计划行为理论联合贝伐单抗对脑胶质瘤患者健康行为、精神适应及睡眠质量的影响  

Effects of Planned Behavior Theory Combined with Bevacizumab in the Treatment of Brain Glioma Patients of Health Behavior,Mental Adaptation and Sleep Quality

作　　者：王业静 刘怀垒[2] WANG Ye-jing;LIU Huai-lei(Operating Room,Outpatient Center;Dept. of Neurosurgery,The 1st Affiliated Hospital of HarbinMedical University Harbin,Harbin Heilongjiang 150001,China)

机构地区：[1]哈尔滨医科大学附属第一医院门诊中心手术室,黑龙江哈尔滨150001 [2]哈尔滨医科大学附属第一医院神经外科,黑龙江哈尔滨150001

出　　处：《昆明医科大学学报》2019年第8期52-56,共5页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(81402061)

摘　　要：目的探究与分析计划行为理论联合贝伐单抗治疗对脑胶质瘤患者的健康行为、癌症精神适应及睡眠质量的影响。方法选取哈尔滨医科大学附属第一医院自2015 年7 月至2018 年7 月收治的88 例接受贝伐单抗治疗的脑胶质瘤患者,采取随机数字表法分为对照组与观察组,n = 44 例,对照组按照患者个体病情给予贝伐单抗治疗,观察组在对照组基础上加用计划行为理论医学干预,对比2 组患者干预前后健康行为、精神适应及睡眠质量评分,同时评价患者对治疗的满意度。结果2 组患者干预后与干预前相比营养、睡眠/休息、身体活动、自我照顾、健康照顾的督导、药物治疗方案及总分均升高(P< 0.05),2 组患者干预后与干预前相比无助/无望、焦虑、积极态度及总分均降低(P< 0.05),2 组干预后与干预前相比睡眠时间、睡眠障碍、入睡时间、睡眠效率、日间功能、安眠药物评分均较低,观察组干预后与对照组干预相比上述评分更低,差异具有统计学意义(P<0.05)。观察组与对照组相比医疗工作人员对患者关怀与照顾、医疗工作人员的干预技术、医疗工作人员的服务态度、医疗工作人员愿意倾听患者的诉说、医疗工作人员与患者的沟通时间、医疗工作人员提供专业的康复干预知识及患者对于医疗工作人员的整体满意度的评分较高,差异具有统计学意义(P< 0.05)。结论计划行为理论配合贝伐单抗治疗脑胶质瘤患者能够有效的促进健康行为,提高精神适应性,同时促进改善了睡眠质量,易于被患者接受认可。Objective To explore and analyze the effects of planned behavior theory medicine combined with bevacizumab on the treatment of brain glioma patients in the treatment of health behavior, mental adaptation to cancer and sleep quality.Methods 88 patients with glioma treated with bevacizumab from July 2015 to July 2018 in the First Affiliated Hospital of Harbin Medical University were selected. Random number table method was used to divide the patients into control group and observation group,n = 44 cases. The patients in the control group were treated with bevacizumab according to their individual condition. The patients in the observation group were treated with planned behavior theory based on medical intervention. The scores of health behavior, mental adaptation and sleep quality before and after intervention were compared between the two groups,and the patients' satisfaction with treatment was evaluated. Results Nutrition, sleep/rest, physical activity, self-care,health care supervision, drug treatment plan and total score were increased after intervention (P< 0.05). After intervention, the scores of helplessness/hopelessness, anxiety, positive attitude and total score in both groups were lower than those before intervention (P< 0.05).Scores of sleep time,sleep disturbance, sleep time, sleep efficiency, daytime function, and sleeping drug were compared before and after intervention, and all scores decreased. The scores were lower in the observation group than in the control group, and the differences were statistically significant (P< 0.05). Observation group had higher scores of care from the medical staff, health workers/skills of intervention, service attitude of medical staff and medical staff's willingness to listen to the patient complaint, time of communication between the medical staff and patients, professional knowledge of rehabilitation intervention provided by medical staff, and patients overall satisfaction, compared with the control group. And they were statistically significant (P< 0.05). Conclusi

关 键 词：计划行为理论 贝伐单抗 脑胶质瘤 

分 类 号：R471[医药卫生—护理学]