主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2025, Vol. 25 ›› Issue (9): 1354-1359.doi: 10.3969/j.issn.1672-1756.2025.09.014

• 改善护理服务行动专题 • 上一篇    下一篇

微信小程序个案管理对妇科肿瘤术后淋巴水肿患者的干预效果研究

杜明卿 张琴 李兰 周大勇   

  1. 南京医科大学附属苏州医院血管外科,215000 江苏省苏州市
  • 出版日期:2025-09-15 发布日期:2025-09-15
  • 通讯作者: 李兰,本科,副主任护师,护士长,E-mail:81969238@qq.com
  • 作者简介:杜明卿,硕士,护师
  • 基金资助:
    2024年苏州市护理学会科研项目A类(SZHL-A-202401)

The impact of a WeChat-based case management model on postoperative lymphedema in patients with gynecological cancer

DU Mingqing, ZHANG Qin, LI Lan, ZHOU Dayong   

  1. Department of Vascular Surgery, Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, Jiangsu province, 215000, China
  • Online:2025-09-15 Published:2025-09-15
  • Contact: E-mail:81969238@qq.com

摘要: 目的:评价基于微信小程序的个案管理模式对妇科肿瘤患者术后淋巴水肿及生活质量的干预效果,为拓展妇科肿瘤术后淋巴水肿患者个案管理模式提供指导。方法:采用非同期对照研究法,便利选取苏州市某三级甲等医院收治的妇科肿瘤术后下肢淋巴水肿患者为研究对象,将2023年10月—12月收治的37例患者作为对照组,在院期间接受常规护理,术后3个月、6个月前往血管外科门诊、淋巴水肿护理门诊随访;2024年1月—3月收治的36例患者为干预组,接受由个案管理师主导的基于微信小程序的个案管理。比较两组患者患肢体积及下肢淋巴水肿功能、残疾与健康问卷得分。结果:两组各35例患者完成研究。术后3个月、6个月,干预组患肢体积及下肢淋巴水肿功能、残疾与健康问卷总分均低于对照组,重复测量方差分析显示,两组患肢体积及下肢淋巴水肿功能、残疾与健康问卷总分在时间、组间和交互效应的比较差异均有统计学意义(P<0.05),干预组下肢水肿改善程度、生活质量均优于对照组。结论:基于微信小程序的个案管理模式有助于改善妇科肿瘤患者下肢淋巴水肿,提高生活质量水平。

关键词: 微信程序;个案管理;下肢淋巴水肿;生活质量

Abstract: Objective: To assess the effectiveness of a WeChat-based case management model in improving postoperative lymphedema and quality of life in patients with gynecological cancer, so as to provide guidance for expanding the application of case management strategies for postoperative lymphedema in this population. Methods: A non-concurrent controlled study was conducted at a tertiary grade A hospital in Suzhou. Patients diagnosed with postoperative Lower Limb Lymphedema (LLL) following gynecological oncology surgery were conveniently selected and divided into two groups. The control group (n=37) who was admitted from Oct to Dec 2023, received standard care during hospitalization and attended follow-up appointments at the Vascular Surgery Outpatient Department and the Lymphedema Nursing Outpatient Department three and six months after the surgery. The intervention group (n=36) who was admitted from Jan to Mar 2024, received a case management model facilitated by a case manager through a WeChat program. Both groups were evaluated using the volume of the affected limb, the score of Lymphedema Functioning, Disability and Health Questionnaire for Lower Limb Lymphedema (Lymph-ICF-LL) Scale. Results: Thirty-five patients in each group completed the study. The volume of the affected limb and the total scores of Lymph-ICF-LL Scale were significantly lower in the intervention group compared to the control group three and six months after the surgery. Repeated-measures ANOVA revealed statistically significant differences in time, group and interaction effects (P<0.05), indicating that the intervention group experienced greater improvements in LLL and quality of life. Conclusion: The WeChat-based case management model can improve the volume of lymphedema limb and quality of life in LLL patients.

Key words: Wechat program; case management; Lower Limb Lymphedema; quality of life

中图分类号:  R47;R197