个性化护理对胃癌患者疾病认知、治疗效能感、睡眠及生活质量的影响

Effects of individualized nursing intervention on disease awareness,self-efficacy of treatment,sleeping quality and quality of life in patients with gastric cancer

目的探讨个性化护理对胃癌患者疾病认知、治疗效能感、睡眠及生活质量的影响。方法 140例胃癌患者随机分为观察组和对照组,各70例,对照组实施胃癌常规护理,观察组在对照组基础上开展个性化护理。比较2组护理前、护理后1、2、4、8周疾病认知度评分、疾病治疗效能感评分和阿森斯失眠量表(AIS)评分,以及护理前和护理8周后胃癌患者生活质量调查问卷(QLQ-STO22)评分。结果 2组护理后1、2、4、8周时疾病认识度评分、治疗效能感评分高于护理前,AIS评分低于护理前,差异有统计学意义(P<0.01),观察组护理后1、2、4、8周时疾病认识度、治疗效能感评分均高于对照组,AIS评分均低于对照组,差异有统计学意义(P<0.01)。护理后2组QLQ-STO22各分量表评分均降低(P<0.01),且观察组低于对照组,差异有统计学意义(P<0.05或P<0.01)。结论个性化护理能够显著提高胃癌患者疾病认知度、治疗效能感、睡眠质量及生活质量。

Objective To investigate the effect of individualized nursing intervention on disease awareness,self-efficacy of treatment,sleeping quality and quality of life in patients with gastric cancer. Methods A total of 140 cases of gastric cancer patients were randomly divided into the control group and the observation group. All patients were given routine nursing,and the observation group was applied with individualized nursing interventions additionally. The disease awareness self-efficacy of treatment and sleep quality by Athens insomnia scale( AIS) before and 1,2,4,8 weeks after intervention,as well as the quality of life by EORTC QLQ-STO22 before and 8 weeks after intervention,were compared between two groups. Results There was an increase in scores of disease awareness and self-efficacy of treatment,and a decrease in score of AIS,at 1,2,4,8 weeks after intervention( P < 0. 01). The observation group reached a higher score of disease awareness and self-efficacy of treatment,but a lower score of AIS,compared with the control groups at 1,2,4,8 weeks after intervention respectively( P < 0. 01). The scale of all dimensions in QLQ-STO22 were decreased in both of two groups after intervention( P < 0. 01),and was significant lower in the observation group than that of controls( P < 0. 05 or P < 0. 01). Conclusion Individualized nursing intervention can improve the disease awareness,self-efficacy of treatment,sleeping quality and quality of life in patients with gastric cancer.