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Application of continuous health management based on WeChat platform in patients with complex diffuse arteriovenous malformation |
ZHANG Fengmei1 YANG Liu2▲ LI Xiaona3 LI Kelei1 QIN Zhongping1 |
1.Hemangioma Lymphoma Specialty, Linyi Cancer Hospital, Shandong Province, Linyi 276024, China; 2.Intensive Care Unit, Linyi Cancer Hospital, Shandong Province, Linyi 276024, China; 3.Department of Nursing, Linyi Cancer Hospital, Shandong Province, Linyi 276024, China |
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Abstract Objective To explore the application effect of continuous health management based on WeChat platform in patients with complex diffuse arteriovenous malformation (AVM). Methods A total of 150 patients with complex diffuse AVM admitted to Linyi Cancer Hospital, Shandong Province from March 2021 to March 2022 were selected. They were divided into control group (75 cases) and study group (75 cases) by convenience sampling method. The control group was given conventional discharge guidance, while study group applied continuous health management based on WeChat platform. After 12 months of follow-up, the psychological status, self management, and quality of life of two groups were compared before and after intervention. Results After intervention, the scores of self-rating anxiety scale and self-rating depression scale in two groups were lower than those before intervention, and those in study group were lower than those in control group (P<0.05). After intervention, the scores of exercise of self-care agency scale in both groups were higher than those before intervention, and those in study group were higher than those in control group (P<0.05). After intervention, the scores of 36-item short form health survey in two groups were higher than those before intervention, and those in study group were higher than those in control group (P<0.05). Conclusion The continuous health management based on WeChat platform has high application value, can improve the negative emotions of patients with complex diffuse AVM, improve the self management and quality of life of patients after discharge, and is worthy of promotion and application.
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[1] 中华医学会整形外科分会血管瘤和脉管畸形学组.血管瘤和脉管畸形的诊断及治疗指南(2019版)[J].组织工程与重建外科杂志,2019,15(5):277-317. [2] 林晓曦.血管瘤和脉管畸形的诊疗进展(2018—2019)及关键性问题[J].中国口腔颌面外科杂志,2019,17(6):486-495. [3] 邱婷婷,吴贤翠.知信行理论模式在胃癌化疗患者延续性护理中的应用评价[J].中国医药导报,2022,19(33):159-163. [4] 徐少君,童毓华,周梦玲,等.基于互动达标理论的延续性护理在糖尿病视网膜病变患者中的应用[J].中华全科医学,2023,21(3):526-529. [5] 王静,徐进,叶梦蝶,等.基于微信平台微视频教育对再次剖宫产孕妇术前自我效能及产后康复的影响[J].中国医药导报,2023,20(15):184-187. [6] 薛淑敏,王娟,尹姣,等.公众号健康宣教联合认知行为护理干预对冠心病患者健康行为及自我效能的影响[J].中国医药导报,2023,20(2):177-180. [7] 秦中平,李虹,刘学键,等.彩色多普勒超声在颌面部血管畸形诊断、分类及疗效评价中的应用[J].中国口腔颌面外科杂志,2009,7(2):120-124. [8] Zung WW. A rating instrument for anxiety disorders [J]. Psychosom,1971,12(6):371-379. [9] Kearney BY,Fleischer BJ. Development of an instrument to measure exercise of self-care agency [J]. Res Nurs Health,1979,2(1):25-34. [10] 王港,袁移安,黄基立,等.SF-36量表在评估维持性血液透析患者生活质量中的应用[J].临床肾脏病杂志,2018,18(2):107-108. [11] 曹雪珍.基于微信平台的目标策略性护理对婴幼儿血管瘤患儿家长心理负担的影响[J].中国药物与临床,2021, 21(14):2583-2584. [12] 张凤梅,陈长霞,杨柳,等.无缝隙管理在经皮射频消融治疗血管畸形患者中的应用[J].中国医药导报,2022, 19(12):26-29. [13] 邰茂众,葛春晓,李克雷,等.彩色超声全时监测下经皮低功率动态射频消融治疗复杂静脉畸形的临床效果[J].中华医学美学美容杂志,2018,24(1):42-45. [14] 欧梦仙,王军,纪媛媛,等.安全-支持-合作过渡期护理模式在ICU中的应用进展[J].中华护理杂志,2023,58(8):1001-1004. [15] 徐婷,董恩宏,郭丽君,等.老年慢性病患者延续性健康管理需求及影响因素研究[J].中国全科医学,2021,24(13):1665-1670. [16] 钱金平,吴丹,钱佩珺,等.基于智能随访系统的延续性护理在缺血性脑卒中患者中的应用[J].中国当代医药,2023,30(18):179-183. [17] 赵楠,李雨,石玉.基于微信平台对视网膜脱离患者玻璃体切割术后延续护理效果分析[J].中国中医眼科杂志,2022,32(2):146-150. [18] 朱清茹,陈景平,梁丹,等.基于微信平台的健康教育在房颤射频消融术后患者随访管理中的应用研究[J].贵州医药,2022,46(9):1505-1506. [19] 李芙蓉,韩琳,李丽.肺癌术后患者离院后护士主导的延续性护理模式的构建[J].护士进修杂志,2022,37(13):1158-1164. [20] 武艳阳,陈露,铉璇.以移动管理系统为基础延续性护理对风湿性心脏病患者抑郁、焦虑及生活质量的影响[J].贵州医药,2019,43(5):830-831. [21] 万媛,余婷婷,鲁捷,等.基于Meleis转移理论的健康教育对肺癌化疗PICC带管患者出院准备度与自我管理能力的影响[J].海南医学,2022,33(11):1486-1490. [22] 汪瑶,王春兰,俞惠艳,等.宫颈癌术后带导尿管出院患者自我管理能力的影响因素研究[J].中华全科医学,2021,19(10):1772-1774. [23] 宋欣芫,郝洁,肖莉,等.护理专案改善在提高门诊慢性肾脏病患者自我管理能力中的应用研究[J].中华护理杂志,2017,52(6):692-697. [24] 肖静静,连开华,战雅琦,等.淋巴瘤患者院外行微信小程序指导对患者焦虑情绪及自我管理能力的影响[J].长春中医药大学学报,2021,37(6):1400-1402. [25] 杨柳,李玲,李晓娜,等.护理敏感质量指标评价在PICC带管患者化疗间歇期导管管理中的应用[J].中国医疗管理科学,2023,13(1):101-106. |
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