时机理论指导下的护理干预在胃肠道肿瘤患者中的实施效果

Implementation eff ect of nursing intervention guided by timing theory on patients with gastrointestinal tumor

目的分析时机理论指导下的护理干预在胃肠道肿瘤患者中的应用效果。方法选取2022年2月—2023年2月无锡市人民医院普外科收治的88例胃肠道肿瘤患者作为研究对象,按照组间基本特征具有可比性的原则分为对照组和观察组,各44例。对照组患者予以常规护理干预,观察组患者予以时机理论指导下的护理干预,比较两组患者的癌因性疲乏程度、压力知觉水平、病耻感与生命意义。结果护理前,两组患者的癌因性疲乏量表(CFC)、中文版压力知觉量表(CPSS)、慢性疾病病耻感量表(SSCI)、癌症患者生命意义感量表(C-MiLS)相比,差异均无统计学意义(P>0.05)。出院90 d后,观察组患者的CFS评分低于对照组,观察组患者的CPSS评分低于对照组,观察组患者的SSCI评分低于对照组,观察组患者的C-MiLS各维度评分均高于对照组,差异均有统计学意义(P<0.05)。结论时机理论指导下的护理干预在胃肠道肿瘤患者中的应用不仅能缓解胃肠道肿瘤患者的癌因性疲乏程度,降低其压力知觉水平与病耻感,而且可促进患者的生命意义感进一步增强。

Objective To analyze the application effect of nursing intervention guided by timing theory on patients with gastrointestinal tumor.Methods A total of 88 patients with gastrointestinal cancer admitted to the Department of General Surgery of Wuxi People's Hospital from February 2022 to February 2023 were selected as study subjects.According to the principle of comparability of basic characteristics between groups,they were divided into a control group and an observation group,with 44 cases in each group.The control group received routine nursing interventions,while the observation group received nursing interventions guided by timing theory.The level of cancer-related fatigue,perceived stress,stigma and meaning in life were compared between the two groups.Results Before nursing,there were no statistically signifi cant diff erences in Cancer Fatigue Scale(CFS),Chinese Perceived Stress Scale(CPSS),Stigma Scale for Chronic Illness(SSCI)and the Meaning in Life Scale for Cancer Patients(C-MiLS)between the two groups(P>0.05).Ninety days after discharge,the CFS score of patients in the observation group was lower than that in the control group,the CPSS score of patients in the observation group was lower than that in the control group,the SSCI score of patients in the observation group was lower than that in the control group,the each dimension scores of C-MiLS in the observation group were higher than those in the control group,and the diff erences were statistically signifi cant(P<0.05).Conclusion The application of nursing intervention guided by timing theory in patients with gastrointestinal cancer.It not only alleviates the cancer-related fatigue,reduces perceived stress level and stigma but also enhances the sense of meaning in life for these patients.