责任制模式延续性护理对老年晚期非小细胞肺癌化疗依从性、癌因性疲乏及疾病感知控制的影响

Effects of continuous nursing of responsibility model for the chemotherapy compliance,cancer-related fatigue and disease perception control in elderly patients with advanced non-small cell lung cancer

目的观察责任制模式延续性护理对老年晚期非小细胞肺癌(NSCLC)化疗依从性、癌因性疲乏及疾病感知控制的影响。方法选取2015年1~11月于新疆医科大学附属肿瘤医院(以下简称"我院")肺内科接受化疗治疗的60例老年晚期NSCLC患者作为对照组,选取2016年1~11月于我院肺内科接受化疗治疗的60例老年晚期NSCLC患者作为观察组。对照组给予常规延续性护理,观察组给予责任制模式延续性护理。比较两组患者化疗依从性、癌因性疲乏及疾病感知控制水平。结果观察组化疗依从性显著优于对照组,差异有统计学意义(P<0.05)。观察组Piper疲乏修订量表中情感、行为严重程度、感知及认知评分均明显低于对照组,差异有统计学意义(P<0.05)。观察组简易版疾病感知问卷中后果、个人控制、治疗控制、关注、情感陈述、对症状的识别评分均明显高于对照组,差异有统计学意义(P<0.05),而两组周期性、疾病一致性评分比较差异无统计学意义(P>0.05)。结论责任制模式延续性护理在老年晚期NSCLC中的应用效果良好,能够增强化疗依从性,改善癌因性疲乏,提高疾病感知控制水平,值得临床应用。

Objective To observe the effects of continuous nursing of responsibility model for the chemotherapy compliance, cancer-related fatigue and disease perception control in elderly patients with advanced non-small cell lung cancer （NSCLC）. Methods Sixty elderly patients with advanced NSCLC received chemotherapy in Department of Pulmonary Medicine, Cancer Hospital Affiliated to Xinjiang Medical University （＂our hospital＂ for short） from January to November 2015 were taken as control group. 60 elderly patients with advanced NSCLC received chemotherapy in our hospital from January to November 2016 were taken as observation group. The control group was given conventional continuous nursing, the observation group was given continuous nursing of responsibility model. The levels of chemotherapy compliance, cancer-related fatigue and disease perception control between the two groups were compared. Results The chemotherapy compliance of observation group was better than that of control group, the difference was statistically significant （P 〈 0.05）. The scores of emotion, severity of behavior, perception and cognition of revised Piper fatigue scale in observation group were all lower than those of control group, the differences were statistically significant （P 〈 0.05）.The scores of consequence, personal control, treatment control, focus, emotional statement and identification of symptoms of brief-illness perception questionnaire in observation group were all higher than those of control group, the differences were statistically significant （P 〈0.05）, while there were no statistically significant differences of the scores of periodicity and disease consistency between the two groups （P 〉 0.05）. Conclusion Continuous nursing of responsibility model in elderly patients with advanced NSCLC has good application effects, which can enhance the chemotherapy compliance, improve cancer- related fatigue and increase the levels of disease perception control, it is worthy of clinical application.