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作 者:孙婷婷 SUN Tingting(Department of Oncology and Hematology,Liaoyang Central Hospital,Liaoyang 111000,China)
机构地区:[1]辽阳市中心医院肿瘤血液科,辽宁辽阳111000
出 处:《中国医药指南》2023年第7期133-135,共3页Guide of China Medicine
基 金:项目名称:阶段性健康认知护理对淋巴瘤患者治疗康复效果及心理弹性的影响(江西省卫生健康委科技计划202140882)。
摘 要:目的将全程分期护理应用于肺癌患者护理中,探讨该护理模式对老年化疗患者希望水平及自我效能指标的影响。方法选取2018年1月至2019年12月就诊于我院的肺部恶性肿瘤患者,共100例患者接受药物化疗,采用随机方法将其分为均等两组,使得观察组及对照组均有50例。对照组采用常规化疗护理,观察组采用全程分期护理,护理时间均为3个月。比较两组心理状况、希望水平、自我效能及生活质量。结果护理3个月后,观察焦虑自评量表(SAS)及抑郁自评量表(SDS)得分低于对照组,差异有统计学意义(P<0.05);观察组Herth希望量表(HHI)得分高于对照组,差异有统计学意义(P<0.05);观察组自我效能(GSES)得分高于对照组,差异有统计学意义(P<0.05);观察组的生活质量(SF-36)得分高于对照组,差异有统计学意义(P<0.05)。结论全程分期护理能够改善老年肺癌化疗患者的心理状况,提高患者希望水平、自我效能感及生活质量,值得推广应用。Objective To observe the effect of whole staged nursing intervention on the hope level and self-efficacy of elderly patients with lung cancer and chemotherapy.Methods From January 2018 to December 2019,100 elderly patients with lung cancer and chemotherapy who were treated in our hospital were selected and divided into two groups according to the random number table method,namely 50 cases in each of the control group and the observation group.The control group was treated with conventional chemotherapy,and the observation group was treated with whole staged nursing,they were all nursed for 3 months,the psychological status,hope level,self-efficacy and quality of life of the two groups were compared.Results After 3 months of nursing,the scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)in the observation group were lower than those in the control group,there was a statistical significant difference(P<0.05);the Herth Hope Scale(HHI)score of the observation group was higher than that of the control group there was a statistical significant difference(P<0.05);the score of General Self-Efficacy Scale(GSES)in the observation group was higher than that in the control group,there was a statistical significant difference(P<0.05);the Short Form 36 Questionnaire(SF-36)score of the observation group was higher than that of the control group,there was a statistical significant difference(P<0.05).Conclusion The whole staged nursing can improve the psychological status,hope level,self-efficacy and quality of life of elderly patients with lung cancer and chemotherapy,and which is worthy of popularization and application.
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