信息化APP聯合強化式健康教育在宮頸癌患者化療中的護理效果及對知曉率的影響研究

劉群英　伍小敏

【摘要】 目的：探討信息化APP聯合強化式健康教育在宮頸癌患者化療中的護理效果及對知曉率的影響。方法：選擇2017年1月-2019年6月筆者所在醫院收治的宮頸癌患者64例作為對象，隨機分為對照組（n=32）和觀察組（n=32）。兩組均給予化療治療，對照組采用常規護理，觀察組在對照組基礎上聯合信息化APP、強化式健康教育護理，3個月后對護理效果進行評估，比較兩組自我效能、知曉率、依從性。結果：護理前兩組GSES評分比較差異無統計學意義（P>0.05），護理后1、2、3、4周兩組GSES評分均高于護理前，且觀察組評分均高于對照組，差異均有統計學意義（P<0.05）;觀察組護理后4周宮頸癌發病、化療方案、毒副反應知曉率及按時化療、定期復查、遵醫飲食依從性均高于對照組，差異均有統計學意義（P<0.05）。結論：信息化APP聯合強化式健康教育用于宮頸癌患者化療中能增強患者自我效能，提高患者知曉率及依從性，值得推廣應用。

【關鍵詞】 信息化APP 強化式健康教育 宮頸癌 化療 自我效能 護理效果 知曉率

doi：10.14033/j.cnki.cfmr.2020.16.032 文獻標識碼 B 文章編號 1674-6805（2020）16-00-03

Nursing Effect of Information-based Combined with Intensive Health Education in Patients with Cervical Cancer during Chemotherapy and Its Effect on Awareness Rate/LIU Qunying， WU Xiaomin. //Chinese and Foreign Medical Research， 2020， 18（16）： -83

[Abstract] Objective： To explore the nursing effect of information-based combined with intensive health education in the chemotherapy of cervical cancer patients and its effect on awareness rate. Method： A total of 64 patients with cervical cancer from January 2017 to June 2019 in our hospital were selected as subjects and randomly divided into the control group （n=32） and the observation group （n=32）. Both groups were given chemotherapy treatment， and the control group received routine care， the observation group combined information-based APP and intensive health education nursing on the basis of the control group. After 3 months， the nursing effect was evaluated， and the self-efficacy， awareness rate and compliance of the two groups were compared. Result： There was no significant difference in GSES score between the two groups before nursing （P>0.05）， the GSES scores in the two groups at 1 week， 2， 3 and 4 weeks after nursing were higher than those before nursing， and the scores in the observation group were higher than those in the control group， the differences were statistically significant （P<0.05）. The awareness rate of cervical cancer incidence， chemotherapy regimen， toxic and side effects， the compliance of regular chemotherapy， regular review and according to the medical diet in the observation group were all higher than those in the control group at 4 weeks after nursing， the differences were statistically significant （P<0.05）. Conclusion： Information-based APP combined with intensive health education can improve patients self-efficacy， improve patient awareness and compliance in the treatment of cervical cancer patients， which is worthy of popularization and application.

[Key words] Information-based APP Intensive health education Cervical cancer Chemotherapy Self-efficacy Nursing effect Awareness rate

First-authors address： Guangzhou Huadu District Peoples Hospital， Guangzhou 510800， China

宮頸癌是發生率較高的婦科惡性腫瘤，常見病因包括HPV感染、初產年齡小、病毒感染及多性伴侶等[1]。對于早期宮頸癌無明顯癥狀、體征，隨著病情不斷發展，將會引起陰道流血、陰道排液及晚期癥狀（根據病灶累及范圍出現繼發性癥狀），影響患者健康、生活[2]。化療是中晚期宮頸癌患者中常用的治療方法，通過化療能殺死腫瘤細胞，延長患者壽命[3]。但是，化療屬于一種全身治療方法，容易對周圍其他組織、細胞產生影響，毒副反應發生率較高，導致患者治療耐受性、依從性較差[4]。信息化APP是一種基于網絡、手機的信息化傳播媒介，能實現信息的傳遞與溝通，借助手機終端獲得所需的信息，能讓患者/家屬對疾病、治療方法有全面認識。而強化式健康教育則能幫助患者了解自己的身體狀況，提高參與診治的能力，讓患者產生安全感、滿足感，有助于提高患者自我價值[5]。因此……