时效性激励理论在晚期卵巢癌营养不良患者中的应用

Application of time-sensitive incentive theory in malnourished patients with advanced ovarian cancer

目的探讨时效性激励理论在晚期卵巢癌营养不良患者中的应用效果。方法采用便利抽样法,选取2018年1月—2019年12月辽宁省肿瘤医院收治的80例晚期卵巢癌营养不良患者为研究对象。按照随机数字表法分为观察组(42例)和对照组(38例)。对照组患者实施常规护理,观察组采用时效性激励理论下的护理干预。采用自我感受负担量表(SPBS)、中文版癌症患者自我效能感量表(C-SUPPH)、SDS、SAS、社会支持评定量表(SSRS)比较干预的效果,比较干预前后两组患者营养指标情况。结果干预后观察组的SPBS、SAS、SDS评分低于对照组,C-SUPPH、SSRS评分高于对照组,差异均有统计学意义(P<0.05);干预后观察组患者营养指标优于对照组,差异有统计学意义(P<0.05)。结论时效性激励理论指导下的护理干预能有效减轻晚期卵巢癌营养不良患者的自我感受负担,改善焦虑、抑郁等不良情绪,提高患者的营养水平、自我效能和社会支持度。

Objective To explore the application effect of time-sensitive incentive theory in malnourished patients with advanced ovarian cancer.Methods Using the convenient sampling method,a total of 80 malnourished patients with advanced ovarian cancer who were admitted to Liaoning Cancer Hospital and Institute from January 2018 and December 2019 were selected as research objects.According to the random number table,they were divided into the observation group(42 cases)and the control group(38 cases).Patients in the control group received routine nursing,while the observation group used nursing intervention under time-sensitive incentive theory.Self-Perceived Burden Scale(SPBS),Chinese version of Strategies Used by People to Promote Health(C-SUPPH),Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)and Social Support Rating Scale(SSRS)were used to compare intervention effects.Results After intervention,scores of SPBS,SAS and SDS of the observation group were lower than those of the control group,and scores of C-SUPPH and SSRS were higher than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the nutritional indexes of the observation group were better than those of the control group,and the differences were statistically significant(P<0.05).Conclusions Nursing intervention under the guidance of time-sensitive incentive theory can effectively reduce self-perception burden of malnourished patients with advanced ovarian cancer,improve anxiety,depression and other unhealthy emotions and improve the nutritional level,self-efficacy and social support of patients.