基于时间护理理论的护理模式对肺癌手术患者自我效能及负性情绪的影响

Influence of Nursing Models Under the Theory of Time Nursing on Self-efficacy and Negative Emotions of Lung Cancer Surgery Patients

目的回顾性分析基于时间护理理论的护理模式在肺癌手术中的临床应用价值。方法收集2022年11月至2023年11月河南省人民医院收治的108例肺癌手术患者,按护理方法分为时间护理组(54例)、对照组(54例),对照组接受常规护理,时间护理组在此基础上接受基于时间护理理论的护理模式。比较两组肺功能、并发症发生情况、自我效能[一般自我效能感量表(GSES)]、负性情绪[汉密尔顿抑郁量表(HAMD)、焦虑量表(HAMA)]、生活质量。结果干预后,时间护理组肺功能指标改善幅度大于对照组,HAMD、HAMA评分低于对照组,GSES、世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分高于对照组(P<0.05)。结论肺癌手术患者实施基于时间护理理论的护理模式,能提高自我效能、改善负性情绪,从而提高肺功能、生活质量。

Objective To retrospectively analyze the clinical application value of nursing models based on time nursing theory in lung cancer surgery.Methods A total of 108 cases of lung cancer surgery patients admitted to Henan Provincial People’s Hospital from November 2022 to November 2023 were collected and divided into time nursing group(54 cases)and control group(54 cases)according to the different methods of nursing care,the control group received routine nursing care,and the time nursing group received nursing care model under the theory of time nursing on this basis.Lung function,incidence of complications,self-efficacy[general self-efficacy scale(GSES)],negative emotions[(Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA)],and quality of life were compared between two groups.Results After the intervention,the improvement of pulmonary function indexes was greater in the time nursing group than in the control group,the HAMD and HAMA scores were lower than those in the control group,and the GSES and Word Health Organization quality of life-brief form questionnaire(WHOQOL-BREF)scores were higher than those in the control group(P<0.05).Conclusion The nursing model of implementing time based nursing theory for lung cancer surgery patients can improve self-efficacy,alleviate negative emotions,and thus improve lung function and quality of life.