基于奥马哈系统的护理对肺癌患者化疗间歇期家庭自我护理效能的影响  

Effect of Omaha System-Based Nursing on the Efficacy of Family Self-care in Patients with Lung Cancer During the Interval of Chemotherapy

作　　者：刘媛 李伟明 LIU Yuan;LI Weiming(Department of Oncology,Mianchi County People’s Hospital,Sanmenxia 472400,China;Department of Oncology,Sanmenxia Central Hospital,Sanmenxia 472000,China)

机构地区：[1]渑池县人民医院肿瘤科,河南三门峡472400 [2]三门峡市中心医院肿瘤内科,河南三门峡472000

出　　处：《河南医学研究》2022年第6期1137-1141,共5页Henan Medical Research

摘　　要：目的探讨基于奥马哈系统的护理对肺癌患者化疗间歇期家庭自我护理效能的影响,并分析其影响因素。方法选取2019年1月至2020年12月在渑池县人民医院诊治的98例肺癌患者,均接受基于奥马哈系统的护理。采用中文版癌症自我管理效能感量表(C-SUPPH)评估自我护理效能,按照C-SUPPH评分将患者分为低自我效能组(CSUPPH≤65分,52例)和高自我效能组(C-SUPPH评分>65分,46例),分析肺癌患者化疗间歇期家庭自我护理效能低的影响因素,并采用二元logistic回归分析其危险因素。结果护理后肺癌患者正性态度评分、自我减压评分、自我决策评分、C-SUPPH总分均升高(P<0.05)。单因素分析结果显示,性别、年龄、婚姻状况、化疗次数、家庭月收入、社会支持评定量表(SSRS)评分、健康状况调查简表(SF-36)评分、记忆症状评估量表(MSAS)评分是肺癌患者化疗间歇期家庭自我护理效能低的影响因素(P<0.05)。多因素二元logistic分析结果显示,年龄≥60岁、化疗次数≥6次、高MSAS评分是肺癌患者化疗间歇期家庭自我护理效能低的危险因素(P<0.05)。结论基于奥马哈系统的护理可提高肺癌患者化疗间歇期家庭自我护理效能,年龄≥60岁、化疗次数≥6次、高MSAS评分是肺癌患者化疗间歇期家庭自我护理效能低的危险因素。因此,需对患者的临床指标进行充分评估,采取相应的干预措施以提高患者的家庭自我护理效能。Objective To explore the effect of Omaha system-based nursing on the efficacy of family self-care in the intermittent period of chemotherapy for lung cancer patients,and to analyze its influencing factors.Methods A total of 98 lung cancer patients diagnosed and treated in Mianchi County People’s Hospital from January 2019 to December 2020 were selected and all were given Omaha system-based nursing.The Chinese version of the cancer self-management efficacy scale(C-SUPPH)was used to evaluate self-care efficacy.According to the C-SUPPH score,the patients were divided into 52 cases in the low self-efficacy group(C-SUPPH≤65 points)and 46 cases in the high self-efficacy group(C-SUPPH score>65 points).The influencing factors of low family self-care efficacy in the intemittent period of chemotherapy in lung cancer patients were analyzed.The risk factors were analyzed by binary logistic regression.Results After nursing,the positive attitude score,self-decompression score,self-decision score,and C-SUPPH total score of lung cancer patients were increased(P<0.05).The results of univariate analysis showed that gender,age,marital status,number of chemotherapy,monthly family income,social support rating scale(SSRS)score,the MOS 36 item short form health survey(SF-36)score,memorial symptom assessment scale(MSAS)score were influencing factors of low family self-care efficiency in patients with lung cancer during the intermittent period of chemotherapy(P<0.05).The results of multivariate binary logistic analysis showed that age≥60 yeas,number of chemotherapy≥6 times and high MSAS score are risk factors for low family self-care efficacy in the intermittent chemotherapy period for lung cancer patients(P<0.05).Conclusion The application of Omaha system-based nursing to lung cancer patients during the intermittent period of chemotherapy can improve the home self-care efficacy.Age≥60 years,chemotherapy numbers≥6 times and high MSAS score are the low home self-care efficacy of lung cancer patients during the intermittent che

关 键 词：奥马哈系统 肺癌 化疗间歇期 家庭自我护理效能 影响因素 

分 类 号：R473.73[医药卫生—护理学]