基于微信平台的延续护理在慢性疼痛患者植入脊髓电刺激术后的应用研究

Application of wechat platform based continuing care in patients with chronic pain after spinal cord electrical stimulation implantation.

摘要:

目的探讨基于微信平台的延续性护理在植入脊髓电刺激术后慢性疼痛患者中的应用效果。方法选取植入脊髓电刺激术后慢性疼痛患者96例,采用随机数字表法分为对照组(n=48)和试验组(n=48),对照组出院后按常规护理行出院指导,试验组在对照组基础上基于微信为主的延续性护理。比较两组患者出院前和出院后1个月时,生活质量评分(EORTC QLQ-C30)和焦虑抑郁心理状态(SDS、SAS)差异。结果对照组及试验组患者干预1个月后的生活质量与出院时有均差异,认知功能、恶心呕吐、气促及食欲丧失领域试验组改善比对照组更为显著(P＜0.05)；试验组患者出院时与出院后1个月SAS评分比较差异有统计学意义(P＜0.05)；两组患者出院时和出院后1个月SDS评分比较差异无统计学意义(P＞0.05)。结论基于微信平台的延续护理有利于增强植入脊髓电刺激术后慢性疼痛患者的自我护理能力,减轻患者焦虑水平,提高生活质量。

Abstract:

Objective:To explore the application effect of continuous nursing based on wechat platform in patients with chronic pain after spinal cord electrical stimulation implantation. Methods: 96 patients with chronic pain after spinal cord electrical stimulation were selected and randomly divided into control group (n = 48) and experimental group (n = 48). The control group received discharge guidance according to routine nursing after discharge, while the experimental group received wechat based continuous nursing on the basis of control group. The quality of life score (EORTC QLQ-C30) and anxiety and depression state (SDS, SAS) were compared between the two groups before discharge and 1 month after discharge.Results:The quality of life of patients in the control group and the experimental group after one month of intervention were significantly different from those at discharge, and the improvement of cognitive function, nausea and vomiting, shortness of breath and loss of appetite in the experimental group was more significant than that in the control group (P < 0.05); the SAS score of the experimental group was significantly higher than that of the control group one month after discharge (P < 0.05); the SDS score ratio of the two groups at discharge and 1 month after discharge was statistically significant There was no significant difference (P > 0.05). Conclusion:The continuous nursing based on wechat platform is conducive to enhance the self-care ability of patients with chronic pain after spinal cord electrical stimulation, reduce the anxiety level of patients, and improve the quality of life.