PDCA联合ABC管理健康教育模式对卵巢癌患者化疗过程中机体状态的影响

Influence of PDCA combined with ABC management education model on body state of patients with ovarian cancer during chemotherapy

目的分析PDCA联合ABC管理健康教育模式对卵巢癌患者化疗过程中机体状态的影响。方法选取2012年8月~2014年12月在四川省自贡市第三人民医院接受化疗的卵巢癌患者90例作为研究对象,按照随机数字表法将所有入组患者分为对照组及观察组。对照组患者接受常规健康教育,观察组患者接受PDCA联合ABC管理健康教育模式,干预后1个月,对比两组患者的治疗依从性、生活质量、T细胞亚群及NK细胞水平。结果观察组干预后自我心理状态调整、遵医嘱化疗及服药、良好的生活习惯、饮食调节、定期复诊等依从率高于对照组(P<0.05)。观察组干预后躯体状况、社会/家庭状况、与医生的关系、情感状况、功能状况、卵巢癌特异模块、总分等评分高于对照组(P<0.05)。观察组干预后外周血CD3^+、CD4^+、CD4^+/CD8^+、CD3^+/CD16^+56^+水平高于对照组,CD8^+水平低于对照组(P<0.05)。结论卵巢癌患者接受PDCA联合ABC管理健康教育模式,可以改善患者的治疗依从性、生活质量及免疫功能,优化整体功能状态。

Objective To analyze the influence of PDCA combined with ABC management education model on body state of patients with ovarian cancer during chemotherapy. Methods 90 patients with ovarian cancer underwent chemotherapy during August 2012 to December 2014 in the Third People′s Hospital of Zigong City, Sichuan Province were chosen as research subjects, all patients were divided into control group and observation group according to random number table method. Patients in control group were treated with routine health education and those in observation group were treated with PDCA and ABC management education model. After intervention of 1 month, treatment adherence, quality of life, T cell subsets and NK cell levels between two groups were compared. Results After intervention,adherence rates of self-psychological state of adjustment, prescribed chemotherapy and medication, good habits, dietary modification, regular return visit complete degree in observation group were higher than those in control group（P〈0.05）. After intervention, physical condition, social/family status, relationship with doctors, emotional status, functional status, ovarian cancer-specific module score, total scores in observation group were higher than those in control group（P〈0.05）. After intervention, peripheral blood CD3^＋, CD4^＋, CD4^＋/CD8^＋, CD3^＋/CD16^＋56^＋ levels in observation group were higher than those in control group, CD8^＋level in observation group was lower than that in control group（P〈0.05）. Conclusion PDCA and ABC management education model can significantly improve treatment adherence, quality of life and immune function in ovarian cancer patients, optimize overall functional status.