O2O模式在中青年淋巴瘤患者围化疗期中的应用

The effect of O2O model on young and middle-aged lymphoma patients during perichemotherapy

目的评价离线商务模式(O2O管理模式)对中青年淋巴瘤化疗患者自我管理能力及生命质量的效果。方法将2019年2—12月在天津医科大学肿瘤医院淋巴瘤病区住院的68例初治淋巴瘤患者作为研究对象,按入院先后顺序分为干预组32例和对照组36例,干预组给予O2O管理模式,对照组给予常规护理联合症状日记为依托的健康管理模式,共干预6个化疗周期,分别在第1周期化疗前和第6周期化疗结束后2个时间点,应用癌症患者自我管理量表和生命质量测评量表对2组患者进行效果比较。结果自我管理能力比较:干预后,干预组患者在自我管理总均分及日常生活管理、症状管理、心理管理、与医护人员沟通、信息管理和自我效能感6个维度评分分别为(4.37±0.31)、(4.05±0.47)、(4.45±0.54)、(4.10±0.45)、(4.30±0.49)、(3.88±0.59)、(4.73±0.34)分,对照组分别为(3.92±0.43)、(3.75±0.61)、(3.55±0.69)、(3.75±0.66)、(3.58±0.86)、(3.26±0.80)、(4.40±0.74)分,2组比较差异具有统计学意义(t值为2.263~5.944,均P<0.05)。生命质量评分比较:干预后,干预组患者在生命质量总分及身体状况、情感状况2个维度得分分别为(68.52±9.02)、(16.97±2.31)、(15.13±2.60)分,对照组分别为(64.06±6.84)、(14.81±2.04)、(13.97±1.99)分,2组比较差异具有统计学意义(t值为2.337、4.101、2.065,均P<0.05)。结论O2O管理模式能够提高淋巴瘤患者自我管理能力,改善患者围化疗期生命质量。

Objective To explore the effect of O2O model on young and middle-aged lymphoma patients undergoing chemotherapy.Methods From February to December in 2019,68 newly diagnosed lymphoma patients who were hospitalized in the lymphoma ward of our hospital were selected as the research object,and divided into intervention group(32 cases)and control group according to the order of admission(36 cases),the intervention group was used O2O model,and the control group was used general care combined with symptom diary,after 6 cycles′intervention time,We compare the effects of the two groups of patients by using self-management scale and quality of life assessment scale.Results Comparison of self-management ability:after intervention,the patients in the intervention group scored in the six dimensions of total self-management,daily life management,symptom management,psychological management,communication with medical staff,information management and self-efficacy,respectively(4.37±0.31),(4.05±0.47),(4.45±0.54),(4.10±0.45),(4.30±0.49),(3.88±0.59),(4.73±0.34)points,the control group were(3.92±0.43),(3.75±0.61),(3.55±0.69),(3.75±0.66),(3.58±0.86),(3.26±0.80),(4.40±0.74)points,the difference between the two groups was statistically significant(t value was 2.263-5.944,P<0.05).Comparison of quality of life:after intervention,the scores of the patients in the intervention group in the two dimensions of total quality of life,physical condition and condition were(68.52±9.02),(16.97±2.31),(15.13±2.60)points,the control group were(64.06±6.84),(14.81±2.04),(13.97±1.99)points,the difference between the two groups was statistically significant(t value was 2.337,4.101,2.065,P<0.05).Conclusions The O2O model can improve the self-management ability of patients with lymphoma and improve the quality of life of patients during chemotherapy.