基于延续性干预的全病程管理模式在肺癌化疗患者中的应用效果

Application effect of whole course management model based on continuous intervention in lung cancer patients undergoing chemotherapy

目的探讨基于延续性干预的全病程管理模式在肺癌化疗患者中的应用效果。方法根据干预方法的不同将80例接受化疗的肺癌患者分为对照组和观察组,每组40例。对照组患者给予常规护理和出院后健康教育,观察组患者在对照组的基础上采取基于延续性干预的全病程管理模式。比较两组患者的负性情绪[焦虑自评量表(SAS)和抑郁自评量表(SDS)]、不良反应发生情况、生活质量[健康调查简表(SF-36)]及护理满意度。结果干预后,观察组患者的SAS、SDS评分均明显低于对照组(P<0.01)。观察组患者恶心呕吐发生情况明显优于对照组(P<0.01);两组患者腹泻、白细胞减少和脱发发生情况比较,差异均无统计学意义(P>0.05)。干预后,观察组患者SF-36量表各维度评分均高于对照组(P<0.05)。观察组患者的护理满意度为97.5%,高于对照组患者的80.0%,差异有统计学意义(P<0.05)。结论基于延续性干预的全病程管理模式在肺癌化疗患者中的应用效果较好,可改善患者的负性情绪、生活质量,减少不良反应。

Objective To explore the application effect of whole course management model based on continuous intervention in lung cancer patients undergoing chemotherapy.Method A total of 80 lung cancer patients undergoing chemotherapy were divided into the control group(n=40,received routine care and post-discharge health education)and the observation group(n=40,received whole course management model based on continuous intervention on the basis of control group)according to different interventions.The negative emotions[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)],adverse reactions,quality of life[the MOS 36-item short form health survey(SF-36)]and nursing satisfaction were compared between the two groups.Result After intervention,the scores of SAS and SDS in the observation group were lower than those in the control group(P<0.01).The incidence of nausea and vomiting in the observation group was better than that in the control group(P<0.01),and there were no significant differences for the occurrence of diarrhea,leukopenia and hair loss in the two groups(P>0.05).After intervention,the dimensional scores of SF-36 in the observation group were higher than those in the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group(97.5%vs 80.0%,P<0.05).Conclusion The whole course management model based on continuous intervention has a good application effect in the treatment of lung cancer patients undergoing chemotherapy,which can improve the patients’negative emotions,quality of life and reduce adverse reactions.