基于知信行模式的姑息护理对晚期肺癌患者癌因性疲乏及生存质量的影响

Influence of Palliative Care Based on Knowledge-belief-action Model on the Cancer-related Fatigue and Quality of Life for Patients with Advanced Lung Cancer

目的探讨基于知信行模式的姑息护理对晚期肺癌患者癌因性疲乏及生存质量的影响。方法选取我院收治的晚期肺癌患者106例作为研究对象,按照随机数字表法分为研究组和对照组。对照组给予常规护理,研究组给予基于知信行模式的姑息护理。观察和比较两组癌因性疲乏、生存质量以及护理满意度情况。结果根据Piper疲乏量表结果,护理后,两组患者的行为、情感、感觉、认知总分显著低于护理前(P<0.05),且研究组显著低于对照组(P<0.05)。根据EORCT QLQ-C30中文版量表结果,两组患者躯体、认知、社会、角色、情绪功能以及总体生活质量评分显著高于护理前(P<0.05),且研究组显著高于对照组(P<0.05)。护理满意度方面,研究组住院环境、护理技巧、服务质量、护理态度以及总满意度评分显著高于对照组(P<0.05)。结论基于知信行模式的姑息护理可有效改善晚期肺癌患者癌因性疲乏和生存质量,提高护理满意度。

Objective To investigate the influence of palliative care based on knowledge-belief-action model on the cancer related fatigue and quality of life for patients with advanced lung cancer. Methods 106 patients with advanced lung cancer in our hospital were selected and divided into the study group and control group according to the random number table method. The control group was given routine nursing intervention, and the study group was given palliative care based on knowledge-belief-action model. The cancer related fa- tigue, quality of life and nursing satisfaction were observed and compared between the two groups. Results According to the results of Piper Fatigue Scale, the total scores of behavior, emotion, feeling and cognition after nursing in the two groups were significantly lower than those before nursing （P 〈 0.05）, and they were lower in the study group than in the control group （P 〈 0.05）. According to the results of the Chinese version of EORCT QLQ-C30, the scores of physical, cognitive, social, role and emotional functions and overall health scores after nursing in both groups were significantly higher than those before nursing （P〈0.05）, and they were significantly higher in the study group than in the control group （P 〈 0.05）. The hospital environment, nursing skills, service quality, nursing attitude and overall satisfaction scores in the study group were significantly higher than those in the control group （P 〈 0.05）. Conclusion Palliative care based on knowledge-belief-action model could effectively improve the cancer-related fatigue and quality of life of patients with advanced lung cancer and improve the nursing satisfaction.