The impact of multi-link continuous care based on the Internet platform on the self-care ability and quality of life of patients after laparoscopic total hysterectomy for cervical cancer
基于互联网平台的多元联动延续护理对宫颈癌腹腔镜全子宫切除术后患者自护能力、生存质量的影响

摘要

目的 观察基于互联网平台的多元联动延续护理对宫颈癌腹腔镜全子宫切除术后患者自护能力（Self-care Ability, SCA）、生存质量（Quality of Life, QOL）的影响。方法 将2024年10月-2025年10月接收的84例宫颈癌腹腔镜全子宫切除术患者纳入研究，随机分为研究组与参照组，每组42例。参照组术后开启传统护理，主要在出院前对患者及家属进行一般叮嘱，告知居家护理的注意内容；研究组开启基于互联网平台的多元联动延续护理，借助以微信为主的互联网平台，实现社区医院、远程线上指导的多元联动延续护理，主要目的为确保患者在院外持续接受高质量护理，经线上指导和社区医院实地监测和管理，减少院外不良事件，加速身体康复。对比两组护理前后的SCA评估分数、QOL评估分数及院外不良事件占比。结果 护理前，两组SCA评估分数、QOL评估分数均处于低水平（P＞0.05）；护理后，两组SCA评估分数均上升，研究组自我概念、责任感、护理能力、认知分数均高于参照组（P＜0.05），两组QOL评估分数均上升，研究组总体健康、社会功能、情绪分数均高于参照组（P＜0.05）。研究组院外不良事件总占比低于参照组（P＜0.05）。结论 基于互联网平台的多元联动延续护理对宫颈癌腹腔镜全子宫切除术后患者SCA、QOL存在积极影响，能够提高SCA和QOL，减少伤口感染、阴道出血、下肢肿胀等院外不良事件。

Abstract

Objective To observe the impact of multi-link continuous care based on the Internet platform on the self-care ability (Self-care Ability, SCA) and quality of life (Quality of Life, QOL) of patients after laparoscopic total hysterectomy for cervical cancer.
Methods A total of 84 patients who underwent laparoscopic total hysterectomy for cervical cancer from October 2024 to October 2025 were included in the study and randomly divided into the study group and the control group, with 42 patients in each group. The control group received traditional postoperative care, mainly giving general instructions to patients and their families before discharge, informing them of the precautions for home care; the study group received multi-link continuous care based on the Internet platform, using the WeChat-based Internet platform to achieve multi-link continuous care involving community hospitals and remote online guidance. The main purpose was to ensure that patients received high-quality care continuously outside the hospital, and through online guidance and on-site monitoring and management by the community hospital, reduce adverse events outside the hospital and accelerate physical recovery. The SCA assessment scores, QOL assessment scores before and after the nursing, and the proportion of adverse events outside the hospital were compared between the two groups.
Results Before the nursing, the SCA assessment scores and QOL assessment scores of both groups were at a low level (P > 0.05); after the nursing, the SCA assessment scores of both groups increased, and the self-concept, responsibility, nursing ability, and cognition scores of the study group were higher than those of the control group (P < 0.05), and the QOL assessment scores of both groups increased, and the overall health, social function, and emotional scores of the study group were higher than those of the control group (P < 0.05). The total proportion of adverse events outside the hospital in the study group was lower than that in the control group (P < 0.05).
Conclusion   Multi-link continuous care based on the Internet platform has a positive impact on the SCA and QOL of patients after laparoscopic total hysterectomy for cervical cancer, can improve SCA and QOL, and reduce adverse events such as wound infection, vaginal bleeding, and lower limb swelling outside the hospital.