个案管理模式对肺癌患者生活质量的影响

Effects of case management model on the quality of life for patients with lung cancer

目的探索个案管理模式在肺癌患者中的应用与效果。方法按所在病区将88例肺癌患者分为实验组和对照组，实验组接受为期6个月的个案管理护理，对照组接受常规护理和随访；分别在首次确诊后入院当天以及治疗后第1，3，6个月进行生活质量各指标的测量，采用重复测量方差分析和多因素方差分析，对各测量指标在实验过程中半年的变化及趋势进行统计学分析。结果实验组护理个案干预6个月后在躯体功能、角色功能及整体生活质量方面评分高于对照组，两组比较差异有统计学意义（F值分别为19.449，13.291，4.929；P〈0.05）；在食欲丧失、疲劳、气促、疼痛等临床症状方面实验组评分低于对照组，且差异有统计学意义（F值分别为5.032，5.152，4.287,10.734；P〈0.05）。结论个案管理模式能够改善肺癌患者的生活质量，临床针对肺癌患者应有条件地开展个案管理。

Objective To explore the application and effect of case management model in patients with lung cancer.Methods Totally 88 patients with lung cancer were divided into the experimental group and the control group according the wards. The patients in the experimental group received a six-month case management program, while the patients in the control group received routine nursing and follow-up. The quality of life of patients was evaluated at the first day of admission after diagnosis, one month, three months and six months after the treatment. The changes of several indexes in half a year during the study were analyzed by repeated-measure analysis of variance and multiple factor analysis of variance.Results In the experimental group, the scores of the patients in physical functioning, role functioning and global health status were higher than that in the control group after six-month＇s nursing care （ F = 19. 449, 13. 291,4. 929; P〈 0. 05 ） ; the scores of patients in the experimental group in appetite loss, fatigue, dyspnea and pain were lower than that in the control group （F = 5. 032,5. 152,4.287,10.734;P〈0.05）.Conelusions The case management model can improve the quality of life of lung cancer patients, and it should be applied to the lung cancer patients with condition.