跟进式赋能教育对行化学治疗的直肠癌患者康复效果的影响

Effect of follow-up empowering education on the rehabilitation of rectal cancer patients undergoing chemotherapy

目的探讨行化学治疗(简称“化疗”)的直肠癌患者接受跟进式赋能教育对其自我护理能力、营养状况、血清肿瘤标志物水平和不良反应的影响。方法选取华中科技大学同济医学院附属同济医院消化肿瘤科于2019年4月至2022年5月行化疗的80例直肠癌患者进行回顾分析,以护理模式的不同分为对照组40例(常规护理),观察组40例(常规护理+跟进式赋能教育)。对比所有患者的自我护理能力量表(ESCA)评分、主观整体营养状况量表(PG-SGA)评分、营养学指标、肿瘤标志物水平及不良反应。结果干预1个月和3个月后,观察组的ESCA评分和营养学指标水平均高于对照组,PG-SGA评分和肿瘤标志物水平均低于对照组(P均<0.05);2组的上述评分和指标水平均较干预前大有改善(P均<0.05)。观察组的不良反应总发生率低于对照组(P<0.05)。结论跟进式赋能教育对行化疗直肠癌患者的营养状况和自我护理能力均有积极影响,且有助于改善患者的血清肿瘤标志物水平,减少不良反应的产生。

Objective To explore the effect of follow-up empowering education on the self-care ability,nutritional status,serum tumor marker levels,and adverse reactions of patients undergoing chemotherapy for rectal cancer.Methods A retrospective analysis was conducted on 80 rectal cancer patients undergoing chemotherapy in the Department of Digestive Oncology of Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology from April 2019 to May 2022.They were divided into a control group(40 cases receiving conventional nursing)and an observation group(40 cases receiving conventional nursing+follow-up empowering education)in accordance with different nursing models.The Exercise of Self-Care Agency(ESCA)scores,Patient-Generated Subjective Global Assessment(PG-SGA)scores,nutritional indicators,tumor marker levels,and adverse reactions of all patients were compared.Results After 1 and 3 months of intervention,the ESCA score and nutritional indicator levels of the observation group were higher than those of the control group,and the PG-SGA score and tumor marker levels were lower than those of the control group(all P<0.05).The above scores and indicator levels in both groups showed significant improvement compared with those before intervention(all P<0.05).The total incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05).Conclusion Follow-up empowering education has a positive impact on the nutritional status and selfcare ability of rectal cancer patients undergoing chemotherapy,and helps to improve their serum tumor marker levels and reduce the adverse reactions.