基于系统交互模型的二元应对方案对口腔癌患者术后生存质量干预的应用研究

Application of binary coping scheme based on systemic interaction model for postoperative survival quality intervention of oral cancer patients

目的:探索基于系统交互模型的二元应对方案对口腔癌患者术后生存质量的干预效果。方法:选择某三甲医院口腔颌面外科2021年6月至2022年6月收治的99例口腔癌患者,使用随机数字表法分为对照组50例和观察组49例。对照组给予口腔癌常规护理,观察组在常规护理基础上实施基于系统交互模型的二元应对方案。比较分析2组口腔癌患者术前、术后第3周和术后第9周的UW-QOL生存质量量表、二元应对量表的得分。结果:2组患者术后第3周、第9周UW-QOL得分均低于入院时,且对照组UW-QOL得分低于观察组(P<0.05);在术后第3周,观察组患者与伴侣共同应对维度的得分优于对照组(P<0.05);在术后第9周,观察组在二元应对总分、消极应对、压力沟通、共同应对、支持应对维度优于对照组(P<0.05)。重复测量方差分析结果显示时间和组别对二元应对量表总分存在交互作用(P<0.05),时间和组别对二元应对量表总分主效应显著(P<0.05)。结论:口腔癌患者生存质量状况欠佳,基于系统交互模型的二元应对方案可提高患者的生存质量,提高患者与伴侣的亲密关系,有利于口腔癌患者疾病康复。

Objective:To investigate the intervention effect of binary coping strategy based on systemic interaction model on the postoperative survival quality of patients with oral cancer.Methods:A total of 99 patients with oral cancer admitted to the Department of Oral and Maxillofacial Surgery of a tertiary hospital from Jun 2021 to Jun 2022 was selected.They were randomly divided into the control group(50 cases)and the observation group(49 cases)with random number table method.The control group received routine nursing for oral cancer.On this basis,the observation group also received the binary coping strategy based on the systemic interaction model.The scores of UW-QOL quality of life scale and binary coping scale were compared between the two groups before surgery,at the 3rd and 9th weeks after surgery.Results:The UW-QOL scores of both groups at the 3rd and 9th weeks after surgery were lower than those at admission,and the UW-QOL score in the control group was lower than that in the observation group(P<0.05).At the 3rd week after surgery,the score of coping with the partner in the observation group was higher than that in the control group(P<0.05).At the 9th week after surgery,the total score,negative coping,stress communication,coping together,and supportive coping scores in the observation group were higher than those in the control group(P<0.05).Repeated measures analysis of variance showed that there was an interaction between time and group for the total score of binary coping scale(P<0.05).And there was a significant main effect of time and group on the total score of binary coping scale(P<0.05).Conclusions:The quality of life of patients with oral cancer is poor.The binary coping strategy based on the systemic interaction model can improve the quality of life of patients,enhance the intimacy of patients with their partners,and contribute to the disease recovery of patients with oral cancer.