基于IMB模型的“互联网+”延续护理对减轻喉癌术后患者癌因性疲乏的效果研究

Effect of "Internet+" Continuous Care Intervention Based on IMB Model on Reducing Cancerrelated Fatigue in Patients with Laryngeal Cancer after Surgery

目的:探讨基于IMB模型的“互联网+”延续护理对减轻喉癌术后出院患者癌因性疲乏程度的效果。方法:选取2020年2月-2022年2月北京大学深圳医院收治的经病理组织学诊断为喉癌的60例患者,按照随机数字表法将其分为试验组和对照组,每组30例。对照组给予常规出院随访指导,试验组给予基于IMB模型的“互联网+”延续护理。比较干预前后两组癌因性疲乏程度和生活质量评分。结果:干预后,试验组各维度生活质量评分及总分均高于对照组,试验组各维度Piper疲乏自我评估量表(PFS)评分及总分、癌因性疲乏程度均优于对照组,差异均有统计学意义(P<0.05)。结论:基于IMB模型的“互联网+”延续护理干预能显著降低喉癌术后患者癌因性疲乏程度,改善患者躯体及社会功能,提高患者生活质量。

Objective: To explore the effect of "Internet+" continuous care intervention based on IMB model on reducing the degree of cancer-related fatigue in patients with laryngeal cancer after surgery. Method: A total of 60 patients with laryngeal cancer diagnosed by pathology in Peking University Shenzhen Hospital from February 2020 to February 2022 were selected, they were randomly divided into experimental group and control group according to random number table, with 30 cases in each group. The control group received routine discharge visits, and the experimental group was received the "Internet+" continuous care intervention based on IMB model. The quality of life scores and the degree of cancer-related fatigue before and after the intervention were compared between the two groups. Result: After intervention, quality of life scores of all dimensions and total score in the experimental group were higher than those in the control group, Piper fatigue scale(PFS) scores of all dimensions and total scores and degree of cancer-induced fatigue in the experimental group were better than those in the control group, the differences were statistically significant(P<0.05). Conclusion: The "Internet+" continuous care intervention based on IMB model can significantly reduce the degree of cancer related fatigue in patients with laryngeal cancer, improve the physical and social functions of patients, and improve the quality of life of patients.