共享决策理念支持下护患互动干预在胃癌术后化疗患者中的应用  

Application of Nurse-patient Interaction Intervention Supported by Shared Decision-making Concept in Postoperative Chemotherapy Nursing of Gastric Cancer

作　　者：李佩佩 左丹丹 骆赟飞 Li Peipei;Zuo Dandan;Luo Yunfei(Shanghai Oriental Hospital,Shanghai 200120,China)

机构地区：[1]上海市东方医院,上海市200120

出　　处：《齐鲁护理杂志》2023年第6期9-12,共4页Journal of Qilu Nursing

摘　　要：目的:探讨共享决策理念支持下护患互动干预在胃癌术后化疗患者中的应用效果。方法:以2020年7月1日~12月31日在上海市东方医院接受术后化疗的70例胃癌患者为研究对象,按住院号借助随机数字表法分为观察组和对照组各35例;对照组接受常规胃癌术后化疗护理干预,观察组接受共享决策理念支持下护患互动干预。观察两组社会支持[采用社会支持评定表(SSRS)]、心理痛苦[采用心理痛苦管理筛查工具(DMSM)]、化疗依从性(化疗依从性量表)、睡眠质量[采用匹兹堡睡眠质量指数(PSQI)]、营养状态[采用病人自评主观评定量表(PG-SGA)]、生活质量[采用中文版胃癌患者生活质量调查问卷(QLQ-STO22)]、化疗期间严重不良反应等情况。结果:护理后,两组SSRS得分均高于护理前(P<0.05),且观察组高于对照组(P<0.01);观察组心理痛苦阳性率低于对照组(P<0.05);护理后,两组DMSM、PSQI得分及QLQ-STO22除外观因子外各维度得分、总分均低于护理前(P<0.05),且观察组低于对照组(P<0.05,P<0.01);护理后,观察组PG-SGA得分低于护理前(P<0.05),且低于对照组(P<0.05);观察组化疗依从性高于对照组(P<0.05);化疗期间,两组严重不良反应发生率比较差异无统计学意义(P>0.05)。结论:共享决策理念支持下护患互动干预在胃癌术后化疗护理中的应用效果较好,能通过给予患者社会支持减轻其心理痛苦,通过提高其化疗依从性改善睡眠质量和营养状态,提升患者生活质量。Objective:To explore the application effect of nurse-patient interaction intervention under shared decision-making concept support on postoperative chemotherapy nursing of gastric cancer.Methods:A total of 70 patients with gastric cancer who received postoperative chemotherapy in Shanghai Oriental Hospital during July 1 to December 31,2020 were selected as the research subjects,and they were divided into the observation group and the control group according to the admission number and random number table method with 35 cases in each group.The control group received conventional postoperative chemotherapy nursing for gastric cancer,while the observation group was given nursing-patient interaction intervention nursing under the support of shared decision-making concept.The social support by SSRS,psychological distress by DMSM,chemotherapy compliance,sleep quality by PSQI,nutritional status by PG-SGA,quality of life by QLQ-STO22 and serious adverse reactions during chemotherapy were observed in the two groups.Results:After nursing,the SSRS scotrs in both groups were higher than those before nursing(P<0.05),and higher in the observation group than those in the control group(P<0.01).The positive rate of psychological distress in the observation group was lower than that in the control group(P<0.05).The DMSM,PSQI,QLQ-STO22 and scores of dimensions except appearance factor and total scores in both groups were lower than those before nursing(P<0.05),and lower in the observation group than those in the control group(P<0.05,P<0.01).After nursing,the PG-SGA in the observation group were lower than those before nursing(P<0.05),and lower in the observation group than those in the control group(P<0.05).The chemotherapy compliance was higher in the observation group than that in the control group(P<0.05).During chemotherapy,there were no statistical differences in serious adverse reactions between the two groups(P>0.05).Conclusion:Nursing-patient interaction intervention supported by shared decision-making concept has good appl

关 键 词：胃癌 化疗 共享决策 护患互动 癌症护理 

分 类 号：R473.73[医药卫生—护理学]