基于跨理论模型的护理模式在非小细胞肺癌合并心力衰竭患者自我护理行为中的应用

Application of the nursing pattern based on transtheoretical model in self-care behavior of patients with non-small cell lung carcinoma complicated with heart failure

目的 探讨基于跨理论模型的健康教育护理模式对非小细胞肺癌合并心力衰竭患者自我护理行为的影响效果.方法 选择河北省秦皇岛市第四医院收治的168例非小细胞肺癌合并心力衰竭,随机分为两组,予以基于跨理论模型的健康教育护理模式干预者归为观察组,予以常规健康教育护理模式者归为对照组,每组均84例,观察护理前后两组患者的自我护理行为以及生活质量变化情况.结果 护理干预前,两组患者的自我护理行为以及生活质量各项指标比较,差异无统计学意义（P〉0.05）;干预后,观察组的自护维持（59.67±12.89）分、自护管理（70.21±11.24）分、自护信心（67.98±13.21）分以及躯体状况（22.78±5.32）分、情感状况（16.45±4.38）分、功能状况（16.79±6.22）分以及总分（122.36±16.78）分,均高于对照组,差异有统计学意义（t值分别为7.79、8.26、5.28、4.26、4.28、3.84、5.32;P〈0.05）.结论 基于跨理论模型的健康教育护理模式可较好地提高非小细胞肺癌合并心力衰竭患者自我护理行为,改善生活质量,具有较好的应用价值.

Objective To explore the effects of the health education and nursing pattern based on the transtheoretical model on self-care behavior of patients with non-small cell lung carcinoma （NSCLC） complicated with heart failure. Methods Totally 168 patients with NSCLC complicated with heart failure admitted by the Fourth Hospital of Qinhuangdao were selected and randomly divided into two groups. Patients who received intervention with the health education and nursing pattern based on the transtheoretical model were divided into an observation group, while patients who were treated with the conventional health education and nursing pattern were divided into a control group, with 84 patients in each group. The changes in the self-care behavior and quality of life of the patients in the two groups were observed before and after the intervention. Results There was no statistically significant difference in the indicators of self-care behavior and quality of life between the patients in the two groups before the intervention （P〉0.05）, while after the intervention, the patients in the observation group showed higher scores in self-care support （59.67±12.89）, self-care management （70.21±11.24）, self-care confidence （67.98±13.21）, physical condition （22.78±5.32）, emotional condition （16.45±4.38） and functional condition （16.79±6.22） as well as a higher total score （122.36±16.78） than the patients in the control group （t=7.79,8.26,5.28,4.26,4.28,3.84,5.32;P〈0.05）. Conclusions The health education and nursing pattern based on the transtheoretical model can effectively improve the self-care behavior and quality of life in patients with NSCLC complicated with heart failure, which is worthy of application.