结构式家庭疗法的随访管理对直肠癌放化疗患者的影响  

Effect of follow-up Management of structured Family Therapy on Patients with rectal Cancer undergoing Radiotherapy and Chemotherapy

作　　者：周立业[1] ZHOU Liye(Department of Gastroenterology and anorectal Surgery,Zhengzhou Third People's Hospital,Zhengzhou Henan 450000,China)

机构地区：[1]郑州市第三人民医院胃肠肿瘤肛肠外科,河南郑州450000

出　　处：《临床研究》2022年第7期177-179,共3页Clinical Research

摘　　要：目的分析结构式家庭疗法的随访管理对直肠癌放化疗患者的影响。方法选取郑州市第三人民医院2018年4月至2020年9月直肠癌放化疗患者72例,以随机数字表法分为两组,各36例。对照组实施常规随访管理,观察组实施结构式家庭疗法的随访管理,比较两组遵医行为、护理满意度及干预前后心理状态(SAS、SDS)、癌因性疲乏。结果干预后两组SAS、SDS评分均较干预前低,且观察组较对照组低,差异有统计学意义(P<0.05);观察组遵医行为率91.67%(33/36)高于对照组72.22%(26/36),差异有统计学意义(P<0.05);干预后两组情感疲乏、躯体疲乏、认知疲乏评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论结构式家庭疗法的随访管理应用于直肠癌放化疗患者,可调节心理状态,降低癌因性疲乏程度,增强遵医行为,提高护理满意度。Objective To analyze the effect of follow-up management of structured family therapy on rectal cancer patients undergoing radiotherapy and chemotherapy.Methods A total of 72 patients with rectal cancer undergoing radiotherapy and chemotherapy in Zhengzhou Third People's Hospital from April 2018 to September 2020 were randomly divided into two groups,36 cases in each group.The control group received routine follow-up management,while the observation group received structured family therapy.The compliance behavior,nursing satisfaction,psychological status(SAS,SDS)and cancer-related fatigue before and after intervention were compared between the two groups.Results After the intervention,the SAS and SDS scores of the two groups were lower than those before the intervention,and the scores of the observation group were lower than those of the control group(P<0.05);The compliance rate in the observation group was 91.67%(33/36)higher than that in the control group(72.22%(26/36),and the difference was statistically significant(P<0.05);After the intervention,the scores of emotional fatigue,physical fatigue and cognitive fatigue in the two groups were lower than those before the intervention,and the scores in the observation group were lower than those in the control group(P<0.05);The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion The application of structured family therapy in the follow-up management of patients with rectal cancer undergoing radiotherapy and chemotherapy can adjust their psychological state,reduce the degree of cancer-related fatigue,enhance their compliance behavior and improve their nursing satisfaction.

关 键 词：直肠癌 放化疗 随访管理 结构式家庭疗法 

分 类 号：R473.2[医药卫生—护理学]