动机行为转化渐进性护理模式对肺癌化疗患者的影响

Impact of a motivational-behavioral transformational progressive care model on lung cancer chemotherapy patients

目的探究肺癌化疗患者实施动机行为转化渐进性护理模式的可行性。方法选取天津医科大学肿瘤医院2021年1月至2022年2月生物治疗科收治的150例肺癌化疗患者,采用随机数字表法分为对照组和观察组(n=75)。对照组实施常规护理模式,观察组实施动机行为转化渐进性护理模式,对两组患者护理前后健康促进生活方式量表(HPLP-Ⅱ)以及肺癌患者生命质量测定量表(QLICP-LU)评分进行比较。结果护理前两组患者HPLP-Ⅱ评分、QLICP-LU评分比较差异无统计学意义(P>0.05);护理后观察组患者HPLP-Ⅱ各维度评分显著高于对照组,差异有统计学意义(P<0.05);护理后QLICP-LU各维度评分显著高于对照组,差异有统计学意义(P<0.05)。结论与常规护理模式对比,动机行为转化渐进性护理模式在改善患者应对方式,改变患者健康促进行为以及提高患者生活质量方面效果更加可观。

Objective To explore the feasibility of implementing the progressive nursing mode of motivational behavior transformation for patients with lung cancer undergoing chemotherapy.Methods A total of 150 patients with lung cancer undergoing chemotherapy in this hospital from January 2021 to February 2022 were selected,and they were randomly divided into the control group and the observation group,with 75 patients in each group.The control group implemented the routine nursing mode,while the observation group implemented the progressive nursing mode of motivational behavior transformation.The scores of the Health Promoting Lifestyle Profile-Ⅱ(HPLP-Ⅱ)and the Quality of Life Instruments For Lung Cancer Patients(QLICP-LU)before and after nursing were compared between the two groups.Results There was no significant difference in HPLP-Ⅱscore and QLICP-LU score between the two groups before nursing(P>0.05).After nursing,the scores of each dimension of HPLP-Ⅱin the observation group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the score of QLICP-LU was significantly higher than that of control group,and the difference was statistically significant(P<0.05).Conclusions Compared with the conventional nursing mode and the progressive nursing mode of motivational behavior transformation for patients with lung cancer undergoing chemotherapy,the progressive nursing mode of motivational behavior transformation is more effective in improving patients′coping style,changing patients′health promotion behavior and improving patients′quality of life.