自我调节理论护理方案对妇科肿瘤患者化疗依从性的影响

Influence of nursing self-adjustment theory plan on chemotherapy compliance in patients with gynecologic cancer

目的：探讨基于自我调节理论护理方案对妇科肿瘤患者化疗依从性的影响。方法选取2011年1月—2014年6月进行化疗治疗的82例妇科肿瘤患者，按照随机数字表法分为对照组（41例）与观察组（41例）。对照组患者给予常规护理，观察组患者给予基于自我调节理论而设计的干预措施。对两组患者在整个化疗期间的化疗依从性及干预后的焦虑、抑郁水平进行比较。结果干预前，两组患者症状自评量表（SCL-90）各项评分差异无统计学意义（P〉0.05）。干预后，观察组患者的各项化疗依从性水平及化疗依从性自评情况均优于对照组，差异有统计学意义（P〈0.05）。干预后，观察组患者焦虑及抑郁评分低于对照组，差异有统计学意义（P〈0.05）。结论采用自我调节理论的护理方案有利于形成参与型的护患治疗模式，提高妇科肿瘤患者的遵医率，增强患者治疗信心，缓解负面情绪及心理问题，有效提高妇科肿瘤患者的化疗依从性。

Objective To explore the influence of the nursing plan of self-adjustment on chemotherapy compliance in patients with gynecologic cancer. Methods A total of 82 patients with gynecologic cancer, who accepted chemotherapy from January 2011 to June 2014, were divided into observation group （ nursing interventions design based on self-adjustment theory ） and control group （ routine nursing ） . Results Before interventions, the scores of SCL-90 had no statistical significance between two groups （P 〉 0. 05）. After interventions, the each chemotherapy compliance level and self assessment of chemotherapy compliance in the observation group were better than those of the control group （P〈0. 05）. After interventions, the anxiety and depression scores of observation group were lower than those of the control group （P〈0. 05）. Conclusions The utilization of nursing self-adjustment theory plan benefits the formulation of nurse-patient participation treatment model, enhances the medical compliance and chemotherapy compliance in patients with gynecologic cancer and the patients′treatment confidence, and relieves the negative emotion and psychological problems.