基于人际关系理论的延续性护理模式在妇科恶性肿瘤病人中的应用研究
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摘要
[目的]探讨基于人际关系理论的延续性护理模式在妇科恶性肿瘤病人中的应用效果。[方法]选取在北京大学深圳医院妇产科的妇科恶性肿瘤病人120例,采用随机数字表分成观察组和对照组,观察组采用基于人际关系理论的延续性护理模式,对照组采用常规的护理模式,随访3个月后分别采用疼痛视觉模拟量表、简易疲乏量表和世界卫生组织生存质量评估表简表比较两组病人疼痛、癌因性疲乏和生活质量的差异。[结果]排除随访期内死亡2例,失访4例,最终确定观察组58例,对照组56例,观察组疼痛优良率为69.0%,癌因性疲乏评分中无疲乏比例为20.7%;对照组分别为46.4%和5.4%,两组比较差异均有统计学意义(P<0.05)。观察组在自身生存感受、自身健康状况、生理领域、心理领域和社会关系领域生存质量得分均高于对照组,差异有统计学意义(P<0.05)。[结论]基于人际关系理论的延续性护理模式在妇科恶性肿瘤病人中应用具有可行性,能够减轻病人的疼痛和癌因性疲乏程度,有效提高病人的生存质量。
Objective:To explore the application effect of continuous nursing model based on interpersonal relationship theory in patients with gynecological malignant tumors.Methods:Atotal of 120 patients with gynecologic malignancies in the Department of Obstetrics and Gynecology of Peking University Shenzhen Hospital were selected.The randomized digital table method was used to divide the patients into the observation group and the control group.The observation group received continuous nursing mode based on interpersonal relationship theory.The control group received routine nursing.After 3 months of follow-up,theVisual Analogue Scale/Score(VAS),Brief Fatigue Inventory(BFI),and The World Health Organization Quality of Life [(WHOQOL)-BREF] were used to compare the differences in pain,cancer-related fatigue,and quality of life(QOL) between the two groups.Results:Excluded 2 died and 4 lostpatients during the follow-up period,finally included 58 patients in the observation group and 56 patients in the control group.The excellent and good effect rate of pain in the observation group was 69.0%,and the proportion of no fatigue in the cancer-related fatigue score was 20.7%.The control group was 46.4% and 5.4%,respectively,and the difference was statistically significant(P<0.05).The QOL scores of the observation group in the self-sustaining feeling,self-health status,physiological field,psychological field,and social relationship were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusions:The continuous nursing model based on interpersonal relationship theory was feasible in the application among patients with gynecological malignant tumor,which could alleviate the pain and cancer-related fatigue of patients and effectively improve their QOL.
Objective:To explore the application effect of continuous nursing model based on interpersonal relationship theory in patients with gynecological malignant tumors.Methods:Atotal of 120 patients with gynecologic malignancies in the Department of Obstetrics and Gynecology of Peking University Shenzhen Hospital were selected.The randomized digital table method was used to divide the patients into the observation group and the control group.The observation group received continuous nursing mode based on interpersonal relationship theory.The control group received routine nursing.After 3 months of follow-up,theVisual Analogue Scale/Score(VAS),Brief Fatigue Inventory(BFI),and The World Health Organization Quality of Life [(WHOQOL)-BREF] were used to compare the differences in pain,cancer-related fatigue,and quality of life(QOL) between the two groups.Results:Excluded 2 died and 4 lostpatients during the follow-up period,finally included 58 patients in the observation group and 56 patients in the control group.The excellent and good effect rate of pain in the observation group was 69.0%,and the proportion of no fatigue in the cancer-related fatigue score was 20.7%.The control group was 46.4% and 5.4%,respectively,and the difference was statistically significant(P<0.05).The QOL scores of the observation group in the self-sustaining feeling,self-health status,physiological field,psychological field,and social relationship were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusions:The continuous nursing model based on interpersonal relationship theory was feasible in the application among patients with gynecological malignant tumor,which could alleviate the pain and cancer-related fatigue of patients and effectively improve their QOL.
