林碧英 袁志平 罗小英 聂臣聪 黄瑞 陈杰 黄家元

【摘 要】目的：分析基于互联网+延续性护理对射频消融治疗肝肿瘤患者的价值。方法：选取我院收治行射频消融治疗肝肿瘤患者40例为观察对象，以及随机数字表法分为两组，对照组采用电话随访护理，观察组采用基于微信平台开展延续性护理，对比干预效果。结果：观察组患者遵医嘱用药、合理饮食、运动锻炼依从率均高于对照组患者，对比有差异性；两组患者干预前焦虑抑郁评分无差异性，干预后两组患者均有改善，但观察组患者平均焦虑与抑郁评分均低于对照组患者，对比有差异性；观察组患者躯体疼痛、心理健康、一般情况、社会功能生活质量指标评分均高于对照组患者，对比有差异性；观察组患者护理满意度95.00%，高于对照组的70.00%，对比有差异性。结论：基于微信平台开展延续性护理，有助于提升肝肿瘤患者继续治疗及康复锻炼依从性，并改善患者负性情绪，提升生活质量。

【关键词】互联网+延续性护理；射频消融治疗；肝肿瘤

Study on radiofrequency ablation for liver tumors based on Internet plus continuity nursing

Lin Biying， Yuan Zhiping， Luo Xiaoying， Nie chencong， Huang Rui， Chen Jie， Huang Jiayuan Zigong Fourth People’s Hospital，Zigong Sichuan 643000，China

【Abstract】to analyze the value of Internet plus continuity nursing in patients with liver tumors undergoing radiofrequency ablation. Methods 40 patients with liver tumors treated by radiofrequency ablation in our hospital were selected as the observation objects， and randomly divided into two groups. The control group was followed up by telephone， and the observation group was given continuous nursing based on wechat platform， and the intervention effects were compared. Results the compliance rates of medication， reasonable diet and exercise in the observation group were higher than those in the control group； There was no difference in anxiety and depression scores between the two groups before intervention， and the two groups improved after intervention， but the average anxiety and depression scores of the observation group were lower than those of the control group； The scores of physical pain， mental health， general condition， social function and quality of life in the observation group were higher than those in the control group； The nursing satisfaction of patients in the observation group was 95.00%， higher than 70.00% in the control group. Conclusion continuous nursing based on wechat platform is helpful to improve the compliance of liver tumor patients with continuous treatment and rehab.

【Key？Words】Internet plus continuity nursing； Radiofrequency ablation； Liver tumor

肝腫瘤死亡率较高，初期缺乏特异性表现，容易被忽视，就诊时肝脏肿瘤体积大小差异明显，其中部分患者可失去手术机会[1]。射频消融术是现代临床对肝肿瘤治疗的主要手段。微创手术治疗创伤性较小，与传统手术相比术后恢复快。但治疗后若护理不当或患者自我管理不当，可影响到预后[2]。互联网+延续性护理模式可通过微信平台开展院外干预措施，可提升患者依从性。……