The application of the four in one short distance communication mode supported by WeChat platformin the continuous care of postoperative enterostomy for rectal cancer patients
微信平台支持下四位一体短距沟通模式在直肠癌患者术后肠造口延续护理中的应用

摘要

目的 针对微信平台支持下四位一体短距沟通模式在直肠癌患者术后肠造口延续护理中的应用价值展开分析。方法 选取2022年1月-2022年12月期间在我院接受手术治疗的72例直肠癌患者作为研究对象，电脑随机分为对照组和研究组，各36例，对照组给予常规延续护理，研究组在此基础上增加微信平台支持下四位一体的短距沟通模式，比较两组患者肠造口并发症发生率及护理前后自我护理能力测定量表（ESCA）评分。结果 研究组造口周围粪水性皮炎、造口旁疝、造口皮肤黏膜分离、造口狭窄发生率均低于对照（P＜0.05）；护理前，两组患者各项自我护理能力评分对比无明显差异（P＞0.05），护理后，研究组健康知识掌握程度、自我管理概念、自我护理技能、自我护理责任感评分均高于对照组（P＜0.05）。结论 在直肠癌患者术后肠造口延续护理中应用微信平台支持下四位一体短距沟通模式，有助于增强患者出院后自我护理能力，降低肠造口病并发症发生率，值得推广及应用。

Abstract

Objective To analyze the application value of the four in one short distance communication mode supported by WeChat platform in the continuous care of rectal cancer patients undergoing postoperative enterostomy.
Methods 72 rectal cancer patients who underwent surgical treatment in our hospital from January 2022 to December 2022 were selected as the study subjects. They were randomly divided into a control group and a study group, with 36 patients in each group. The control group received routine continuous care, and the study group added a four in one short distance communication mode supported by WeChat platform, Compare the incidence of enterostomy complications and the self-care ability assessment scale (ESCA) scores before and after nursing between two groups of patients.
Results The incidence of periostal fecal dermatitis, periostal hernia, ostal skin mucosal separation, and ostal stenosis in the study group were lower than those in the control group (P<0.05); Before nursing, there was no significant difference in the self-care ability scores between the two groups of patients (P>0.05). After nursing, the study group had higher scores of health knowledge mastery, self-management concepts, self-care skills, and self-care responsibility than the control group (P<0.05).
Conclusion   The application of the four in one short distance communication model supported by WeChat platform in the continuous care of rectal cancer patients undergoing colostomy after surgery can help enhance their self-care ability after discharge, reduce the incidence of complications of colostomy, and is worth promoting and applying.