursing， the internet continuous nursing has better effects on patients' post-operative rehabilitation， can significantly improve the quality of life of patients， and is conducive to patients' mental health.

Key words： internet continuous nursing; conventional nursing; radical mastectomy; functional exercise; quality of life

乳腺肿瘤现在作为临床常见疾病，已位居城市女性恶性肿瘤发病率首位，治疗方式均为手术切除[1]。虽然病死率已呈不断下降趋势，但乳腺癌术后恢复时间较长，手术也影响了患者的生理外形，使得患者的心理健康和生活质量都受到了一定的影响，因此患者在出院后的专业指导越来越受到人们的重视，需求量也日益加大[2]。互联网延续性护理能够为患者提供更专业也更及时的出院后护理和专业帮助[3]。通过即时的网络信息沟通，不仅可以改善患者的身体健康，让患者减少入院就医次数，降低患者复发率，对患者出现的心理问题进行调整，也降低了患者入院治疗的成本[4-5]。因此互联网延续性护理作为一种新型、快捷、有效的护理模式，实现了社会效益和经济效益并存[6]。本研究基于經过互联网延续性护理干预的患者的回顾性分析，对本护理方法的开展情况和方法进行讨论，意在研究本方法的实用性和局限性，并提出相应修整方案，现报道如下。……