基于PBL理论的案例分析教育在原发性肝癌TACE患者中的应用效果

Effects of PBL theory-based case analysis education on patients with primary liver cancer undergoing TACE

目的:探究基于问题导向学习(PBL)理论的案例分析教育在原发性肝癌肝动脉化疗栓塞术(TACE)患者中的应用效果。方法:选取2018年8月至2020年8月该院收治的73例行TACE治疗的原发性肝癌患者进行前瞻性研究,按照随机数字表法分为观察组38例、对照组35例。对照组予以常规护理,观察组在对照组的基础上予以基于PBL理论的案例分析教育。比较两组治疗依从性,护理后疾病认知偏差[简易疾病感知量表(B-IPQ)]、护理前后生命质量[癌症患者生命质量测定量表(FACT-G)],以及护理满意度。结果:观察组治疗依从性为92.11%(35/38),高于对照组的71.43%(25/35),差异有统计学意义(P<0.05);护理后,观察组B-IPQ各条目评分及总分均低于对照组,差异有统计学意义(P<0.05);护理后,观察组FACT-G各维度评分及总分均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为89.47%(34/38),高于对照组的68.57%(24/35),差异有统计学意义(P<0.05)。结论:基于PBL理论的案例分析教育用于肝癌TACE患者可提升患者治疗依从性,降低疾病认知偏差,并提高患者生命质量及护理满意度。

Objective: To explore effects of problem-based learning(PBL) theory-based case analysis education on patients with primary liver cancer undergoing transcatheter arterial chemoembolization(TACE). Methods: A prospective study was conducted on 73 patients with primary liver cancer who underwent TACE treatment in the hospital from August 2018 to August 2020. They were divided into observation group(38 cases)and control group(35 cases) according to the random number table method. The control group was given routine nursing, while the observation group was given the PBL theory-based case analysis education on the basis of that of the control group. The treatment compliance, disease cognitive bias after nursing(B-IPQ), quality of life before and after nursing(FACT-G for Cancer Patients), and nursing satisfaction were compared between the two groups. Results: The treatment compliance of the observation group was 92.11%(35/38), which was higher than 71.43%(25/35) of the control group,and the difference was statistically significant(P<0.05). After the nursing, the scores of each item and total score of B-IPQ in the observation group were lower than those in the control group, the differences were statistically significant(P<0.05). After the nursing, the scores of each dimension and total score of FACT-G in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05).Further, the nursing satisfaction of the observation group was 89.47%(34/38), which was higher than 68.57%(24/35) of the control group, and the difference was statistically significant(P<0.05). Conclusions: The PBL theory-based case analysis education can improve the patients’ treatment compliance, reduce the disease cognitive bias, and improve patients’ quality of life and the nursing satisfaction of the primary liver cancer undergoing TACE.