Effect of continuous nursing intervention based on Wechat platform on post-operative psychological elasticity and shame of breast cancer patients

Abstract

Objective To explore the effect of continuous nursing intervention based on Wechat platform on psychological resilience and stigma of breast cancer patients.

Methods Sixty cases of patients with radical mastectomy were divided into observation group (July to December 2017) and control group (January to June 2017) according to the order of admission. The control group was given continuous nursing by telephone after discharge, while the observation group was given continuous nursing by Wechat platform. Psychological resilience, stigma score and quality of life were compared between the two groups.

Results The scores of CD-RISC in the observation group at 3 months and 6 months after discharge were 60.87 ± 4.82 and 67.46 ± 5.68, higher than those in the control group which were 54.36 ± 4.78 and 53.25 ± 4.73, respectively. The scores of SIS in the observation group were 61.37 ± 10.32 and 55.89 ± 11.21, lower than those in the control group which were 69.85 ± 12.04 and 70.31 ± 11.94, respectively (all P < 0.05). The quality of life scales (FACT-B) of breast cancer in the observation group for one month, three months and six months after discharge were 105.26 ± 14.71, 114.21 ± 14.08, 120.91 ± 14.07, higher than those in the control group which were 92.26 ± 19.42, 104.23 ± 16.85, 109.02 ± 13.78, with significant difference (all P < 0.05).

Conclusion Continuous nursing based on Wechat platform can improve the psychological resilience level, reduce the sense of shame and improve the quality of life of patients with breast cancer after radical mastectomy.

Abstract

摘要： 目的 探讨微信平台延续性护理干预对乳腺癌患者心理弹性水平及病耻感的影响。 方法 将2017年1一 12月杭州市中医院收治的60例乳腺癌根治术患者按照人院的先后顺序均分为观察组 (2017年7—12月) 和对照 组 (2017年11月), 每组30例。对照组出院后采用电话进行延续性护理, 观察组采用微信平台进行延续性护 理。比较2组的心理弹性水平、病耻感评分及生活质量。 结果 观察组出院后3个月、6个月时心理弹性量表 (CD-RISC)评分分别为 (60.87 ± 4.82), (67.46 ± 5.68)分, 均高于对照组的 (54.36 ± 4.78)、(53.25 ± 4.73)分, 社会影响量表 (SIS)评分分别为 (61.37 ± 10.32), (55.89 ± 11.21)分, 均低于对照组的 (69.85 ± 12.04), (70.31 ± 11.94)分, 差异有统计学意义 (均 P < 0.05)。观察组出院1、3、6个月的乳腺癌生命质量测定量表 (FACT-B) 为 (105.26 ± 14.71)、(114.21 ± 14.08)、(120.91 ± 14.07)分, 均高于对照组的 (92.26 ± 19.42)、(104.23 ± 16.85)、(109.02 ± 13.78)分, 差异有统计学意义 (均 P < 0.05)。 结论 微信平台延续性护理能够提高 乳腺癌根治术患者术后的心理弹性水平, 降低病耻感, 改善生活质量。