以故事理论为基础的护理模式在肺癌化疗患者中的应用效果  

Application effects of story theory-based nursing model in patients with lung cancer undergoing chemotherapy

作　　者：孙静[1] SUN Jing(1^(st)Department of Oncology of Shangqiu First People’s Hospital,Shangqiu 476100 Henan,China)

机构地区：[1]商丘市第一人民医院肿瘤一科,河南商丘476100

出　　处：《中国民康医学》2023年第7期180-182,186,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察以故事理论为基础的护理模式在肺癌化疗患者中的应用效果。方法:选取2018年7月至2022年7月该院收治的115例非小细胞肺癌(NSCLC)化疗患者进行前瞻性研究,按照随机数字表法将其分为对照组(n=57)和观察组(n=58)。对照组实施常规护理,观察组在对照组基础上实施以故事理论为基础的护理模式,比较两组护理前后负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]评分、希望[Herth希望量表(HHI)]水平及不良反应发生率。结果:护理后时,两组HAMA、HAMD评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组积极态度、积极行动及亲密关系等HHI各维度评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论:以故事理论为基础的护理模式应用于NSCLC化疗患者,可减轻患者负性情绪,提高其希望水平,降低化疗期间不良反应发生率,其效果优于单纯常规护理。Objective:To observe application effects of story theory-based nursing model in patients with lung cancer undergoing chemotherapy.Methods:A prospective study was conducted on 115 patients with non-small cell lung cancer(NSCLC)undergoing chemotherapy admitted to the hospital from July 2018 to July 2022.According to the random number table method,they were divided into control group(n=57)and observation group(n=58).The control group received routine nursing,while the observation group was given the story theory-based nursing model on the basis of that of the control group.The negative emotion score[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],the hope level[Herth hope index(HHI)],and the incidence of adverse reactions were compared between the two groups before and after the nursing.Results:After the nursing,the HAMA and HAMD scores of the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The scores of HHI dimensions such as positive attitude,positive action and intimate relationship in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions:The story theorybased nursing model in the patients with NSCLC undergoing chemotherapy can reduce the negative emotions,improve the hope levels and reduce the incidence of adverse reactions.Moreover,it is superior to single routine nursing.

关 键 词：非小细胞肺癌 化疗 故事理论 护理 焦虑 抑郁 不良反应 

分 类 号：R473.5[医药卫生—护理学]