5A模式的护理干预在舒利迭气雾剂治疗肺腺癌术后患者中的应用

Application of 5A Model Nursing Intervention in Postoperative Patients with Lung Adenocarcinoma Treated with Seretide Aerosol

目的:探讨5A模式的护理干预在舒利迭气雾剂治疗肺腺癌术后患者中的应用效果。方法:选取2023年6月1日~2024年3月1日收治的58例肺腺癌术后患者,遵循随机数字表法分为5A组和常规组各29例,两组均予以舒利迭气雾剂治疗,常规组采用肺腺癌围术期常规护理,5A组在常规组基础上实施5A模式的护理干预;比较两组干预前后咳嗽严重程度[采用中文版本莱斯特咳嗽量表(LCQ-MC)]、咳嗽症状消失时间、癌因性疲乏程度[采用癌因性疲乏修订量表(RPFS)]、应对方式[采用医学应对问卷量表(MCMQ)]及生活质量[采用肺癌患者生命质量测定量表(QLICP-LU)]。结果:干预后,两组LCQ-MC中生理、心理、社会评分、RPFS中情感、认知与情绪、感觉、行为疲乏评分、MCMQ中回避、屈服评分均低于干预前(P<0.05),且5A组评分低于常规组(P<0.05,P<0.01);5A组咳嗽、咳痰、气促症状消失时间均短于常规组(P<0.05,P<0.01);干预后,两组MCMQ中面对评分、QLICP-LU中躯体、心理、社会、共性症状与副作用、特异模块评分均高于干预前(P<0.05),且5A组评分高于常规组(P<0.05,P<0.01)。结论:将5A模式的护理干预应用在舒利迭气雾剂治疗肺腺癌术后患者中,能够改善患者术后咳嗽症状,减轻癌因性疲乏程度,从而提升生活质量。

Objective:To explore the effect of 5A model nursing intervention in postoperative patients with lung adenocarcinoma treated with seretide aerosol.Methods:A total of 58 postoperative patients with lung adenocarcinoma,admitted from June 1,2023 to March 1,2024,were divided into a 5A group and a routine group according to the random number table method,with 29 cases in each group.The patients in both groups were treated with seretide aerosol.The routine perioperative nursing care was given in the routine group,and 5A model nursing intervention was applied in the 5A group.The severity of cough using Leicester Cough Questionnaire in Mandarin-Chinese(LCQ-MC),the disappearance time of cough symptoms,cancer-related fatigue degree(RPFS),coping style(MCMQ)and quality of life(QLICP-LU)were compared between the two groups before and after intervention.Results:After the intervention,the physiological,psychological and social scores in LCQ-MC,the emotional,cognitive,sensory and behavioral fatigue scores in RPFS,and the avoidance and yield scores in MCMQ were lower than those before the intervention in the two groups(P<0.05),and the scores in 5A group were lower than those in the routine group(P<0.05,P<0.01).The disappearance time of cough,expectoration and shortness of breath in the 5A group was shorter than that in the routine group(P<0.05,P<0.01).After the intervention,the score of facing in MCMQ and the scores of physical,psychological,social,common symptoms and side effects,and specific modules in QLICP-LU in the two groups were higher than those before the intervention(P<0.05),and the scores in 5A group was higher than those in the routine group(P<0.05,P<0.01).Conclusion:The application of 5A model nursing intervention in the treatment of lung adenocarcinoma patients with seretide aerosol can alleviate the postoperative cough,reduce the degree of cancer-related fatigue,so as to improve the quality of life of the patients.