家庭主要照顾者赋权干预模式对肺癌化疗患者出院准备度及生命质量的影响

Influence of empowerment intervention mode of family caregivers on discharge preparation and quality of life of lung cancer patients undergoing chemotherapy

目的探讨家庭主要照顾者赋权干预模式对肺癌化疗患者出院准备度及生命质量的影响。方法选取2019年1月至2020年1月在郑州大学第一附属医院呼吸内科就诊并实施化疗的肺癌患者84例,每例患者选择家庭主要照顾者1名。采用抽签法将呼吸内二科一病区患者及其照顾者设为干预组,呼吸内二科二病区设为对照组,每组42例,对照组实施内科化疗常规护理措施,干预组在对照组的基础上实施家庭主要照顾者赋权干预。通过观察肺癌化疗患者出院准备度、生命质量来探讨家庭照顾者赋权干预模式的效果。结果2组患者干预前出院准备度、生命质量差异均无统计学意义(P>0.05);干预3个化疗周期后干预组出院准备度总分、生命质量总得分分别为(76.30±2.80)、(94.05±3.70)分,明显优于对照组的(73.02±3.73)、(87.44±4.18),差异有统计学意义(t值为-4.464、-7.527,P<0.01)。结论家庭主要照顾者赋权干预模式能够提高肺癌化疗患者的出院准备度和生命质量。

Objective To explore the influence of family caregiver empowerment intervention model on discharge preparation and quality of life of patients with lung cancer undergoing chemotherapy.Methods From January 2019 to January 2020,84 lung cancer patients who received chemotherapy in the Department of Respiratory Medicine in the First Affiliated Hospital of Zhengzhou University were selected,each patient chose one family primary caregiver.It was divided into the control group and the intervention group by the draw method with 42 cases in each group.The control group received routine nursing intervention of internal medicine chemotherapy,and the intervention group received empowerment intervention of main family caregivers on the basis of the control group.The effect of family caregiver empowerment intervention mode were investigated by observing the discharge readiness and quality of life of lung cancer patients.Results There was no significant difference in the preparation for discharge and quality of life between the two groups before intervention(P>0.05);after three cycles intervention,the total scores of discharge readiness and quality of life in the intervention group were(76.30±2.80),(94.05±3.70),which were significantly better than those in the control group(73.02±3.73),(87.44±4.18),and the differences were statistically significant(t values were-4.464,-7.527,P<0.01).Conclusions Empowerment intervention model of family caregivers can improve the discharge readiness and quality of life of lung cancer patients undergoing chemotherapy.