基于知信行理论模式的姑息护理关怀管理对晚期结直肠癌化疗患者的影响  

Effect of palliative care management based on the theory of Knowledge-attitude-practic in the treatment of patients with advanced colorectal cancer chemotherapy

作　　者：戴敏智 夏丽敏[1] 左志贵[1] 吴祥斌[1] 叶琼瑶 DAI Minzhi;XIA Limin;ZUO Zhigui;WU Xiangbin;YE Qiongyao(Department of Colorectal and Anal Surgery,the First Affiliated Hospital of Wenzhou Medical University,Zhejiang Province,Wenzhou325000,China)

机构地区：[1]温州医科大学附属第一医院结直肠肛门外科

出　　处：《中国医药导报》2020年第1期179-182,共4页China Medical Herald

基　　金：浙江省自然科学基金资助项目（LY17H160056）

摘　　要：目的探讨基于知信行理论模式的姑息护理关怀在改善结直肠癌患者化疗期间疼痛程度、负性情绪的影响。方法选择2017年3月~2019年3月温州医科大学附属第一医院就诊的晚期结直肠癌化疗患者96例纳入研究,依据随机数字表法将其分为干预组和对照组,每组各48例。对照组患者化疗期间给予常规护理,干预组患者给予基于知信行理论模式的姑息护理关怀管理。比较两组患者在化疗期间的疼痛程度、负性情绪、营养水平。结果护理30 d后,两组患者疼痛视觉模拟评分量表评分、数字分级法评估量表评分均明显降低,且干预组低于对照组(P <0.05);两组患者护理30 d后的焦虑自评量表、抑郁自评量表评分降低,且干预组低于对照组(P <0.05);护理30 d后,两组患者血清总蛋白、白蛋白、转铁蛋白含量上升,且干预组高于对照组(P <0.05)。结论基于知信行理论模式的姑息护理关怀能缓解结直肠癌患者化疗期间疼痛感,改善患者负性情绪及营养水平,提高患者生存质量,值得推广。Objective To investigate the effect of palliative care based on the theory of Knowledge-attitude-practic on the improvement of pain degree and negative emotion in patients with colorectal cancer during chemotherapy. Methods Ninety-six patients with advanced colorectal cancer receiving chemotherapy from the First Affiliated Hospital of Wenzhou Medical University from March 2017 to March 2019 were selected for inclusion in the study. According to the random number table method, they were divided into the intervention group and control group, with 48 cases in each group. The patients in the control group were received routine care during chemotherapy, Patients in the intervention group were given palliative care care management based on the theoretical model of Knowledge-attitude-practic. The pain level, negative mood and nutrition level of patients in the two groups during chemotherapy were compared. Results After nursing for 30 d, visual analogue scale score and digital grading scale score of the two groups of patients were significantly reduced, and the intervention group was lower than the control group(P < 0.05). After 30 d of nursing care, the anxiety self-rating scale and depression self-rating scale scores of patients in the two groups were decreased,and the intervention group was lower than the control group(P < 0.05). After nursing for 30 d, the contents of total serum protein, albumin and transferrin in the two groups increased, and the contents in the intervention group were higher than those in the control group(P < 0.05). Conclusion Palliative care based on the theory of Knowledge-attitude-practic can alleviate the pain of colorectal cancer patients during chemotherapy, improve the patients′ negative mood and nutrition level, and improve the quality of life of patients, which is worthy of promotion.

关 键 词：知信行理论模式 姑息护理关怀 结直肠癌 化疗期间 疼痛程度 

分 类 号：R735.3[医药卫生—肿瘤]