六步癌症告知模型在年轻宫颈癌患者病情告知中的应用  

Application of six step cancer notification model in the condition notification of young cervical cancer patients

作　　者：王华玲[1] 李梅香[1] 万小兰 WANG Hua-ling;LI Mei-xiang;WAN Xiao-lan(Jiangxi Cancer Hospital,Nanchang330000,China)

机构地区：[1]江西省肿瘤医院,江西南昌330000

出　　处：《中国当代医药》2020年第31期93-95,99,共4页China Modern Medicine

基　　金：江西省卫健委科技立项项目(20204557)。

摘　　要：目的探讨六步癌症告知模型在年轻宫颈癌患者病情告知中的应用效果。方法选择2019年5~9月我院收治的66例宫颈癌患者作为研究对象,按照随机数字表法将其分为两组,每组各33例。对照组患者采用常规癌症告知方式,试验组患者采用六步癌症告知模型。比较两组患者首次病情告知后2 d的希望水平[Herth希望量表(HHI)、心理负担(自我报告数字量表)]、生活质量[生活质量综合评定量表(GQOLI-74)]及照顾者生活质量[照顾者生活质量调查表(CQOL)]评分。结果试验组患者病情告知2 d后HHI评分为(34.67±3.24)分,自我报告数字量表评分(6.54±1.25)分,均分别高于对照组的(28.54±3.21)、(5.23±1.02)分,差异有统计学意义(P<0.05)。试验组患者的GQOLI-74躯体功能评分为(53.67±5.33)分,心理功能评分为(50.58±4.89)分,社会功能评分为(51.54±5.35)分,物质生活评分为(51.94±5.69)分,均分别高于对照组的(48.56±5.30)、(42.53±4.31)、(43.67±5.32)、(42.59±5.26)分,差异有统计学意义(P<0.05)。试验组照顾者的CQOL躯体状况评分为(67.72±6.11)分,心理状态评分为(60.27±5.31)分,社会功能评分为(62.46±6.14)分,精神状况评分为(67.83±6.11)分,均分别高于对照组的(48.52±5.32)、(45.64±5.28)、(46.83±5.10)、(53.67±5.84)分,差异有统计学意义(P<0.05)。结论采用六步癌症告知模型告知年轻宫颈癌患者病情,能够提高其生存希望指数,减轻心理负担,提高患者及其照顾者的生活质量。Objective To explore the application effect of six step cancer notification model in the condition notification of young cervical cancer patients.Methods A total of 66 patients with cervical cancer admitted to our hospital from May to September 2019 were selected as the research objects and divided into two groups according to the random number table method,33 cases in each group.The control group used conventional cancer notification,and the experimental group used six step cancer notification model.The hope levels(Herth hope index[HHI],psychological burden[self-report numeric scale]),quality of life(generic quality of life inventory-74[GQOLI-74])of patients and life quality(caregiver quality of life[CQOL])of caregivers were compared after 2 days of condition notification in the two groups.Results The HHI score of the patients in the experimental group was(34.67±3.24)points,and the self-report numeric scale score was(6.54±1.25)points after 2 days of condition notification,which were higher than those in the control group for(28.54±3.21)and(5.23±1.02)points respectively,the differences were statistically significant(P<0.05).The GQOLI-74 physical function score of the patients in the experimental group was(53.67±5.33)points,the psychological function score was(50.58±4.89)points,the social function score was(51.54±5.35)points,and the material life score was(51.94±5.69)points,which were higher than the(48.56±5.30),(42.53±4.31),(43.67±5.32),(42.59±5.26)points in the control group respectively,the differences were statistically significant(P<0.05).The CQOL physical condition score of the caregivers in the experimental group was(67.72±6.11)points,the mental state score was(60.27±5.31)points,the social function score was(62.46±6.14)points,and the mental status score was(67.83±6.11)points,which were higher than those in the control group for(48.52±5.32),(45.64±5.28),(46.83±5.10),(53.67±5.84)points respectively,the differences were statistically significant(P<0.05).Conclusion Using the six step cancer

关 键 词：宫颈癌 六步癌症告知模型 病情告知 希望水平 生活质量 

分 类 号：R735[医药卫生—肿瘤]