Impact of WeChat education mode on mental health of family members of cancer pain patients
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摘要: 目的 探讨微信教育的模式对癌症疼痛患者家属心理健康的影响,以改善癌痛患者家属的心理健康水平。 方法 选取2014年2—12月在嘉兴市第一医院呼吸科及肿瘤科住院治疗后病情稳定出院的癌痛患者家属100例作为研究对象,按随机数字表法分为对照组和观察组各50例,对照组按常规进行健康宣教,观察组在对照组的基础上采用微信的形式进行健康教育,包括成立微信教育小组、教育小组共同编写共享的微信教育内容、微信群上定期发送教育内容、安排小组成员参与微信群聊等,使用症状自评量表(SCL-90)和应对方式问卷(SCSQ)分别在教育前和教育5个月后对2组进行评定。 结果 教育后观察组恐怖、精神病性因子与对照组比较差异无统计学意义(均P>0.05)。教育后观察组躯体化、强迫、人际关系敏感、忧郁、焦虑、敌对、偏执因子明显低于对照组(均P<0.05),教育后观察组家属的自责、幻想、退避因子低于对照组(均P<0.05),观察组求助、解决问题因子高于对照组(均P<0.05)。 结论 微信平台教育模式应用于癌痛患者家属的心理健康教育中,使家属对恶性肿瘤所致癌痛的认知明显提高,保持良好乐观的情绪对癌痛患者进行规范化的管理,提高患者生活质量的同时提高癌痛患者家属的心理健康水平。Abstract: Objective To discuss the impact of WeChat education mode on mental health of family members of cancer pain patients, with the final purpose to improve the mental health level of patients' family members. Methods One hundred cases of family members of cancer pain patients who accepted hospitalization in Respiration Department and Oncology Department of the First Hospital of Jiaxing and discharged with stable condition from February 2014 to December 2014 were divided into control group and observation group according to random number table and each group had 50 cases. Family members in control group accepted the regular health education and those in observation group accepted both regular healthy education and the WeChat health education. WeChat education mode includes establishing WeChat education groups who jointly compile WeChat education contents, sending education contents in WeChat groups regularly, arranging team members to participate in group chat in WeChat, etc. Also, Symptom Check List (SCL-90) and Simplified Coping Style Questionnaire (SCSQ) were adopted to comparatively assess the two groups before education and 5 months after education. Results After education, family members in observation group exhibited no significant difference with those in control group in terms of factor score of phobia and psychoticism (all P>0.05). Factor scores of somatization, obsession-compulsion, interpersonal sensitivity, depression, anxiety, hostility, and paranoid ideation in observation group were obviously lower than those in control group, and difference was statistically significant (all P<0.05). Factor scores of self-accusation, illusion, and retreating in observation group were lower than those in control group, and difference was statistically significant (all P<0.05). Factor scores of seeking help and solving problems in observation group were higher than those in control group, with difference exhibiting statistical significance (all P<0.05). Conclusion The application of WeChat mode on mental health education of family members of cancer pain patients obviously improves the perception of family members on cancer pain caused by malignant tumor. Family members can maintain optimistic emotions and conduct normalized management on cancer pain patients. Therefore, both the living quality of cancer pain patients and the mental health level of their family members are improved.
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Key words:
- WeChat education /
- Cancer pain /
- Family members /
- Mental health
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