基于人际关系理论的延续性护理模式在妇科恶性肿瘤病人中的应用研究

Application of continuous nursing model based on interpersonal relationship theory in patients with gynecological malignant tumors

[目的]探讨基于人际关系理论的延续性护理模式在妇科恶性肿瘤病人中的应用效果。[方法]选取在北京大学深圳医院妇产科的妇科恶性肿瘤病人120例,采用随机数字表分成观察组和对照组,观察组采用基于人际关系理论的延续性护理模式,对照组采用常规的护理模式,随访3个月后分别采用疼痛视觉模拟量表、简易疲乏量表和世界卫生组织生存质量评估表简表比较两组病人疼痛、癌因性疲乏和生活质量的差异。[结果]排除随访期内死亡2例,失访4例,最终确定观察组58例,对照组56例,观察组疼痛优良率为69.0%,癌因性疲乏评分中无疲乏比例为20.7%;对照组分别为46.4%和5.4%,两组比较差异均有统计学意义(P<0.05)。观察组在自身生存感受、自身健康状况、生理领域、心理领域和社会关系领域生存质量得分均高于对照组,差异有统计学意义(P<0.05)。[结论]基于人际关系理论的延续性护理模式在妇科恶性肿瘤病人中应用具有可行性,能够减轻病人的疼痛和癌因性疲乏程度,有效提高病人的生存质量。

Objective: To explore the application effect of continuous nursing model based on interpersonal relationship theory in patients with gynecological malignant tumors. Methods: Atotal of 120 patients with gynecologic malignancies in the Department of Obstetrics and Gynecology of Peking University Shenzhen Hospital were selected.The randomized digital table method was used to divide the patients into the observation group and the control group.The observation group received continuous nursing mode based on interpersonal relationship theory.The control group received routine nursing.After 3 months of follow-up,theVisual Analogue Scale/Score(VAS),Brief Fatigue Inventory(BFI),and The World Health Organization Quality of Life [(WHOQOL)-BREF] were used to compare the differences in pain,cancer-related fatigue,and quality of life (QOL) between the two groups. Results: Excluded 2 died and 4 lostpatients during the follow-up period,finally included 58 patients in the observation group and 56 patients in the control group.The excellent and good effect rate of pain in the observation group was 69.0%,and the proportion of no fatigue in the cancer-related fatigue score was 20.7%.The control group was 46.4% and 5.4%,respectively,and the difference was statistically significant ( P <0.05).The QOL scores of the observation group in the self sustaining feeling,self health status,physiological field,psychological field,and social relationship were higher than those of the control group,and the difference was statistically significant ( P <0.05). Conclusions: The continuous nursing model based on interpersonal relationship theory was feasible in the application among patients with gynecological malignant tumor,which could alleviate the pain and cancer-related fatigue of patients and effectively improve their QOL.