跨理论模型干预模式与ABC情绪护理在早期肺癌合并心绞痛患者中的应用

Application of intervention based on transtheoretical model and emotional care based on ABC theory in early lung cancer complicated with angina

目的探讨跨理论模型干预模式与ABC情绪护理在早期肺癌合并冠心病心绞痛患者中的应用价值。方法选取2018年10月至2019年10月间咸阳市第一人民医院收治的106例早期肺癌合并冠心病心绞痛患者,根据采用的护理方法不同进行分组。其中,采用常规护理模式的53例患者纳入对照组,采用常规护理、跨理论模型干预与ABC情绪护理模式的53例患者纳入观察组。比较分析两组早期肺癌合并冠心病心绞痛患者护理前后的生活质量评分、焦虑评分、抑郁评分、自护行为(自护维持、自护管理以及自护信心等)评分以及护理总满意度。结果两组患者生活质量评分时点、组间、时点与组别的交互效应比较,差异均有统计学意义(均P<0.05)。两组患者护理前生活质量评分比较,差异无统计学意义(P>0.05),护理后观察组生活质量评分明显高于对照组,差异有统计学意义(P<0.05)。两组患者焦虑、抑郁评分时点、组间、时点与组别的交互效应比较,差异均有统计学意义(均P<0.05)。两组患者护理前焦虑评分和抑郁评分比较,差异无统计学意义(P>0.05),护理后观察组焦虑评分、抑郁评分明显低于对照组,差异有统计学意义(P<0.05)。两组各项自护行为评分时点、组间、时点与组别的交互效应比较,差异均有统计学意义(均P<0.05)。两组护理前自护行为(自护维持、自护管理以及自护信心等)评分等比较,差异无统计学意义(P>0.05),护理后观察组自护行为(自护维持、自护管理及自护信心等)评分明显高于对照组,差异均有统计学意义(均P<0.05)。观察组患者护理总满意度为98.1%,明高于对照组的79.2%,差异有统计学意义(P<0.05)。结论跨理论模型干预模式与ABC情绪护理在早期肺癌合并冠心病心绞痛患者中的应用价值显著,可改善患者的生活质量、心理状况、自护行为及护理满意度。

Objective To explore the application value of intervention model of the transtheoretical model and emotional care based on ABC theory in patients with early lung cancer complicated with angina.Methods One hundred and six patients with early lung cancer complicated with angina treated at First People’s Hospital of Xianyang from October 2018 to October 2019 were selected and divided into two groups according to the nursing care they received.Fifty-three patients who were given intervention based on transtheoretical model and emotional care based on ABC theory besides conventional nursing were included in an observation group and 53 patients who were given conventional nursing were included in a control group.The scores of quality of life,anxiety,depression,self-care behaviors(self-care maintenance,self-care management and self-care confidence)and overall patient satisfaction with nursing were compared and statistically analyzed before and after nursing.Results The difference in scores of quality of life was significant at different time points between the two groups(all P<0.05).Before nursing,there was no significant difference in quality of life(P>0.05)and after nursing quality of life score was higher in the observation group than in the control group(P<0.05).The difference in scores of anxiety and depression was significant at different time points between the two groups(all P<0.05).Before nursing,there was no significant difference in the scores of anxiety and depression(P>0.05)and after nursing scores of anxiety and depression were lower in the observation group than in the control group(all P<0.05).The difference in scores of self-care behaviors was significant at different time points between the two groups(all P<0.05).Before nursing,there was no significant difference in the scores of self-care behaviors and after nursing scores of self-care behaviors were higher in the observation group than in the control group(all P<0.05).The overall patient satisfaction with nursing care was 98.1%in the the observation group which was higher than 79.2%of the control group(P<0.05).Conclusion Intervention model of the transtheoretical model and emotional care based on ABC theory showed great significance in patients with early lung cancer complicated with angina.It improves quality of life,psychological condition,self-care behaviors and patient satisfaction with nursing care.