摘要
目的探讨基于微信的症状评估和自我干预对乳腺癌患者化疗期间不良反应、心理状态和生命质量的影响。方法选取2017年9月—2018年9月期间于浙江省人民医院淳安分院进行化疗的146例乳腺癌患者,按照随机数字表法分为试验组和对照组,每组73例,对照组患者在化疗期间予以门诊指导,试验组患者在化疗期间给予微信远程评估和干预,对比2组患者贝克焦虑量表(Beck anxiety inventory,BAI)、贝克抑郁量表(Beck depression inventory,BDI)、心理弹性量表(connor-davidson resilience scale,CD-RISC)、Herth希望量表(Herth hope index,HHI)、幸福感指数量表(index of well-being,IOWB)、Morisky服药依从性量表、生命质量测定量表和严重不良反应发生率。结果2组患者BAI、BDI评分低于干预前,且试验组明显低于对照组(均P<0.05);2组患者心理弹性量表、HHI、IOWB、生命质量评分高于干预前,且试验组明显高于对照组(均P<0.05);试验组患者早、中、晚期服药依从性明显高于对照组,且均呈下降趋势(均P<0.05);试验组严重不良反应发生率明显低于对照组(P<0.05)。结论微信远程评估与干预平台可以改善乳腺癌患者化疗期间的心理状态,提高治疗期望和诊治依从性,降低严重不良反应发生率,明显提高生命质量。
Objective To explore the effects of WeChat-based symptom assessment and self-intervention on adverse reactions,mental status and quality of life in patients with breast cancer during chemotherapy.Methods One hundred and forty-six patients with breast cancer who were treated with chemotherapy in our hospital from September 2017 to September 2018 were selected and divided into experimental group and control group according to the random number table method,with 73 cases in each group.Patients in the control group were given outpatient guidance during chemotherapy,and patients in the experimental group were given a WeChat remote evaluation and intervention platform during chemotherapy.Beck anxiety scale(Beck anxiety inventory,BAI),Beck depression scale(Beck depression inventory,BDI),psychological elasticity scale(Connor-Davidson resilience scale,CD-RISC),Heah hope scale(Herth Hope Index,HHI),Happiness index scale(Index of well-being,IOWB),Morisky medication Compliance scale,Quality of life measurement scale and incidence of serious adverse events were compared between the two groups.Results The BAI and BDI scores of the two groups were lower than those before the intervention,and the experimental group was significantly lower than the control group(all P<0.05).The psychological resilience scale,HHI,IOWB,and quality of life scores of the two groups were higher than those before the intervention,and the experimental group was significantly higher than the control group(all P<0.05).The adherence of the patients in the experimental group was significantly higher than that in the control group in the early,middle and late stages,and both showed a downward trend(all P<0.05).The incidence of serious adverse reactions in the experimental group was significantly lower than that in the control group(all P<0.05).Conclusion WeChat remote assessment and intervention platform can improve the psychological state of breast cancer patients during chemotherapy,improve treatment expectation and diagnosis and treatment,reduce the incidence of serious adverse reactions,and significantly improve the quality of life.
作者
汪晓月
王学军
WANG Xiao-yue;WANG Xue-jun(Department of General surgery,Zhejiang People's Hospital Chun'an Branch,Hangzhou,Zhejiang 311701,China)
出处
《中华全科医学》
2020年第1期94-97,共4页
Chinese Journal of General Practice
基金
浙江省中医药重点研究项目(2019ZA110).
关键词
微信远程评估和干预平台
乳腺癌
化疗
生命质量
WeChat remote assessment and intervention platform
Breast cancer
Chemotherapy
Quality of life
作者简介
通信作者:汪晓月,E-mail:lindahzd@126.com
