基于微信平台的延续性护理对超脉冲CO2激光治疗眼睑肿物患者的心理状态和满意度的影响OA

Objective:To evaluate the effects of WeChat-based continuity of care on psychological status,treatment outcomes,and complications in patients with eyelid tumors treated with ultrapulse CO2 laser.Methods:A retrospective historical control study was conducted,including 100 patients with eyelid tumors who underwent ultrapulse CO2 laser treatment at Zhongshan Ophthalmic Center,Sun Yat-sen University from June 2018 to June 2023.Patients were divided into continuity of care group(n=50)and non-continuity of care group(n=50)based on whether they received continuity of care.The Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)were used to assess patients'psychological status before and after nursing intervention.Psychological status,nursing satisfaction,and complications were compared between the two groups.Results:The continuity of care group included 12 males(24.0%)and 38 females(76.0%)with a mean age of(37.9±20.0)years;the non-continuity of care group included 19 males(38.0%)and 31 females(62.0%)with a mean age of(36.9±20.4)years.No significant differences were found in baseline characteristics including age,gender,and tumor features between the two groups(P>0.05).For psychological status scores,the continuity of care group showed mean decreases in SAS and SDS scores of(23.38±4.94)points and(21.98±5.38)points respectively,while the non-continuity of care group showed mean increases of(15.58±5.16)points and(3.78±5.45)points respectively.The between-group differences were 38.96 points(95%CI:36.78-41.14)for SAS scores and 25.76 points(95%CI:23.94,27.58)for SDS scores,both statistically significant(P<0.001;P=0.025).The non-continuity of care group had significantly higher rates of concerns about wound healing process,scar formation,and appearance impact compared to the continuity of care group(all P<0.001).The total satisfaction rate was 100.0%in the continuity of care group,significantly higher than 88.0%in the non-continuity of care group(P=0.006).Both groups achieved 100%treatment effectiveness,with cure rates of 92%and 90%respectively,showing no statistical difference(P=0.749).The total complication rate in the continuity of care group was 34.0%,significantly lower than 48.0%in the non-continuity of care group(P=0.043).Conclusions:WeChat platform-based continuity of care can significantly improve anxiety and depression in patients with eyelid tumors treated with ultrapulse CO2 laser,reduce complication rates,enhance patient satisfaction,and promote harmonious doctor-patient relationships,demonstrating important clinical application value.