基于风险理念的肿瘤护理模式对卵巢癌化疗患者的应用研究

Application of Cancer Nursing Model Based on Risk Concept in Ovarian Cancer Patients Undergoing Chemotherapy

目的:探讨基于风险理念的肿瘤护理模式对卵巢癌化疗患者的应用效果。方法:选取江西省肿瘤医院2022年1—11月接受化疗的80例卵巢癌患者,用随机数字表法将其分为对照组和观察组,各组40例;对照组实施常规护理干预,观察组在对照组基础上实施基于风险理念的肿瘤护理模式干预;对比两组化疗配合度、自护能力、生活质量及不良反应发生情况。结果:观察组化疗配合度优于对照组,差异有统计学意义(P<0.05);干预1个月后,观察组自我护理能力测定量表(ESCA)、世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分均较对照组高,差异均有统计学意义(P<0.05);观察组肝肾功能损害、骨髓抑制、胃肠道反应发生率均较对照组低,差异均有统计学意义(P<0.05)。结论:卵巢癌化疗患者采用基于风险理念的肿瘤护理模式干预可提高化疗配合度,改善自护能力与生活质量,降低不良反应发生率。

Objective:To explore the effect of cancer nursing model based on risk concept on ovarian cancer patients undergoing chemotherapy.Method:A total of 80 patients with ovarian cancer who received chemotherapy in Jiangxi Cancer Hospital from January to November 2022 were selected and divided into the control group and the observation group by random number table method,with 40 patients in each group.The control group received routine nursing intervention,and the observation group implemented the cancer nursing model intervention based on the risk concept on the basis of the control group.The degree of chemotherapy cooperation,self-care ability,quality of life and adverse reaction were compared between the two groups.Result:The chemotherapy coordination of the observation group was better than that of the control group,the difference was statistically significant(P<0.05).After 1 month of intervention,the scores of exercise of self-care agency scale(ESCA)and World Health Organization quality of life-BREF(WHOQOL-BREF)of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).The incidence of liver and kidney function impairment,bone marrow suppression and gastrointestinal reaction in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The intervention of cancer nursing mode based on risk concept in patients with ovarian cancer undergoing chemotherapy can improve chemotherapy compliance,self-care ability and quality of life,and reduce the incidence of adverse reaction.