Effects of WeChat Mini-Program-mediated Internet+CBT on PTSD and sleep quality in patients after breast cancer surgery
微信小程序介导的互联网+CBT对乳腺癌术后PTSD及睡眠质量的影响

摘要

目的 探讨微信小程序介导的互联网+认知行为护理（Cognitive Behavioral Therapy, CBT）模式在乳腺癌术后1-3个月创伤后应激障碍（Post-Traumatic Stress Disorder, PTSD）患者远程干预中的应用价值，分析其对患者睡眠质量的改善效果，为临床开展乳腺癌术后患者心理康复远程护理工作提供科学依据。方法 选取 2025年9 月至2026年3月某三甲医院肿瘤科收治的80例乳腺癌术后1-3个月PTSD患者，采用随机数字表法分为干预组和对照组各40例。对照组实施常规远程健康指导，干预组采用微信小程序介导的互联网+认知行为护理远程干预，两组干预周期均为8周。采用创伤后应激障碍量表（PTSD Checklist–Civilian Version, PCL-C）、匹兹堡睡眠质量指数（Pittsburgh Sleep Quality Index, PSQI）评估两组干预前后 PTSD 严重程度及睡眠质量。结果 干预前，两组患者PCL-C评分、PSQI评分比较，差异均无统计学意义（P>0.05）；干预8周后，两组上述评分均较干预前显著降低，且干预组评分显著低于对照组，差异均有统计学意义（均P<0.05）。结论 微信小程序介导的互联网+认知行为护理远程干预，可有效缓解乳腺癌术后1-3个月患者的PTSD症状，显著改善其睡眠质量，该模式操作便捷、成本低、推广性强，值得临床广泛应用。

Abstract

Objective To explore the application value of WeChat Mini-Program-mediated Internet+Cognitive Behavioral Nursing (CBT) mode in the remote intervention for patients with post-traumatic stress disorder (PTSD) at1-3months after breast cancer surgery, and to analyze its effect on improving patients’ sleep quality, so as to provide a scientific basis for clinical remote psychological rehabilitation nursing for patients after breast cancer surgery.
Methods A total of 80 patients with PTSD at 1-3 months after breast cancer surgery admitted to the oncology department of a tertiary first-class hospital from September 2025 to March 2026 were selected and randomly divided into an intervention group and a control group with 40 cases in each group by random number table method. The control group was given routine remote health guidance, while the intervention group received WeChat Mini-Program-mediated Internet+Cognitive Behavioral Nursing remote intervention. The intervention cycle for both groups was 8 weeks. The Post-Traumatic Stress Disorder Checklist-Civilian Version (PCL-C) and Pittsburgh Sleep Quality Index (PSQI) were used to evaluate the severity of PTSD and sleep quality of the two groups before and after the intervention.
Results Before the intervention, there were no statistically significant differences in PCL-C scores and PSQI scores between the two groups (P>0.05). After8weeks of intervention, the above scores of both groups were significantly lower than those before the intervention, and the scores of the intervention group were significantly lower than those of the control group, with statistically significant differences (all P<0.05).
Conclusion   WeChat Mini-Program-mediated Internet+Cognitive Behavioral Nursing remote intervention can effectively alleviate the PTSD symptoms of patients at1-3months after breast cancer surgery and significantly improve their sleep quality. This mode is easy to operate, low in cost and strong in popularization, which is worthy of extensive clinical application.