整合服务型框架下多维度照护策略对NSCLC患者应对方式、癌因性疲乏的影响

Effect of Multi-dimensional Care Strategy under Integrated Service Framework on Coping Styles and Cancer-related Fatigue in Patients with NSCLC

目的探究整合服务型框架下多维度照护策略对非小细胞肺癌(NSCLC)患者患者应对方式、癌因性疲乏(CRF)的影响。方法按照随机数字表法将2021年4月至2022年6月河南科技大学第一附属医院肿瘤内科收治的103例NSCLC患者分为观察组(52例)和对照组(51例)。对照组接受常规护理,观察组在对照组基础上接受整合服务型框架下多维度照护策略。对比两组患者应对方式、CRF程度、自我效能感评分、生活质量评分及护理满意度。结果护理后观察组面对评分、生活质量及自我效能感得分均高于对照组、屈服和回避评分及CRF评分均低于对照组(P<0.05);观察组护理满意度高于对照组(P<0.05)。结论整合服务型框架下多维度照护策略可有效改善患者应对方式并减轻患者癌因性疲乏,从而促进患者自我效能感和生活质量的提升并提高患者满意度。

Objective To explore the effects of multi-dimensional care strategy under integrated service framework on coping styles and cancer-related fatigue(CRF)in patients with non-small cell lung cancer(NSCLC).Methods According to random number table method,103 patients with NSCLC admitted to Department of Oncology in the First Affiliated Hospital of Henan University of Science and Technology were divided into observation group(52 cases)and control group(51 cases)between April 2021 and June 2022.The control group was given routine nursing,while observation group was additionally given multi-dimensional care strategy under integrated service framework.The coping styles,CRF,scores of self-efficacy and quality of life,and nursing satisfaction were compared between the two groups.Results The observation group after nursing had higher scores in terms of face to face,quality of life,and self-efficacy than the control group,while the surrender and avoidance scores and CRF scores were lower than the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion The multi-dimensional care strategy under integrated service framework can effectively improve coping styles and relieve CRF of patients so as to improve self-efficacy,quality of life and patients satisfaction.