华生关怀理论对中晚期胃癌化疗患者的干预效果

The Intervention Effect of Watson Care Theory on Middle-Late Gastric Cancer Patients Undergoing Chemotherapy

目的 研究华生关怀理论对中晚期胃癌化疗患者的干预效果。方法 选择95例中晚期胃癌患者于2011年6月至2016年8月在本院接受化疗并随机分为观察组(n=48)和对照组(n=47)。对照组患者给予常规护理干预,观察组患者则在此基础上给予华生关怀理论模式进行护理干预;比较两组患者不良反应发生率及护理满意度,采用生活质量评分量表(QOL)评价生活质量,采用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评价患者焦虑、抑郁情况。结果 观察组患者胃肠道毒性、骨髓抑制、脱发的发生率为25.00%、22.92%、25.00%,较对照组的31.91%、34.04%、29.79%降低,但差异无统计学意义(P>0.05);观察组护理前后HAMD、HAMA评分的差值分别为(19.5±15.0)分、(17.6±9.3)分,高于对照组的(9.7±7.5)分、(9.3±4.2)分,差异有统计学意义(P<0.05);观察组护理前后QOL各项评分的差值均高于对照组,差异有统计学意义(P<0.05);观察组患者护理后QOL各项评分较对照组降低,差异有统计学意义(P<0.05);观察组满意度为95.83%(46/48),显著高于对照组的78.72%(37/47),差异均有统计学意义(P<0.05)。结论 华生关怀理论对中晚期胃癌化疗患者的干预效果显著,能有效缓解患者焦虑、抑郁情绪,提升患者生活质量以及满意度。

Objective To study the intervention effect of Watson care theory on middle-late gastric cancer patients undergoing chemotherapy.Methods 95 cases of patients with middle-late gastric cancer undergoing chemotherapy treated in our hospital from June 2011 to August 2016 were selected, randomly divided into observation group（n=48） and control group（n = 47）.Patients in the control group were given routine nursing intervention, and the observation group was given the Watson care theory nursing intervention together with the routine nursing intervention.The incidence of adverse reactions and nursing satisfaction were compared between the two groups.The quality of life was evaluated by Quality of Life（ QOL） scale.The level of anxiety and depression of the patients was evaluated by Hamilton depression scale（HAMD） and Hamilton anxiety scale（HAMA）.Results The incidence of gastrointestinal toxicity, myelosuppression and alopecia of the observation group was 25.00%, 22.92%, 25.00% respectively, which was lower than that of the control group（31.91%, 34.04%, 29.79%）.But the difference was not statistically significant（ P0.05）.After nursing, the HAMD and HAMA scores of the observation group were（33.2±4.1） and（28.3±3.7）,which were lower than those of the control group（42.8±5.2） and（36.9±4.0）.The differences were statistically significant（P0.05）.The QOL score of the observation group after nursing was lower than that of the control group.The difference was statistically significant（P0.05）.The satisfaction of the observation group was 95.83%（46/48）,which was significantly higher than that of the control group 78.72%（37/47）.The difference was statistically significant（P0.05）.Conclusion The intervention of Watson care theory has effective impact on patients with middle-late gastric cancer chemotherapy, which can effectively relieve patients＇ anxiety and depression and improve patients＇ quality of life and satisfaction.