基于行动学理念的护理干预对卵巢癌预后的改善效果

Improvement effect of nursing intervention based on action theory on the prognosis of patients with ovarian cancer

目的观察基于行动学理念的护理干预对卵巢癌患者预后的改善效果。方法将我院2014年7月至2016年7月收治的86例卵巢癌患者作为研究对象,随机分为观察组和对照组,各43例。观察组基于行动学理念下推行护理干预(计划→行动→总结反思),对照组予以常规护理干预。应用Piper疲乏量表(RPFS)和生存质量测定量表(EORTC QLQ-C30)比较两组患者癌性疲乏(行为、感知、认知、情感)评分与生活质量(躯体功能、情绪功能、社会功能、认知功能、角色功能)评分。结果干预后,观察组RPFS评分显著低于对照组及干预前(P<0.05),且EORTC QLQ-C30评分显著高于对照组及干预前(P<0.05)。结论基于行动学理念下护理干预能降低卵巢癌患者行为/认知疲乏水平,提高其生活质量。

Objective To observe the effect of nursing intervention based on action theory on the prognosis in patients with ovarian cancer. Methods A total of 86 cases of patients with ovarian cancer admitted in our hospital from July 2014 to July 2016 were selected and divided into observation group and control group according to the random sequential method, with 43 cases in each group. The observation group implemented nursing intervention based on the action idea （plan, action,summary and reflection）, and the control group was given routine nursing intervention. The ancer-related fatigue （behavior,perception, cognition, emotion） scores and quality of life （physical function, emotional function, cognitive function, social function, role function） scores evaluated by piper fatigue scale （RPFS） scale and quality of life （EORTC QLQ-C30） in the two groups were compared. Results After intervention, the RPFS scores in the observation group were significantly lower than those in the control group and before intervention （P〈0.05）, and the EORTC scores were significantly higher than those in the control group and before intervention （P〈0.05）. Conclusion The nursing intervention based on the action theory can reduce the behavioral/cognitive fatigue and improve the quality of life of patients with ovarian cancer.