基于MOATT工具的护理干预在肺癌化疗患者中的应用效果研究  

Effects of MOATT based nursing intervention in lung cancer patients with chemotherapy

作　　者：杨靖[1] 顾月[2] 梁燕 Yang Jing;Gu Yue;Liang Yan(The Third Department of Radiotherapy,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院放疗三科,郑州450052 [2]郑州大学第一附属医院郑东院区心外科,郑州450052 [3]郑州大学第一附属医院河医院区心血管外三科,郑州450052

出　　处：《中华现代护理杂志》2020年第12期1630-1634,共5页Chinese Journal of Modern Nursing

摘　　要：目的观察基于口服抗肿瘤药物患者健康教育工具(MOATT)的护理干预对肺癌患者化疗症状群严重程度和症状对生活干扰程度的改善效果。方法采取便利抽样法,选取2018年1月-2019年1月于郑州大学第一附属医院进行口服化疗药物治疗的原发性肺癌患者144例,随机分为常规干预组(n=70)和MOATT干预组(n=74)。常规干预组进行常规门诊干预,MOATT干预组在常规干预的基础上,由经过培训合格的医护人员根据MOATT教育工具对患者进行门诊干预,包括关键评估问题、口服药物前的一般教育、药物特殊教育和评价。于入组时和干预6个月时,采用安德森症状评估表(MDASI)评估两组患者化疗症状严重程度以及症状对生活的干扰程度。结果入组时,两组患者症状严重程度以及对生活的干扰程度评分差异均无统计学意义(P>0.05)。干预6个月时,常规干预组和MOTTA干预组患者化疗症状严重程度均降低,且MOTTA组均低于常规干预组,差异有统计学意义(P<0.05)。与入组时相比,两组患者干预6个月时化疗症状对生活的干扰程度均降低,且MOATT干预组低于常规干预组,差异有统计学意义(P<0.05)。结论基于MOATT工具的护理干预可降低肺癌患者因化疗引起症状的严重程度,改善化疗症状群对生活的干扰程度。Objective To explore the effects of Multinational Association for Supportive Care in Cancer Oral Agent Teaching Tool(MOATT)based nursing intervention on degree of chemotherapy syndrome and its interference to life among lung cancer patients.Methods From January 2018 to January 2019,this study selected 144 primary lung cancer patients with oral chemotherapy drug in the First Affiliated Hospital of Zhengzhou University by convenience sampling.All of patients were randomly divided into routine intervention group(n=70)and MOATT intervention group(n=74).Routine intervention group carried out the routine intervention of outpatient service.On the basis of routine intervention,MOATT intervention group implemented the sutpatient service intervention based on MOATT by trained and qualified medical staff including the key issues assessment,general education before oral drugs,special education and assessment of drug.Chemotherapy syndrome interfere with life of patients were assessed with the M.D.Anderson Symptom Inventory(MDASI)between two groups at baseline and 6 months after intervention.Results At baseline,there was no statistical difference in the degree of chemotherapy syndrome and its interference to life(P>0.05).A total of 6 months after intervention,the degree of chemotherapy symptom of routine intervention group and MOATT intervention group all reduced,and the degree of chemotherapy symptom of MOATT intervention group were lower than those of control group with statistical differences(P<0.05).Compared with those at baseline,interference of chemotherapy syndrome to life of patients between two groups lowered 6 months after intervention,and the interference of MOATT intervention group were lower than those of control group with statistical differences(P<0.05).Conclusions MOATT based nursing intervention can reduce the degree of symptom caused by chemotherapy and improve the interference of chemotherapy syndrome to life in lung cancer patients.

关 键 词：肺肿瘤 MOATT工具 化疗 症状群 干扰 

分 类 号：R473[医药卫生—护理学]