| 叶佳乐 施雪霏.基于危机护理理论的干预模式对非小细胞肺癌患者进行干预对自我效能感和预后影响[J].中国现代医生,2021,59(21):173-176 |
| 基于危机护理理论的干预模式对非小细胞肺癌患者进行干预对自我效能感和预后影响 |
| Effect of intervention model based on crisis nursing theory on self-efficacy and prognosis in patients with non-small cell lung cancer |
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| DOI： |
| 中文关键词: 非小细胞肺癌 危机护理理论 自我效能感 预后 |
| 英文关键词:Non-small cell lung cancer Crisis nursing theory Self-efficacy Prognosis |
| 基金项目:国家自然科学基金项目（81602003） |
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| 中文摘要: |
| 目的 探讨基于危机护理理论对非小细胞肺癌患者进行干预对自我效能感和预后影响。方法 选取我院2019 年1 月至2020 年1 月收治的非小细胞肺癌患者60例，采用数字表抽取法随机分组，就应用常规护理干预模式（对照组，n=30）与应用基于危机护理理论的干预模式（观察组，n=30）治疗依从率、心理状况评分、自我效能感评分、社会支持及简短癌因性疲乏量表评分、不良事件率展开对比。结果 观察组患者治疗依从率为100.00%，明显高于对照组的80.00%，差异有统计学意义（P＜0.05）。干预前，两组心理状况评分、自我效能感评分、社会支持及简短癌因疲乏量表评分比较，差异无统计学意义（P＞0.05）；干预后，心理状况评分均有降低，自我效能感评分、社会支持评分均有升高，癌因性疲乏评分均有降低，且观察组更为显著，差异有统计学意义（P＜0.05）。观察组压疮、皮肤受损等不良事件发生率低于对照组，差异有统计学意义（P＜0.05）。结论 非小细胞肺癌患者运用基于危机护理理论的干预模式，可提升治疗依从率，改善心理状况，增强自我效能感和社会支持力度，减轻癌因性疲乏程度，降低并发症率，开展价值显著。 |
| 英文摘要: |
| Objective To explore the effect of intervention based on crisis nursing theory on self-efficacy and prognosis in patients with non-small cell lung cancer.Methods Sixty patients with non-small cell lung cancer who were admitted to our hospital from January 2019 to January 2020 were selected.Patients were randomly grouped using the number table extraction method and were treated with routine nursing intervention model (control group,n=30) and intervention model base on crisis nursing theory (observation group,n=30).The rate of adverse events,psychological status score,self-efficacy score,social support score and short cancer-related fatigue score were compared between the two groups.Results The treatment compliance rate of the observation group was assessed as 100.00%,and that of the control group was assessed as 80.00%,with statistically significant difference (P＜0.05).The psychological status scores,self-efficacy scores,social support scores,and short cancer-related fatigue scale scores were not different between the two groups before intervention (P＞0.05).The psychological status scores and the cancer-related fatigue scores were reduced,and the self-efficacy scores and social support scores were increased in both groups after intervention.The changes of the scores of the observation group were more obvious than those of the control group,with statistically significant differences(P＜0.05).The rate of adverse events,such as pressure sores and skin damage,in the observation group was evaluated to be lower than that in the control group,with statistically significant difference (P＜0.05).Conclusion The intervention model based on crisis nursing theory can improve the treatment compliance rate,psychological status,self-efficacy and social support,and reduce cancer-related fatigue and complication rate in patients with non-small cell lung cancer.It has significant value of application. |
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