协同护理对肺癌患者希望水平和自我效能的影响  

Effect of Collaborative Care on the Level of Hope and Self-Efficacy in Lung Cancer Patients

作　　者：王妍[1] 崔冰 岳艳 Wang Yan;Cui Bing;Yue Yan(The Second People′s Hospital of Wuxi City,Wuxi Jiangsu 214000,China)

机构地区：[1]无锡市第二人民医院,江苏无锡214000

出　　处：《齐鲁护理杂志》2023年第9期25-28,共4页Journal of Qilu Nursing

摘　　要：目的:探讨协同护理对肺癌患者希望水平和自我效能的影响。方法:以呼吸科在2020年1月1日~2022年3月31日收治的90例肺癌患者作为研究对象,采用随机数字表法分为观察组和对照组各45例,对照组给予常规护理,观察组给予协同护理;比较两组入院当天与出院30 d时希望水平[采用Herth希望量表(HHI)]、自我护理能力[采用自我护理能力量表(ESCA)]及生存质量[采用癌症患者生命测定量表体系中的肺癌量表(QLICP-LU)]。结果:出院30 d时,两组HHI中积极态度、积极行动、与他人保持亲密关系评分均高于入院当天(P<0.01),且观察组高于对照组(P<0.05);出院30 d时,两组ESCA中自我概念、知识和信息寻求、被动性、动机评分均高于入院当天(P<0.01),且观察组高于对照组(P<0.05);出院30 d时,两组QLICP-LU中躯体功能、心理功能、社会功能评分均高于入院当天(P<0.01),且观察组高于对照组(P<0.05);出院30 d时,两组QLICP-LU中疾病共性症状/副反应评分均低于入院当天(P<0.01),且观察组低于对照组(P<0.05)。结论:协同护理模式能够提升肺癌患者的希望水平,有效改善其自我效能,提高患者的生存质量。Objective:To explore the effect of collaborative care on the level of hope and self-efficacy in lung cancer patients.Methods:A total of 90 lung cancer patients admitted from January 1,2020 to March 31,2022 were selected as the study objects and were by the random number table method divided into the observation group and the control group with 45 patients in each group.The control group was given routine,and the observation group was given collaborative care.On the day of admission and 30 d after the discharge,level of hope by the Herth Hope Scale(HHI),self-care ability by Exercise of Self-care Agency Scale,(ESCA)and the quality of life by Quality of life instruments for lung cancer patients,(QLICP-LU)were compared between the two groups.Results:The positive attitude,positive action,and keeping close relationship with others of HHI in the two groups were higher on the 30 d after discharge than those on the day of admission(P<0.01),and higher in the observation group than those in the control group(P<0.05).On the 30 d after discharge,the self concept,knowledge and information se in the two groups were higher than those on the day of admission(P<0.01),and higher in the observation group than those in the control group(P<0.05).On the 30 d after discharge,the physical function,psychological function,and social function scores of QLICP-LU were higher in both groups than those on the day of admission(P<0.01),and higher in the observation group than those in the control group(P<0.05).On the 30 d after discharge,the common symptoms/side effects of QLICP-LU were lower in both groups than those on the day of admission(P<0.01),and lower in the observation group than those in the control group(P<0.05).Conclusion:Collaborative nursing mode can improve the hope level of lung cancer patients,and effectively improve their self-efficacy,and improve the quality of life,with great effect.

关 键 词：协同护理 肺癌 希望水平 自我效能 生存质量 

分 类 号：R473.73[医药卫生—护理学]