基于行为转变理论护理模式对骨肿瘤患者的影响  

Theories of behavior change-based nursing model in patients with bone cancer

作　　者：刘艳新 陈建 LIU Yan-xin;CHEN Jian(The Third Department of Orthopedics, Chinese PLA Affiliated 174 Hospital, Xiamen 361003, China;Department of Orthopedies,Xiamen University Affiliated Zhongshan Hospital, Xiamen 361005, China)

机构地区：[1]中国人民解放军第一七四医院骨三科,厦门361003 [2]厦门大学附属中山医院骨科,厦门361005

出　　处：《中国肿瘤临床与康复》2018年第5期624-627,共4页Chinese Journal of Clinical Oncology and Rehabilitation

基　　金：福建省医学创新课题资助计划(2012-CXB-32)

摘　　要：目的探讨基于行为转变理论护理模式对骨肿瘤患者希望水平、应对模式及生活质量的影响。方法选取2012年1月至2017年1月间中国人民解放军第一七四医院收治的70例骨肿瘤患者,按随机数表法分为观察组和对照组,每组35例。观察组患者采用基于行为转变理论护理模式,对照组患者住院期间采用常规护理方法。于患者出院时采用Herth希望量表对两组患者的希望水平进行评分比较,采用医学应对方式调查表(MCMQ)对患者应对模式进行评分调查,采用卡氏评分量表(KPS)对患者的生活质量进行评分比较。结果干预前两组患者的希望水平评分比较,差异无统计学意义,干预后观察组评分高于对照组,组间比较,差异有统计学意义(P<0.05)。护理前两组患者的MCMQ等级间比较,差异无统计学意义(P>0.05),护理干预后观察组"面对"患者数显著多于对照组,"回避"和"屈服"患者数显著低于对照组,组间比较,差异有统计学意义(P<0.05)。护理前两组患者的KPS评分比较,差异无统计学意义,护理干预后观察组KPS评分显著高于对照组,组间比较,差异有统计学意义(P<0.05)。结论对骨肿瘤患者实施基于行为转变理论护理模式干预的临床疗效显著,可提高患者的希望水平,改善患者应对方法,提高患者的生活质量。Objective To investigate the theories of behavior change-based nursing model on the hope levels. Methods Seventy patients with bone cancer treated at Chinese PLA Affiliated 174 Hospital from January 2012 to January 2017 were selected as the subjects. They were divided into an observation group and a control group according to the random number table with 35 patients in each group. The observation group received theories of behavior change-based nursing and the patients in the control group were given routine nursing care. Herth hope scale was used to assess hope levels in the two groups. MCMQ was used to investigate the coping style. Karnofsky performance status（KPS） was used to investigate the quality of life. Results Before nursing,there was no significant difference in hope levels between the two groups and after nursing hope levels were higher in the observation group than in the control group（P〈0. 05）.Before nursing,there was no significant difference in MCMQ level between the two groups and after nursing the number of patients who were willing to ＂face＂the disease was significantly higher in the observation group than in the control group and the number of patients with ＂avoidance＂and ＂surrender＂was significantly lower in the observation group than in the control group. Before nursing,there was no significant difference in KPS score and after nursing KPS score was significantly higher in the observation group than in the control group（P〈0. 05）. Conclusion For patients with bone cancer,nursing intervention based on the theories of behavior change can significantly improve patients＇ hope level,coping ways and quality of life of patients,which can be further applied.

关 键 词：行为转变理论 骨肿瘤 希望水平 应对模式 生活质量 

分 类 号：R738.1[医药卫生—肿瘤]