反馈式健康教育在肿瘤化疗患者中的应用效果

Application effect of feedback model of health education during chemotherapy in tumor patients

目的探析反馈式健康教育在肿瘤化疗患者护理中的效果。方法随机选取南京市第一医院肿瘤内科收治确诊为肿瘤并进行化疗的患者108例为研究对象,按照盲选法将患者均分为观察组、对照组。对照组进行常规健康教育,观察组给予反馈式健康教育。观察两组化疗生存质量、对化疗的依从性和焦虑心理。结果化疗结束,观察组患者KPS评分改善率(57.4%)显著高于对照组(33.3%),差异有统计学意义(P<0.05)。化疗结束时,观察组患者QOL评分改善率(63.0%)显著高于对照组(35.2%),差异有统计学意义(P<0.05)。第1疗程末、化疗周期末观察组患者化疗依从性分别为(35.63±3.47)、(35.47±1.23)分,均高于同期对照组患者化疗依从性(P<0.01);观察组患者护患满意度(92.6%)、化疗患者健康知识合格率(96.3%)均明显高于对照组,差异有统计学意义(P<0.01)。结论反馈式健康教育在癌症患者化疗期间的护理工作中,能帮助改善患者QOL、提高患者对癌症及化疗相关知识的掌握,帮助临床更有效地进行化疗患者的护理工作,值得推广。

Objective To analyze the effect of feedback model of health education during chemotherapy in tumor patients. Methods A total of 108 tumor patients ,receiving chemotherapy in this hospital ,were randomly se‐lected and divided in observation group and control group ,according to blind choice method. Patients of control group were given routine health education ,and patients of observation group were given feedback model of health education. Survival quality ,compliance to chemotherapy and chemotherapy anxiety were compared between the two groups. Re‐sults After chemotherapy ,improvement rate of KPS score in observation group was 57. 4% ,higher than the 33. 3%of control group （P〈0. 05） ,and the improvement rate of QOL score in observation group was 63. 0% ,higher than the 35. 2% of control group （P〈0. 05）. At the end of the first course of treatment and the whole chemotherapy peri‐od ,the compliance to chemotherapy of observation group were （35. 63 ＆#177; 3. 47） and （35. 47 ＆#177; 1. 23） ,respectively high‐er than the control group （P〈 0. 01）. The satisfaction rate to nurses was 92. 6% and the qualified rate of health knowledge was 96. 3% in observation group ,significantly higher than control group （P〈0. 01）. Conclusion Feed‐back model of health education ,performed in tumor patients during chemotherapy ,could be helpful for patients to im‐prove QOL ,master the knowledge about cancer and chemotherapy ,which might be worth for promoting.