| Objectives:To construct the We Chat mini program of continuous nursing for postoperative breast cancer patients of childbearing age,and explore its application effect of continuous nursing intervention based on this platform on patients’ hope level and quality of life.Methods:This study was divided into two parts.The first part was to construct the continuous nursing We Chat mini program for patients of reproductive age after breast cancer surgery.1.By reviewing relevant domestic and foreign literatures in the past five years,the contents and demands of continuing care services for postoperative breast cancer patients of childbearing age were summarized.2.The qualitative research method was used to conduct face-to-face semistructured in-depth interviews with 11 patients of child-bearing age after surgery for breast cancer,to understand their feelings of hope and quality of life after surgery,and to explore the needs and targeted strategies for improving patients’ hope level and quality of life after surgery.3.Based on the research results of the two parts above,the module and function of We Chat mini program for continuous nursing were designed,and the specific push content of each module of the mini program was sorted out by referring to relevant domestic and foreign guidelines,expert consensus,literature,books,etc.Finally,the company cooperated with network technology companies to develop the We Chat mini program for the continuous nursing of patients with breast cancer after surgery at childbearing age.The second part was the application research of We Chat-based continuous nursing service on the level of hope and quality of life of postoperative breast cancer patients of childbearing age.Patients of child-bearing age undergoing breast cancer surgery admitted to the Department of Oncology,Affiliated Hospital of Shaanxi University of Chinese Medicine from August 2020 to January 2021 were selected as the research subjects.Patients were grouped according to the order of admission,30 patients admitted from August 2020 to October 2020 were included in the control group,and 30 patients admitted from November 2020 to January 2021 were included in the observation group.Patients in both groups received routine nursing care after breast cancer surgery and health education after discharge.The control group received telephone follow-up intervention for 3 times,and the observation group received continuous nursing based on We Chat.After intervention for one month,the scores of hope level and quality of life of patients in the two groups were observed before and after intervention,and the application of We Chat mini program in patients was statistically analyzed.Results:1.The We Chat mini program developed for postoperative extended care of breast cancer in childbearing age is named “Ru Ci Fu Kang”,including three modules: “Home Page”,“My Consultation” and “My”.“Home Page” mainly provides patients with some graphic,video and audio health education content,including 7 categories: daily life,functional rehabilitation,pain management,catheter care,prosthetic breast,breast selfexamination,sex and fertility.“My Consultation” provides a platform for patients to consult with a doctor or nurse.“My” module includes four functional sections: my information,my reminder,spiritual trash can and punching card.2.Comparison of general information: A total of 60 patients were included,30 cases in the control group and 30 cases in the observation group.There was no significant difference in age,marital status,educational level,surgical method and clinical stage of tumor between the two groups(P > 0.05),indicating comparability.3.Comparison of hope level scores between two groups of patients: Before intervention,the hope level of patients in the two groups was at a low level,and there was no statistical significance in the total scale score and scores of each dimension(P >0.05).After 1 month of intervention,the total score of hope level and scores of various dimensions in observation group were higher than those in control group,with statistical significance(P < 0.05).There were statistically significant differences in the total scores of hope level and scores of various dimensions between the control group and the observation group before and after intervention(P < 0.05),and the differences of the total scores of hope level and scores of various dimensions in the observation group before and after intervention were greater than those in the control group,with statistical significance(P < 0.05).4.Comparison of quality of life scores between two groups: Before intervention,there was no statistical significance in the total score of quality of life and scores of each dimension between 2 groups(P > 0.05).After 1 month of intervention,the total score of quality of life and scores of all dimensions in observation group were higher than those in control group,with statistical significance(P < 0.05).Control patients and the observation group of patients before and after the intervention in the total score of life quality and each dimension score comparative differences were statistically significant(P < 0.05),and the observation group of patients quality of life scores and each dimension scores before and after the intervention(with the exception of additional concern dimension)difference were greater than the control group patients,the difference was statistically significant(P < 0.05).Conclusions:1.Continuous nursing based on We Chat can correct the disease cognition of breast cancer patients of childbearing age after operation,relieve negative emotions,improve the utilization of social support,and then improve their hope level.2.Continuous nursing based on We Chat can improve the physiological status,social/family status,emotional status and functional status of breast cancer patients at childbearing age,pay more attention to their worries about sex,fertility and physical changes,and then improve their quality of life.3.We Chat-based continuous nursing was more effective than conventional telephone follow-up in improving the level of hope and quality of life of patients with postoperative breast cancer in childbearing age. |
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