基于ACE Star模式的循证干预在胃癌术后化疗患者中的应用效果

Application effect of evidence-based intervention based on ACE Star model in patients undergoing postoperative chemotherapy for gastric cancer

目的 探讨基于ACE Star模式的循证干预在胃癌术后化疗患者中的应用效果。方法 根据干预模式的不同将92例胃癌术后化疗患者分为对照组(n=44,常规干预)和观察组(n=48,常规干预+基于ACE Star模式的循证干预)。比较两组患者的心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、自我护理能力[自我护理能力测定量表(ESCA)]、自我效能[自我效能感量表(GSES)]及满意度[McCloskey/Mueller满意度量表(MMSS)]。结果 干预后,两组患者SAS、SDS评分均低于本组干预前,观察组患者SAS、SDS评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者自护责任感、自我概念、自我护理技能、健康知识水平评分均高于本组干预前,观察组患者自护责任感、自我概念、自我护理技能、健康知识水平评分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者GSES评分均高于本组干预前,观察组患者GSES评分高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的满意度明显高于对照组(P﹤0.01)。结论 基于ACE Star模式的循证干预可改善胃癌术后化疗患者的心理状态,提高患者的自我护理能力、自我效能及满意度。

Objective To explore the application effect of evidence-based intervention based on ACE Star model in patients undergoing postoperative chemotherapy for gastric cancer.Method A total of 92 patients with postoperative chemotherapy for gastric cancer were divided into control group(n=44,conventional intervention) and observation group(n=48,conventional intervention+evidence-based intervention based on ACE Star model) according to different intervention modes.The psychological state [self-rating anxiety scale(SAS),self-rating depression scale(SDS)],self-care ability[exercise of self-care agency scale(ESCA)],self-efficacy [general self-efficacy scale(GSES)],and satisfaction [McCloskey/Mueller satisfaction scale(MMSS)] were compared between the two groups.Result After the intervention,the SAS and SDS scores of the two groups were lower than those before the intervention,and the SAS and SDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the self-care responsibility,self-concept,self-care skills,and health knowledge scores of the two groups were higher than those before the intervention,and the above scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the GSES scores of the two groups were higher than those before the intervention,and the GSES score of the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).The satisfaction rate in the observation group was significantly higher than that in the control group(P<0.01).Conclusion Evidence-based intervention based on the ACE Star model could improve the psychological state of patients receiving postoperative chemotherapy for gastric cancer and improve their self-care ability,self-efficacy,and satisfaction.