慢性病自我管理项目在胃癌生物免疫治疗患者中的应用  

Application of self-management of chronic disease program in gastric cancer patients with biological immune therapy

作　　者：明月 杨茂君 

机构地区：[1]郑州大学附属肿瘤医院生物治疗二病区,450008 [2]郑州大学附属肿瘤医院生物治疗一病区,450008

出　　处：《中华现代护理杂志》2015年第8期885-888,共4页Chinese Journal of Modern Nursing

摘　　要：目的：研究慢性病自我管理项目（CDSMP）在胃癌生物免疫治疗患者中的应用效果。方法选取2011年3月—2014年3月进行生物免疫治疗的126例胃癌患者作为研究对象,按照随机数字表法随机分为研究组和对照组,每组各63例。研究组患者实施 CDSMP,对照组由护士进行常规护理。比较两组患者干预后自我效能、疾病症状自我管理、健康状况自评和并发症发生率的差异。结果干预后研究组患者自我效能得分为（18.52±3.21）分,高于对照组的（13.46±5.43）分,差异有统计学意义（t =2.351,P＜0.05）。研究组患者认知症状管理、运动与锻炼、医患沟通、治疗依从度得分分别为（4.57±1.23）分,（428.57±28.15）min,（4.85±0.58）分,（4.64±1.56）分,均高于对照组,差异有统计学意义（t 值分别为2.056,2.379,2.114,2.009；P＜0.05）。研究组患者整体健康自评、精力指标、健康担忧及疲乏感得分分别为（4.73±2.18）,（4.57±1.36）,（4.85±0.58）,（4.64±1.56）分,均高于对照组,差异有统计学意义（t 值分别为2.533,2.552,2.602,2.499；P＜0.05）。两组患者梗阻、出血及穿孔的发生率比较,差异无统计学意义（P＞0.05）。结论慢性病自我管理项目对胃癌生物免疫治疗患者病情的缓解与康复具有明显的促进作用。Objective To investigate the application effects of self-management of chronic disease program （CDSMP） in gastric cancer patients with biological immune therapy. Methods Totals of 126 gastric cancer patients with biological immune therapy were selected and randomly divided into experimental group and control group, with 63 cases in each. Patients in the experimental group were carried out the CDSMP, while patients in the control group were implemented the routine care by nurses. Subsequently, the self-efficacy, symptoms of the disease management, health status and the incidence of complications were analyzed and compared in the two groups. Results After the treatment, the score of self-efficacy of the experimental group was （18. 52 ± 3. 21）, which was significantly higher than that of （13. 46 ± 5. 43） in the control group （t =2. 351, P 〈 0. 05）. The scores of management of disease symptoms, doctor patient communication, treatment adherence of the experimental group were （4. 57 ± 1. 23）, （4. 85 ± 0. 58） and （4. 64 ± 1. 56）, which were significantly higher than those of the control group （t =2.056,2.114,2.009, respectively;P〈0. 05）. The scores of overall health self-assessment, vigor indicates, health anxiety and fatigue of the experimental group were （4. 73 ± 2. 18）, （4.57 ±1.36）, （4.85 ±0.58） and （4.64 ±1.56）, which were significantly higher than those of the control group （t =2.533,2. 552,2. 602,2. 499, respectively;P 〈 0. 05）. Additionally, the incidence of complications was similar and the difference was not statistically significant （P 〉 0.05）. Conclusions DSMP could promote the relief and rehabilitation of gastric cancer patients with biological immune therapy.

关 键 词：胃肿瘤 慢性病 健康状况 自我管理 生物免疫治疗 

分 类 号：R473.73[医药卫生—护理学]