基于慢病轨迹模式的护理干预结合合理行为疗法对中晚期肺癌患者健康行为及积极情绪的影响

Effects of nursing intervention based on chronic disease trajectory model combined with rational behavior therapy on health behavior and positive emotion of patients with medium and advanced lung cancer

目的探究基于慢病轨迹模式的护理干预结合合理行为疗法对中晚期肺癌患者健康行为及积极情绪的影响。方法择取2020年1月至2021年2月收治的94例中晚期肺癌患者作为研究对象,根据护理方案将其分为对照组、观察组,各47例。对照组接受合理行为疗法,观察组在对照组基础上加施基于慢病轨迹模式的护理干预。比较两组的健康行为评分、情绪评分以及化疗后的毒副反应发生情况。结果干预后,观察组的健康促进生活方式量表-Ⅱ(HPLP-Ⅱ)各维度评分均高于对照组(P<0.05)。干预后,观察组的积极情绪评分高于对照组,消极情绪评分低于对照组(P<0.05)。观察组化疗后的毒副反应总发生率低于对照组(P<0.05)。结论基于慢病轨迹模式的护理干预结合合理行为疗法可提高中晚期肺癌患者的健康行为及积极情绪,降低化疗后毒副反应发生率。

Objective To explore the effects of nursing intervention based on chronic disease trajectory model combined with rational behavior therapy on health behavior and positive emotion of patients with medium and advanced lung cancer.Methods A total of 94 patients with medium and advanced lung cancer admitted from January 2020 to February 2021 were selected as the research objects,and the patients were divided into control group and observation group according to the nursing plan,with 47 cases in each group.The control group received rational behavior therapy,and the observation group received nursing intervention based on chronic disease trajectory model on the basis of the control group.The health behavior score,emotional score and the incidence of toxic and side effects after chemotherapy were compared between the two groups.Results After intervention,the scores of each dimension of Health Promoting Lifestyle Profile-Ⅱ(HPLP-Ⅱ)in the observation group were higher than those in the control group(P<0.05).After intervention,the positive emotion score of the observation group was higher than that of the control group,and the negative emotion score was lower than that of the control group(P<0.05).The total incidence of toxic and side effects after chemotherapy in the observation group was lower than that in the control group(P<0.05).Conclusion Nursing intervention based on chronic disease trajectory model combined with rational behavior therapy can improve the health behavior and positive emotions of patients with medium and advanced lung cancer,and reduce the incidence of toxic and side effects after chemotherapy.