绑定式医护同组管理模式在肺癌放疗致放射性肺损伤患者中的应用

Application of Binding Doctor-nurse Group Management Model in Patients with Radiation-induced Lung Injury Caused by Radiotherapy for Lung Cancer

目的:探讨绑定式医护同组管理模式在肺癌放疗致放射性肺损伤患者中的应用效果。方法:选取2016年9月1日~2019年5月1日放疗治疗的156例肺癌患者为研究对象,采用随机信封法将其分为对照组和研究组各78例。对照组给予常规护理干预,研究组给予绑定式医护同组管理模式干预;比较两组干预前后免疫功能水平(包括IgG、IgM、IgA)、自我效能[采用慢性病自我效能感量表(CDSES)]和生活质量[采用欧洲癌症研究与治疗组织研制的生命质量测定量表(EORTC QLQ-C30)],并评估两组不良反应发生率、放射性肺损伤发生率及程度。结果:干预后,研究组IgG、IgM、IgA水平优于对照组(P<0.01);干预后,研究组CDSES评分中自我管理、一般自我效能、达成结果、应对问题评分均高于对照组(P<0.05,P<0.01);干预后,研究组EORTC QLQ-C30评分高于对照组(P<0.05,P<0.01);研究组放射性肺损伤发生率、肺损伤程度、不良反应发生率均低于对照组(P<0.05)。结论:绑定式医护同组管理模式可有效预防放射性肺损伤,改善负性情绪,减少不良反应发生,提高其生活质量。

Objective:To explore the application effect of binding doctor-nurse group management model in patients with radiation-induced lung injury caused by radiotherapy for lung cancer.Methods:A total of 156 lung cancer patients who underwent radiotherapy during September 1,2016 to May 1,2019 were selected.They were divided into the control group and the study group by the random envelope method,78 cases in each group.The control group was given routine nursing intervention and the study group was given binding doctor-nurse group management model of intervention.The immune functions (including IgG,IgM and IgA),self-efficacy by chronic disease self-efficacy scale (CDSES)and quality of life by the European organization for research and treatment of cancer for determination of quality of life scale (EORTC QLQ-C30)were compared between the two groups before and after intervention.the incidence of adverse reactions,the incidence and severity of radiation-induced lung injury were evaluated.Results:After intervention,The IgG,IgM and IgA levels were better in the study group than those in the control group(P<0.01);After intervention,the self-management,general self-efficacy,result achieving,and problem response in CDSES scores were higher in the study group than those in the control group (P<0.05,P<0.01).After intervention,the EORTC QLQ-C30 scores in the study group higher than those in the control group (P<0.05,P<0.01);The incidence of radiation-induced lung injury in the study group,and the severity of lung injury and the incidence of adverse reactions were lower than those in the control group (P<0.05).Conclusion:The binding doctor-nurse group management model can effectively prevent radiation-induced lung injury,alleviate negative emotions,reduce adverse reactions,and improve the quality of life in patients.