自我管理护理干预在提高肺癌术后化疗患者自我护理水平和自我效能感中的应用
|
摘要
目的:探讨自我管理护理干预在提高肺癌术后化疗患者自我护理水平和自我效能感中的应用。方法:选取我院2015年6月至2017年6月98例肺癌术后化疗患者,随机分为对照组和研究组各49例,其中对照组所有肺癌术后化疗患者均采用常规护理,研究组在常规护理的基础上结合自我管理护理干预,并分别通过自我护理能力测量量表、生存质量测定量表、一般自我效能感量表以及简短疲乏量表评估两组患者的护理效果。结果:研究组患者的自我概念、健康知识水平以及自我责任感等自我护理水平和自我效能感显著高于对照组(P<0.01);根据简短疲乏量表结果显示,研究组的疲乏评分显著低于对照组(P<0.001);根据生存质量测定量表结果显示,研究组在环境因子、生理因子、社会因子、心理因子和生活质量总分方面显著高于对照组(P<0.001)。结论:自我管理护理干预在提高肺癌术后化疗患者自我护理水平和自我效能感中具有重要意义,且可以降低肺癌术后化疗患者的疲乏程度,有利于提高患者的生存质量。
Objective: To explore the application of self-management nursing intervention in improving the level of self-care and self-efficacy of patients with lung cancer after operation. Methods: In our hospital from June 2015 to June 2017,98 cases of lung cancer patients receivied chemotherapy after surgery,were randomly divided into control group and study group with 49 cases in each group,the control group of all lung cancer patients receiving chemotherapy after surgery were treated with routine nursing,the study group with the self management of nursing intervention based on routine nursing care,and by measuring the self-care ability scale and the quality of life scale,general self-efficacy scale and short fatigue scale to evaluate the nursing effect of two groups. Results: The self-concept,health knowledge,self-responsibility and self-efficacy of the study group were significantly higher than those of the control group(P < 0.01). According to the results of short fatigue scale,the fatigue score of the study group was significantly lower than that of the control group(P<0.001). According to the results of the quality of life measurement,the study group was significantly higher than the control group in the aspects of environmental factors,physiological factors,social factors,psychological factors and quality of life(P < 0.001). Conclusion: Self-management nursing intervention is of great significance in improving the level of self-care and self-efficacy of patients with lung cancer after chemotherapy,and it can reduce the fatigue degree of postoperative patients with chemotherapy and improve their quality of life.
Objective: To explore the application of self-management nursing intervention in improving the level of self-care and self-efficacy of patients with lung cancer after operation. Methods: In our hospital from June 2015 to June 2017,98 cases of lung cancer patients receivied chemotherapy after surgery,were randomly divided into control group and study group with 49 cases in each group,the control group of all lung cancer patients receiving chemotherapy after surgery were treated with routine nursing,the study group with the self management of nursing intervention based on routine nursing care,and by measuring the self-care ability scale and the quality of life scale,general self-efficacy scale and short fatigue scale to evaluate the nursing effect of two groups. Results: The self-concept,health knowledge,self-responsibility and self-efficacy of the study group were significantly higher than those of the control group(P < 0.01). According to the results of short fatigue scale,the fatigue score of the study group was significantly lower than that of the control group(P<0.001). According to the results of the quality of life measurement,the study group was significantly higher than the control group in the aspects of environmental factors,physiological factors,social factors,psychological factors and quality of life(P < 0.001). Conclusion: Self-management nursing intervention is of great significance in improving the level of self-care and self-efficacy of patients with lung cancer after chemotherapy,and it can reduce the fatigue degree of postoperative patients with chemotherapy and improve their quality of life.
引文
[1]Maguire R,Ream E,Richardson A,et al.Development of a novel remote patient monitoring system:the advanced symptom management system for radiotherapy to improve the symptom experience of patients with lung cancer receiving radiotherapy[J].Cancer Nurs,2015,38(2):E37~E47.
[2]Hoffman AJ,Brintnall RA,Given BA,et al.Using perceived self-efficacy to improve fatigue and fatigability in postsurgical lung cancer patients:a pilot randomized controlled trial[J].Cancer Nurs,2017,40(1):1~12.
[3]Mc Corkle R,Jeon S,Ercolano E,et al.An advanced practice nurse coordinated multidisciplinary intervention for patients with late-stage cancer:a cluster randomized trial[J].Palliat Med,2015,18(11):962~969.
[4]李青山,白璐,高东奇,等.参芪扶正注射液联合化疗治疗肺癌的临床观察[J].河北医学,2017,23(9):1493~1495.
[5]肖艳,何丽,陈韩,等.协同护理对肺癌术后化疗患者癌因性疲乏及自我护理能力的影响[J].中国临床研究,2017,30(4):563~565.
[6]Chambers SK,Morris BA,Clutton S,et al.Psychological wellness and health-related stigma:a pilot study of an acceptance-focused cognitive behavioural intervention for people with lung cancer[J].Eur Cancer Care,2015,24(1):60~70.
[7]陈月梅.自我管理护理对肺癌化疗患者自我护理能力及生活质量的影响[J].国际护理学杂志,2015,34(7):942~944.
[8]郑秀芹,付莹,钟晓梅,等.肺癌患者围手术期心理护理研究[J].河北医学,2013,19(9):1430~1432.
[2]Hoffman AJ,Brintnall RA,Given BA,et al.Using perceived self-efficacy to improve fatigue and fatigability in postsurgical lung cancer patients:a pilot randomized controlled trial[J].Cancer Nurs,2017,40(1):1~12.
[3]Mc Corkle R,Jeon S,Ercolano E,et al.An advanced practice nurse coordinated multidisciplinary intervention for patients with late-stage cancer:a cluster randomized trial[J].Palliat Med,2015,18(11):962~969.
[4]李青山,白璐,高东奇,等.参芪扶正注射液联合化疗治疗肺癌的临床观察[J].河北医学,2017,23(9):1493~1495.
[5]肖艳,何丽,陈韩,等.协同护理对肺癌术后化疗患者癌因性疲乏及自我护理能力的影响[J].中国临床研究,2017,30(4):563~565.
[6]Chambers SK,Morris BA,Clutton S,et al.Psychological wellness and health-related stigma:a pilot study of an acceptance-focused cognitive behavioural intervention for people with lung cancer[J].Eur Cancer Care,2015,24(1):60~70.
[7]陈月梅.自我管理护理对肺癌化疗患者自我护理能力及生活质量的影响[J].国际护理学杂志,2015,34(7):942~944.
[8]郑秀芹,付莹,钟晓梅,等.肺癌患者围手术期心理护理研究[J].河北医学,2013,19(9):1430~1432.