基于跨理论模型导向的知信行干预及护理对晚期胃癌患者的效果观察

Intervention efficacy of transtheoretical model-oriented knowledge,faith and action intervention and nursing in patients with advanced gastric cancer

目的探讨基于跨理论模型(TTM)导向的知信行干预及护理对晚期胃癌患者的干预效果。方法选取2020年1月至2021年12月间上海中医药大学附属曙光医院收治的100例晚期胃癌患者为研究对象,按照随机数表法分为研究组与对照组,每组50例。对照组接受常规护理,研究组接受基于TTM导向的知信行干预及护理。护理3个月后,比较两组遵医行为、生活质量及知信行各维度得分。结果护理前,两组患者的遵医行为和生活质量评分相比,差异无统计学意义(P>0.05)。护理后,两组患者的遵医行为、生活质量评分均高于护理前,且研究组高于对照组,差异均有统计学意义(均P<0.05)。护理前,两组患者的知识、态度和自我行为评分相比,差异无统计学意义(P>0.05)。护理后,两组患者的知识、态度、自我行为评分明显高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05)。结论基于TTM导向的知信行干预及护理应用于晚期胃癌患者,能明显提高其遵医行为,改善患者生活质量,值得推广应用。

Objective To observe the efficacy of knowledge,faith and action intervention and nursing in advanced gastric cancer patients based on transtheoretical model(TTM).Methods A total of 100 patients with advanced gastric cancer treated at Shanghai University of Traditional Chinese Medicine were selected from January 2020 to December 2021.Using the random number table method,they were divided into an experimental group and a control group with 50 patients in each group.The experimental group received TTM-oriented intervention and nursing and the control group received routine nursing.After 3 months of nursing,compliance behaviors,quality of life assessment scale scores and the scores of knowledge,belief and behaviors of all dimension were compared and analyzed between the two groups.Results Before nursing,there was no statistical significance in compliance behaviors and quality of life scores between the two groups(P>0.05).After nursing,the compliance behavior and quality of life scores were significantly high in two groups compared with those before nursing,and the scores were higher in the experimental group than in the control group(P<0.05).Before nursing,there was no statistical significance in knowledge,attitude and self-behavior scores between the two groups(P>0.05).After nursing,the knowledge,attitude and self-behavior scores were significantly high in the two groups compared with those before nursing,and the scores were higher in the experimental group than in the control group(all P<0.05).Conclusion TTM-oriented intervention and nursing can significantly improve compliance behaviors and quality of life in patients with advanced gastric cancer,which is worthy of promotion and application.