引文
[1] 陈姗,林细吟,刘可.妇科恶性肿瘤病人支持性照顾需求的研究[J].中华护理杂志,2011,46(1):51-53.
[2] 李小妹.护理学导论[M].6版.北京:人民卫生出版社,2016:1.
[3] SADEGHI B,ARVIEUX C,GLEHEN O,et al.Peritoneal carcinomatosis from non‐gynecologic malignancies[J].Cancer,2015,88(2):358-363.
[4] 李惠霞,赵雨晴,王莹,等.食管癌术后康复病人院外护理问题的原因分析及延续性护理措施的研究进展[J].护士进修杂志,2016,31(1):17-19.
[5] 袁毅,周茹,潘艳,等.延续性护理对降低糖尿病足合并感染风险的临床研究[J].护士进修杂志,2016,31(23):2197-2199.
[6] 董玉静,尚少梅,么莉,等.国外延续性护理模式研究进展[J].中国护理管理,2012,12(9):20-23.
[7] 谢红芬,胡启梅,罗娟,等.基于人际关系模式的家庭访视在抑郁症病人中的应用及效果评价[J].中华护理杂志,2016,51(11):1371-1375.
[8] 牛青,刘丽丹,王秋玲,等.Peplau人际关系模式在护理实践中的应用[J].中华现代护理杂志,2014,20(27):3524-3526.
[9] MLAYOSIPOVITCH G.The prevalence and clinical characteristics of pruritus among patients with extensive psoriasis[J].British Journal of Dermatology,2015,5:969-973.
[10] 王晓飞.系统化护理干预对缓解乳腺癌病人癌因性疲乏的影响[J].中国当代医药,2014(22):124-127.
[11] 王丽,杜艳丽,闫晶,等.不同化疗周期肿瘤病人自我效能、社会支持及生存质量的相关性研究[J].护理学报,2014,(16):33-36.
[12] 王蓓,高海莲,刘雪琴,等.WHO生存质量量表老年模块在我国前列腺增生症病人中的适用性研究[J].中华护理杂志,2006,41(8):687-690.
[13] 陈艳丽,王筱红.Peplau人际关系理论在肺癌病人护理中应用的可行性及有效性评价[J].护士进修杂志,2017,32(9):824-826.
[14] 孟宪兰,李彩红,徐美玲.延续性护理对乳腺癌根治术后病人癌因性疲乏预后的影响[J].中国肿瘤临床与康复,2018,25(2):217-220.
[15] 刘溢思,李怡然,吴瑛,等.短信教育改善急性冠状动脉综合征病人介入术后服药依从性的效果研究[J].中华护理杂志,2015,50(6):660-665.
[16] GUPTA D,LIS C G,GRUTSCH J F.The relationship between cancer-related fatigue and patient satisfaction with quality of life in cancer[J].Journal of Pain & Symptom Management,2007,34(1):40-47.
[17] 刘青.系统护理对乳腺癌病人围术期癌因性疲乏及生活质量的影响[J].中国实用护理杂志,2012,28(28):27-29.
[18] 许虹波,姜丽萍,李菊芳,等.肺癌化疗病人癌因性疲乏及其对生活质量的影响分析[J].中国实用护理杂志,2010,26(8):16-19.
[19] 石丽娟,何小俊.基于微信的延续护理对冠状动脉介入术后病人服药依从性及预后的影响[J].护士进修杂志,2017,32(5):431-433.
[20] 丁妍,覃惠英,颜君,等.鼻咽癌病人放疗后自我护理能力与生活质量的相关性分析[J].护理学报,2012,19(13):66-69.
[21] 杨军,李新霞,张爱华,等.乳腺癌病人自我管理行为与癌性疲乏及生存质量的相关研究[J].护士进修杂志,2017,32(2):99-102.
