Analysis of the impact of continued care based on WeChat platform on the compliance of cancer patients with oral chemotherapy medications at home
基于微信平台的延续护理对肿瘤患者居家口服化疗药物依从性的影响分析

摘要

目的 探究肿瘤患者实施基于微信平台的延续护理的价值。方法 纳入2024年3月至2025年3月本院收治的居家口服化疗药物肿瘤患者共94例，依据随机信封法分为对照组和观察组各47例。对照组实施常规延续护理，观察组实施基于微信平台的延续护理。根据服药依从性、自我护理能力、自我效能对2组干预效果综合评价。结果 干预后，观察组Morisky服药依从性问卷（MMAS-8）与对照组比较升高，组间具备统计学差异（P＜0.05）。干预后，观察组自我护理能力测定量表（ESCA）、一般自我效能感量表（GSES）与对照组比较均升高，组间差异有统计学意义（P＜0.05）。结论 居家肿瘤患者实施基于微信平台的延续护理，可提升口服化疗药物依从性，增强自我护理能力，提高自我效能水平。

Abstract

Objective To explore the value of implementing continuity of care based on WeChat platform for cancer patients.
Methods A total of 94 patients with tumors treated with oral chemotherapy drugs at home were included in our hospital (period from March 2024 to March 2025), and were randomly divided into two groups of 47 patients each according to the envelope method. The control group received routine continuing care, while the observation group received continuing care based on the WeChat platform. Comprehensive evaluation of the intervention effects of two groups based on medication adherence, self-care ability, and self-efficacy.
Results After the intervention, the Morisky Medication Adherence Questionnaire (MMAS-8) in the observation group increased compared to the control group, and there was a statistically significant difference between the groups (P<0.05). After intervention, the self-care ability assessment scale (ESCA) and general self-efficacy scale (GSES) of the observation group were significantly higher than those of the control group, with statistical differences between the groups (P<0.05).
Conclusion   Implementing continuous care based on WeChat platform for home cancer patients can improve their compliance with oral chemotherapy drugs, enhance their self-care ability, and improve their self-efficacy level.