慢性轨迹模式护理对靶向治疗肺癌患者的效果及价值分析

Eff ect and value analysis of chronic trajectory model nursing care on patients with lung cancer treated with targeted therapy

目的 探讨靶向治疗肺癌患者予以慢性病轨迹模式护理的效果。方法 选取2019年12月—2022年12月医院收治的120例接受靶向治疗的肺癌患者为研究对象,将患者按组间基本特征具有可比性的原则分为对照组和观察组,各60例,对照组患者实施常规护理,观察组患者实施慢性病轨迹模式护理。观察两组患者健康信念、自我管理效能、肿瘤标志物、癌因性疲乏因子及自我效能等指标水平变化情况。结果 护理后,观察组患者健康信念、自我决策、正性态度及自我减压水平高于对照组,差异具有统计学意义(P<0.05);观察组患者CEA、NSE、CA125及CA199水平低于对照组,差异具有统计学意义(P<0.05);观察组患者CFS量表中的躯体、情感、认知水平低于对照组,差异有统计学意义(P<0.05),观察组患者GSES评分高于对照组,差异有统计学意义(P<0.05)。结论 靶向治疗肺癌患者临床治疗中予以慢性病轨迹模式护理干预方案,可提高患者健康信念与自我管理能力,且还可有效降低其癌性疲乏因子状况,并能提升患者自我效能,进而可有效提高肿瘤标志物水平改善效果,提高疗效,可获得更理想的干预效果。

Objective To explore the effect of chronic disease trajectory model care for lung cancer patients with targeted therapy.Methods 120 cases of lung cancer patients receiving targeted therapy admitted to the hospital from December 2019 to December 2022 were selected as the study subjects,they were divided into the control group and the observation group according to the principle of comparability of basic data between groups,each with 60 cases,and the patients in the control group were implemented with conventional nursing care,and the patients in the observation group were implemented with chronic disease trajectory model nursing care.Observe the changes in the levels of health beliefs,self-management efficacy,tumor markers,cancer-caused fatigue factor and self-efficacy in the two groups.Results After nursing,the levels of health beliefs,self-decision making,positive attitude and self-stress reduction of patients in the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).The levels of CEA,NSE,CA125 and CA199 of patients in the observation group were lower than those of the control group,the differences were statistically significant(P<0.05),the levels of somatic,affective,and cognitive in the CFS scale of patients in the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).GSES score of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Targeted therapy for lung cancer patients in the clinical treatment of chronic disease trajectory model nursing intervention program,can improve the patients'health beliefs and self-management ability,effectively reduce their cancer fatigue factor condition,enhance the patients'self-efficacy,effectively improve the tumor marker level improvement effect,to improve the therapeutic efficacy,obtain ideal effect of the intervention.