基于慢性疾病轨迹模式护理干预对消化道恶性肿瘤患者心理弹性、应对方式及癌因性疲乏评分的影响

Effect of nursing intervention based on chronic disease trajectory on psychological flexibility,coping style and cancer-related fatigue score in patients with digestive tract malignancies

【目的】探讨基于慢性疾病轨迹模式护理干预对消化道恶性肿瘤患者心理弹性、应对方式及癌因性疲乏评分变化的影响。【方法】选择2016年5月至2018年5月于老年消化内科诊治的消化道肿瘤患者80例进行研究。根据随机数字表法分为对照组和观察组,均为40例。对照组行常规护理,观察组行基于慢性疾病轨迹模式护理。对比两组患者心理弹性、应对方式、癌因性疲乏及护理满意度。【结果】两组患者个人能力及积极认识方面的心理弹性得分均明显升高,但观察组升高幅度更大(P<0.05)。干预后两组患者积极应对得分明显升高,但观察组升高幅度更大,干预后两组患者消极应对得分均明显下降,但观察组下降更明显(P<0.05)。干预后两组患者癌因性疲乏比例均明显下降,但观察组下降幅度更大(P<0.05)。观察组患者护理满意度得分明显高于对照组(P<0.05)。【结论】基于慢性疾病轨迹模式护理干预较常规干预可明显提高消化道恶性肿瘤患者心理弹性及积极应对,减少消极应对,缓解癌因性疲乏。

【Objective】To explore the effect of nursing intervention based on chronic disease trajectory on the psychological flexibility,coping style and cancer-related fatigue score in patients with digestive tract malignant tumors.【Methods】Eighty patients with digestive tract cancer diagnosed and treated in our hospital from May 2016 to May 2018 were enrolled.According to the random number table method,they were divided into the control group and observation group,40 cases per group.The patients in the control group received routine care,and those in the observation group were treated with the nursing based on chronic disease trajectory pattern.The psychological flexibility,coping style,cancer-related fatigue and nursing satisfaction in the two groups were compared.【Results】The psychological flexibility scores in the two groups were significantly higher in the individual ability and positive perception,but the increase in the observation group was greater(P<0.05).After the intervention,the positive response scores in the two groups were significantly increased,but it had a greater increase in the observation group.After the intervention,the negative response scores in the two groups were significantly decreased,but it decreased more significantly in the observation group(P<0.05).The reduction rate of cancer-induced fatigue in the observation group was 37.50%,which was significantly higher than that in the control group(15.00%)(P<0.05).The nursing satisfaction score in the observation group was significantly higher than that in the control group(P<0.05).【Conclusion】Nursing intervention based on chronic disease trajectory mode can significantly improve the psychological flexibility and positive response in patients with gastrointestinal malignant tumors,reduce negative response and alleviate cancer-related fatigue.