[22] 楼秋英,冯国和,张邢炜,等.延续性护理干预对急性心肌梗死病人PCI术后心理状态及服药依从性的影响[J].中国护理管理,2014,14(1):45-48.
[2] 李小妹.护理学导论[M].6版.北京:人民卫生出版社,2016:1.
[3] SADEGHI B,ARVIEUX C,GLEHEN O,et al.Peritoneal carcinomatosis from non‐gynecologic malignancies[J].Cancer,2015,88(2):358-363.
[4] 李惠霞,赵雨晴,王莹,等.食管癌术后康复病人院外护理问题的原因分析及延续性护理措施的研究进展[J].护士进修杂志,2016,31(1):17-19.
[5] 袁毅,周茹,潘艳,等.延续性护理对降低糖尿病足合并感染风险的临床研究[J].护士进修杂志,2016,31(23):2197-2199.
[6] 董玉静,尚少梅,么莉,等.国外延续性护理模式研究进展[J].中国护理管理,2012,12(9):20-23.
[7] 谢红芬,胡启梅,罗娟,等.基于人际关系模式的家庭访视在抑郁症病人中的应用及效果评价[J].中华护理杂志,2016,51(11):1371-1375.
[8] 牛青,刘丽丹,王秋玲,等.Peplau人际关系模式在护理实践中的应用[J].中华现代护理杂志,2014,20(27):3524-3526.
[9] MLAYOSIPOVITCH G.The prevalence and clinical characteristics of pruritus among patients with extensive psoriasis[J].British Journal of Dermatology,2015,5:969-973.
[10] 王晓飞.系统化护理干预对缓解乳腺癌病人癌因性疲乏的影响[J].中国当代医药,2014(22):124-127.
[11] 王丽,杜艳丽,闫晶,等.不同化疗周期肿瘤病人自我效能、社会支持及生存质量的相关性研究[J].护理学报,2014,(16):33-36.
[12] 王蓓,高海莲,刘雪琴,等.WHO生存质量量表老年模块在我国前列腺增生症病人中的适用性研究[J].中华护理杂志,2006,41(8):687-690.
[13] 陈艳丽,王筱红.Peplau人际关系理论在肺癌病人护理中应用的可行性及有效性评价[J].护士进修杂志,2017,32(9):824-826.
[14] 孟宪兰,李彩红,徐美玲.延续性护理对乳腺癌根治术后病人癌因性疲乏预后的影响[J].中国肿瘤临床与康复,2018,25(2):217-220.
[15] 刘溢思,李怡然,吴瑛,等.短信教育改善急性冠状动脉综合征病人介入术后服药依从性的效果研究[J].中华护理杂志,2015,50(6):660-665.
[16] GUPTA D,LIS C G,GRUTSCH J F.The relationship between cancer-related fatigue and patient satisfaction with quality of life in cancer[J].Journal of Pain & Symptom Management,2007,34(1):40-47.
[17] 刘青.系统护理对乳腺癌病人围术期癌因性疲乏及生活质量的影响[J].中国实用护理杂志,2012,28(28):27-29.
[18] 许虹波,姜丽萍,李菊芳,等.肺癌化疗病人癌因性疲乏及其对生活质量的影响分析[J].中国实用护理杂志,2010,26(8):16-19.
[19] 石丽娟,何小俊.基于微信的延续护理对冠状动脉介入术后病人服药依从性及预后的影响[J].护士进修杂志,2017,32(5):431-433.
[20] 丁妍,覃惠英,颜君,等.鼻咽癌病人放疗后自我护理能力与生活质量的相关性分析[J].护理学报,2012,19(13):66-69.
[21] 杨军,李新霞,张爱华,等.乳腺癌病人自我管理行为与癌性疲乏及生存质量的相关研究[J].护士进修杂志,2017,32(2):99-102.
[22] 楼秋英,冯国和,张邢炜,等.延续性护理干预对急性心肌梗死病人PCI术后心理状态及服药依从性的影响[J].中国护理管理,2014,14(1):45-48.