过渡期护理计划模式在肝癌肝动脉介入术后患者中的应用效果评价  

Application effect evaluation of transitional nursing plan model in patients with liver cancer after hepatic artery intervention

作　　者：蒋敏兰 蒋敏君 JIANG Minlan;JIANG Minjun(Shanghai Changzheng Hospital,Shanghai,200003,China)

机构地区：[1]上海长征医院肝脏外科,上海市200003

出　　处：《护理实践与研究》2022年第8期1189-1193,共5页Nursing Practice and Research

基　　金：2020年度上海市护理学会科研课题(编号:2020QN-B04)。

摘　　要：目的 探讨过渡期护理计划模式对肝癌肝动脉介入术后患者心理状态、自理能力、生活质量和健康信念的影响。方法 选择2019年4月—2021年4月在医院行肝癌肝动脉介入术治疗的198例患者,对照组术后行常规护理,观察组术后采用过渡期护理计划模式展开护理。分别采用恐惧疾病进展简化量表(FoP-Q-SF)、心理弹性量表简化版(CD-RISC10)、中文版健康促进策略量表(SUPPH)、自我管理能力测定量表(ESCA)、健康信念量表和肝癌生命质量测定量表(QOL-LC)评价两组的心理状态、自理能力、健康信念与生活质量。结果 干预后,观察组的FoP-Q-SF评分低于对照组,CD-RISC10评分高于对照组(P<0.05);干预后,观察组的SUPPH评分、ESCA评分、健康信念量表评分、QOL-LC评分均高于对照组,组间比较差异具有统计学意义(P<0.05)。结论 过渡期护理计划模式可有效改善肝癌肝动脉介入术后患者心理状态、自理能力和健康信念,并且有助于提升其生活质量。Objective To explore the effect of transitional nursing plan mode on the psychological state,self-care ability,quality of life and health belief of patients with liver cancer after hepatic artery intervention.Methods A total of 198 patients who underwent hepatic artery interventional therapy for liver cancer in the hospital from April 2019 to April 2021 were selected.The control group received routine nursing after operation,and the observation group received nursing care in the transitional nursing plan mode after operation.The fear of progression questionnaire-short form(FoP-Q-SF),Connor-Davidson resilience scale(CD-RISC10),Chineseversion strategies used by people to promote health(SUPPH),exercise of self-care agency scale(ESCA),health belief scale,and quality of life for liver cancer(QOL-LC) were used to evaluate the psychological state,self-care ability,health belief and quality of life of the two groups.Results After intervention,the FoP-Q-SF score in the observation group was lower than that in the control group,and the CD-RISC10 score was higher than that in the control group(P<0.05).After intervention,the SUPPH score,ESCA score,health belief scale score,and QOL-LC score in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The transitional nursing plan model can effectively improve the psychological state,self-care ability and health belief of patients with liver cancer after hepatic artery intervention,and help to improve their quality of life.

关 键 词：过渡期护理计划模式 肝癌 肝动脉介入术 护理 自理能力 健康信念 

分 类 号：R473.73[医药卫生—护理学]