六步癌症告知模型在肺癌护理中的应用及对患者自我接纳水平、心理状态的影响

Application of Six-step Cancer Notification Model in Lung Cancer Nursing and Its Influence on Self-acceptance and Psychological State

目的探讨六步癌症告知模型在肺癌护理中的应用价值,分析其对患者自我接纳水平、心理状态的影响。方法采用便利抽样法,将2019年3月至2020年3月我院收治的41例肺癌患者作为参照组(采用常规癌症告知策略),2020年4月至2021年4月收治的41例肺癌患者作为试验组(在参照组的基础上实施六步癌症告知模式)。采用自我接纳问卷、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)比较两组患者的自我接纳水平、心理状态,并分析六步癌症告知模型6个步骤的实际执行情况。结果调查结果显示,六步癌症告知模型6个步骤实际执行情况不一,由高到低顺序是:情感支持>提供知识>面谈准备>策略与总结>患者信息需求度>感知评估。干预后,两组患者自我接纳、自我评价得分均明显升高,且试验组明显高于参照组(P<0.05);两组患者HAMA、HAMD量表均明显降低,且试验组明显低于参照组(P<0.05)。结论六步癌症告知模型应用于肺癌护理中具有积极的正性作用,可以提高患者的自我接纳水平,改善患者的焦虑抑郁情绪。

Objective To explore the application value of the six-step cancer notification model in lung cancer care,and analyze its impact on selfacceptance and psychological state.Methods Using convenience sampling method,41 lung cancer patients admitted to our hospital from March 2019 to March 2020 were used as the reference group(using conventional cancer notification strategy),41 lung cancer patients admitted from April 2020 to April 2021 The patients were treated as a test group(a six-step cancer notification model was implemented on the basis of the reference group).The self-acceptance questionnaire,the Hamilton Anxiety Scale(HAMA),and the Hamilton Depression Scale(HAMD)were used to compare the self-acceptance level and mental state of the two groups,and to analyze the actual implementation of the six steps of the six-step cancer notification model.Results The survey results show that the actual implementation of the six steps of the six-step cancer notification model is different.The order from high to low is:emotional support>knowledge provision>interview preparation>strategy and summary>patient information needs>perceptual evaluation.After the intervention,the selfacceptance and self-evaluation scores of the two groups were significantly increased,and the test group was significantly higher than the reference group(P<0.05);the HAMA and HAMD scales of the two groups were significantly reduced,and the test group was significantly lower than the reference group(P<0.05).Conclusion The application of the six-step cancer notification model in lung cancer care has a positive effect,which can improve patients'selfacceptance and improve their anxiety and depression.