“互联网+”模式护理管理在食管癌化疗患者中的应用

目的探讨“互联网+”模式护理管理在食管癌化疗患者中的应用价值。方法采用便利抽样法,选取郑州大学第一附属医院2017年1月—2019年1月收治的食管癌患者90例,均接受化疗。根据随机数字表法将其分成观察组(n=45)和对照组(n=45)。对照组采用常规护理管理,观察组采用以“互联网+”为平台的管理模式。分别于护理干预前和干预6个月后采血检测两组营养指标,包括血清前白蛋白(PA)、白蛋白(ALB)、转铁蛋白(TRF)水平。采用Connor-Davidson心理弹性量表评价两组患者心理弹性水平。结果两组患者干预后血清PA、ALB、TRF水平高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。两组患者干预后精神影响、接受变化、忍受消极情感、能力、控制评分及心理弹性总分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论与传统护理管理相比,采用以“互联网+”为平台的管理模式能进一步改善食管癌化疗患者的营养水平与心境状态,总体应用效果良好。

Application of the"Internet+"model in the nursing management of esophageal cancer patients in chemotherapy

Objective To explore the application value of"Internet+"model in esophageal cancer patients in chemotherapy.Methods A total of 90 patients with esophageal cancer treated in the First Affiliated Hospital of Zhengzhou University from January 2017 to January 2019 were selected by convenient sampling method,and all received chemotherapy.They were divided into observation group(n=45)and control group(n=45)according to the random number table method.The control group adopts routine nursing management,and the observation group adopts the"Internet+"management model.Blood samples were taken before the nursing intervention and 6 months after the intervention to measure the nutritional indicators of the two groups,including serum prealbumin(PA),albumin(ALB),and transferrin(TRF)levels.The Connor-Davidson Psychological Resilience Scale was used to evaluate the psychological resilience of the two groups of patients.Results The levels of serum PA,ALB,and TRF in the two groups after intervention were higher than those before intervention,and the observation group were higher than the control group,the differences were statistically significant(P<0.05).After intervention,the mental impact,acceptance changes,tolerance of negative emotions,ability,control scores,and total psychological elasticity scores of the two groups were higher than before the intervention,and the observation group were higher than the control group,and the differences were statistically significant(P<0.05).Conclusions Compared with traditional nursing management,the"Internet+"management model can further improve the nutritional level and mood of esophageal cancer patients in chemotherapy,and the overall application effect is good.