健康行为互动模式下责任制全局护理在结直肠癌患者中的应用效果

Application effects of primary nursing under health behavior interaction model in patients with colorectal cancer

目的:观察健康行为互动模式(IMCHB)下责任制全局护理在结直肠癌患者中的应用效果。方法:回顾性分析2020年3月至2022年5月该院收治的77例结直肠癌患者的临床资料,按护理方案不同将其分为对照组38例和观察组39例。对照组采用常规护理,观察组在对照组基础上采用IMCHB下责任制全局护理,比较两组护理前后应对方式[癌症应对问卷(CCMQ)]评分、自我效能感[一般自我效能感量表(GSES)]评分、自我护理能力[自我护理能力量表(ESCA)]评分、生命质量[生活质量综合评定问卷(GQOLI-74)]评分,以及并发症发生率。结果:护理后,观察组CCMQ的面对评分高于对照组,发泄、回避与压抑、屈服、幻想评分均低于对照组,差异有统计学意义(P<0.05),但两组幻想评分比较,差异无统计学意义(P>0.05);护理后,两组GSES、ESCA和GQOLI-74评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:在常规护理基础上应用IMCHB下责任制全局护理,能改善结直肠癌患者的应对方式,提高其自我效能感、自我护理能力和生命质量,效果优于单纯常规护理。

Objective:To observe application effects of primary nursing under health behavior interaction model(IMCHB)in patients with colorectal cancer.Methods:The clinical data of 77 patients with colorectal cancer admitted to this hospital from March 2020 to May 2022 were retrospectively analyzed.According to different nursing schemes,they were divided into control group(38 cases)and observation group(39 cases).The control group was given routine nursing,while the observation group was given the primary nursing under IMCHB on the basis of that of the control group.The scores of coping style[cancer coping questionnaire(CCMQ)],self-efficacy[exercise of self-care agency scale,(GSES)],the self-care ability[self-care ability scale(ESCA)],and the quality of life[general quality of life inventory(GQOLI-74)]were compared between the two groups before and after the nursing.Results:After the nursing,the facing scores of the two groups were higher than those before the nursing,and that of the observation group was higher than that of the control group;the scores of venting,avoidance and depression,surrender and fantasy in the two groups were lower than those before the nursing,and the scores of venting,avoidance and depression and surrender in the observation group were lower than those in the control group;and the differences were statistically significant(P<0.05).However,there was no statistically significant difference in the fantasy scores between the two groups(P>0.05).After the nursing,the GSES scores,the ESCA scores such as self-concept,self-care responsibility,self-care skills and health knowledge level,and the GQOLI-74 scores such as material life,physical function,social function and psychological function in the two groups were higher than those before the nursing,and those in the observation group were higher than those in the control group.There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:On the basis of routine nursing,the primary nursing under IMCHB can improve the coping styles of the colorectal cancer patients and improve their self-efficacy,self-care abilities and quality of life.Moreover,it is superior to single routine nursing.