ADOPT护理模式联合团体干预对鼻咽癌患者的影响

Effect of ADOPT Nursing Model Combined with Group Intervention in Patients with Nasal Pharyngeal Cancer

目的:探讨ADOPT护理模式联合团体干预对鼻咽癌患者的影响。方法:选取2022年1月1日~6月30日收治的80例鼻咽癌患者作为研究对象,随机分为观察组和对照组各40例,对照组给予鼻咽癌常规护理干预,观察组给予ADOPT护理模式联合团体干预;比较两组干预前后抑郁自评量表(SDS)、焦虑自评量表(SAS)、心理复原力量表、自我护理能力量表(ESCA)、EORTC生命质量测定量表(QLQ-C30)评分,门齿间距及张口困难程度,张口功能锻炼依从性,不同时间数字疼痛评估量表(NRS)评分。结果:干预后,两组SDS、SAS评分低于护理前(P<0.05),且观察组低于对照组(P<0.01);干预后,两组心理复原力评分、ESCA评分、QLQ-C30评分高于干预前(P<0.05),且观察组高于对照组(P<0.05,P<0.01);观察组门齿间距大于对照组(P<0.01),张口困难程度及张口功能锻炼依从性优于对照组(P<0.05);两组放疗10次、放疗20次、放疗结束NRS评分低于干预前(P<0.05),放疗20次、放疗结束NRS评分低于放疗10次(P<0.05),观察组放疗10次、放疗20次、放疗结束NRS评分低于对照组(P<0.01)。结论:ADOPT护理模式联合团体干预可改善鼻咽癌患者的不良心理状态、门齿间距及张口困难程度,减轻疼痛程度,提高张口功能锻炼依从性、自我管理能力和生活质量。

Objective:To explore the effect of ADOPT nursing model combined with group intervention in patients with nasal pharyngeal cancer.Methods:A total of 80 patients with nasal pharyngeal cancer admitted during January 1 to June 30,2022 were selected as the study subjects,and were randomly divided into the observation group and the control group with 40 cases in each group.The control group was given routine care intervention for nasal pharyngeal cancer,and the observation group was given ADOPT care model combined with group intervention.The Self-rating Depression Scale(SDS),the Self-rating Anxiety Scale(SAS),the Psychological Recovery Scale,the Self-care Ability Scale(ESCA),the EORTC QLQ-C30,the distance between the incisors and the degree of difficulty in opening the mouth,the compliance of mouth opening function exercises,and the Numerical Pain Rating Scale(NRS)scores at different times were compared between the two groups before and after intervention.Results:After intervention,the SDS and SAS scores were lower in both groups than those before nursing(P<0.05),and lower in the observation group than those in the control group(P<0.01).After intervention,the Psychological recovery scores,ESCA scores and QLQ-C30 scores were higher in both groups than those before intervention(P<0.05),and higher in the observation group than those in the control group(P<0.05,P<0.01).The distance between incisors was larger in the observation group than that in the control group(P<0.01).The degree of difficulty in opening the mouth and the compliance in opening mouth exercises were better in the observation group than those in the control group(P<0.05).The NRS scores 10 times,20 times and after the completion of radiotherapy were lower in both groups than those before intervention(P<0.05).The NRS scores of 20 times radiotherapy and after the completion of radiotherapy were lower than those 10 times(P<0.05).The NRS scores 10 times,20 times and after the completion of radiotherapy were lower in the observation group than those in the control group(P<0.01).Conclusion:ADOPT nursing model combined with group intervention in patients with nasal pharyngeal cancer can improve their bad mental moods and the distance between incisors and the degree of difficulty in opening the mouth,reduce the degree of pain,improve their compliance of opening mouth exercises,self-management ability and quality of life.