基于慢性疾病轨迹模式的护理干预在脑胶质瘤术后化疗患者中的应用

Application of Nursing Intervention based on Chronic Disease Trajectory Model in Postoperative Patients with Glioma Undergoing Chemotherapy

目的:探讨基于慢性疾病轨迹模式的护理干预在脑胶质瘤术后化疗患者中的应用效果。方法:将2019年3月1日~2021年3月31日收治的100例脑胶质瘤术后化疗患者随机分为对照组和实验组各50例;对照组实施常规护理干预,实验组在对照组基础上实施基于慢性疾病轨迹模式的护理干预,两组护理周期均为1个月;比较两组干预前后心理状态[采用焦虑自评量表(SAS)、抑郁自评量表(SDS)和心理弹性量表(CD-RISC)]、应对方式(采用Jalowies应对方式量表)、生活质量[采用癌症患者生命质量测定量表(EORTC QOL-C30)]、癌因性疲乏程度[采用简短疲乏评估表(BFI)]。结果:干预后两组SDS、SAS评分均低于干预前(P<0.05),且实验组低于对照组(P<0.05);干预后两组CD-RISC各项评分均高于干预前(P<0.05),且实验组高于对照组(P<0.05);实验组干预后Jalowies应对方式量表各项评分均低于对照组(P<0.05);干预后两组EORTC QOL-C30各项评分均高于干预前(P<0.05),且实验组高于对照组(P<0.05);实验组干预后总疲乏率低于对照组(P<0.05)。结论:基于慢性疾病轨迹模式的护理干预能减轻脑胶质瘤术后化疗患者癌因性疲乏程度,改善应对方式和心理状态,提高患者生活质量,有利于稳定病情。

Objective:To explore the application effect of nursing intervention based on chronic disease trajectory model on cancer-related fatigue in postoperative patients with glioma undergoing chemotherapy.Methods:A total of 100 postoperative patients with glioma undergoing chemotherapy in Sun Yat-sen University Cancer Center during March 1,2019 to March 31,2021 were randomly divided into the control group and the test group,50 cases in each group.The control group was given routine care,and the test group was given nursing intervention based on chronic disease trajectory model on the basis of the control group.Both groups were given a 1-month nursing cycle.Mental status using SAS,SDA and CD-RISC coping styles using Jalowies coping styles,quality of life using EORTC QOL-C30,and cancer-related fatigue degree using BFI before and after intervention of the two groups were compared.Results:The SDS and SAS scores of the two groups were lower than those before the intervention(P<0.05),and those in the test group were lower than those in the control group(P<0.05).After the intervention,the CD-RISC scores were higher in both groups than those before intervention(P<0.05),and those in the test group were higher in the control group(P<0.05).The Jalowies scores after interventions were lower in the test group than those in the control group.The EORTC QOL-C30 scores were higher in both groups after intervention than those before intervention(P<0.05),and those in the test group after intervention were higher than those in the control group(P<0.05).And the total fatigue rate was lower in the test group after intervention than that in the contrpl group(P<0.05).Conclusion:Nursing intervention based on the chronic disease trajectory model can reduce the degree of cancer-related fatigue in patients with glioma after chemotherapy,improve their coping style and psychological state,improve their quality of life,and contribute to stable disease.