微信平台应用于乳腺癌患者出院后随访及健康指导研究.docVIP

微信平台应用于乳腺癌患者出院后随访及健康指导研究 　　[摘要] 目的 探讨微信平台应用于乳腺癌患者出院后的随访情况及健康指导。 方法 选取2014年7月～2015年6月本院收治即将出院的乳腺癌患者64例作为研究对象，采取随机数字表法将其分为观察组和对照组各32例，对照组采取常规电话随访的方式进行随访，观察组则采取微信平台进行随访，比较两组随访情况及健康指导的效果。 结果 观察组的优良率为96.67%，对照组优良率为77.42%，观察组优良率高于对照组，差异有统计学意义（P0.05）。观察组患侧上肢不良反应发生率为26.67%，对照组不良反应发生率为54.84%，观察组不良反应发生率低于对照组，差异有统计学意义（P0.05）。观察组PICC置管并发症发生率为16.67 %，对照组并发症发生率为54.84%，观察组并发症发生率低于对照组，差异有统计学意义（P0.05）。观察组生活质量总分高于对照组，差异有统计学意义（P0.05）。 结论 微信平台是一种方便的沟通方式，可以使乳腺癌手术患者在出院后与医护人员保持联系，提高患者依从性，并且获得更多的专业支持，有利于患肢功能恢复和对PICC管道的维护等。 　　[关键词] 微信平台；乳腺癌；随访；健康指导 　　[中图分类号] R473.7 [文献标识码] A [文章编号] 1674-4721（2016）05（b）-0187-04 　　[Abstract] Objective To explore the follow-up status and health guidance of using WeChat platform in breast cancer patients after discharge. Methods 64 breast cancer patients that to be released soon from July 2014 to June 2015 of our hospital were selected as study objects.Patients were randomly divided into observation group and control group by using random number table，and each group was 32 cases.Patients in control group were used regular telephone follow-up，and patients in observation group were used WeChat platform.The follow-up status and health guidance in two groups were compared. Results The good rate in observation group was 96.67%，which was higher than that was 77.42% in control group，and the difference was statistical significance （P0.05）.The incidence rate of affected upperarm adverse effect in observation group was 26.67%，which was lower than that was 54.84% in control group，and the difference was statistical significance （P0.05）.The incidence rate of PICC cathetering complication in observation group was 16.67%，which was lower than that was 54.84% in control group，and the difference was statistical significance （P0.05）.The life quality score in observation group was higher than control group，and the difference was statistical significance （P0.05）. Conclusion WeChat platform is a convenient way to communicate，which can make discharged breast cancer patients keep