六步癌症告知模型在肺癌护理中的应用  

Application of six-step cancer notification model in lung cancer nursing

作　　者：李春霞[1] 孙莉莉[2] 熊瑛[3] 李治仝[1] 王洋[1] Li Chunxia;Sun Lili;Xiong Ying;Li Zhitong;Wang Yang(The Third District,Department of Intervention,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of General Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Oncology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院介入三病区,郑州450000 [2]郑州大学第一附属医院综合医学部,郑州450000 [3]郑州大学第一附属医院肿瘤科,郑州450000

出　　处：《中华现代护理杂志》2020年第8期1044-1048,共5页Chinese Journal of Modern Nursing

摘　　要：目的:研究六步癌症告知模型(SPIKES)在肺癌护理中的应用价值。方法:采用便利抽样法,选取郑州大学第一附属医院2017年6月—2018年6月收治的42例肺癌患者为对照组;2018年7月—2019年7月收治的42例肺癌患者为观察组。对照组实施常规护理,观察组在对照组基础上以SPIKES对患者进行护理。采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、Herth希望量表(HHI)和癌症患者生命质量测定量表(QLQ-C30)比较两组患者干预效果。结果:出院时,观察组患者HAMA(13.84±3.04)、HAMD(15.87±2.11)分,均低于对照组,差异有统计学意义(t值分别为5.079、7.232;P<0.05)。出院时观察组患者HHI总分(34.53±9.25)分,QLQ-C30量表整体生活质量评分(7.24±2.61)分,均高于对照组,差异有统计学意义(t值分别为5.550、3.641;P<0.05)。结论:开展SPIKES对肺癌患者护理能够缓解患者负性情绪,提高患者希望指数及生活质量,具有较高的临床应用价值。Objective To study the application value of six-step cancer notification model(setting,patient's perception,invitation,knowledge,exploring/empathy,strategy/summary,SPIKES)in lung cancer nursing.Methods The convenience sampling method was used.Forty-two lung cancer patients admitted to the First Affiliated Hospital of Zhengzhou University from June 2017 to June 2018 were selected as control group,and 42 lung cancer patients admitted from July 2018 to July 2019 were selected as observation group.The control group underwent routine nursing,and the observation group underwent SPIKES on the basis of the control group.Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),Herth Hope Index(HHI)and Quality of Life Questionnaire-Core30(QLQ-C30)were used to compare the intervention effect between the two groups.Results At discharge,the scores of HAMA(13.84±3.04)and HAMD(15.87±2.11)in the observation group were lower than those in the control group,and the differences were statistically significant(t=5.079,7.232;P<0.05).At discharge,the total HHI score of the observation group(34.53±9.25)and the QLQ-C30 score(7.24±2.61)were higher than those in the control group,and the differences were statistically significant(t=5.550,3.641;P<0.05).Conclusions Carrying out SPIKES for lung cancer patients can alleviate the negative emotions of patients,improve the hope index and quality of life,which has high clinical application value.

关 键 词：肺肿瘤 六步癌症告知模型 负性情绪 生活质量 

分 类 号：R473[医药卫生—护理学]