基于创新扩散理论的循证护理对食管癌患者感知控制水平及生活质量的影响  

The Influence of Evidence-based Nursing Based on Innovation Diffusion Theory on Perception Control Level and Quality of Life of Patients with Esophageal Cancer

作　　者：王攀姣 李倩[1] 张智慧 Wang Panjiao;Li Qian;Zhang Zhihui(Department of Oncology,Henan Provincial People’s Hospital,Zhengzhou,Henan,450003,China)

机构地区：[1]河南省人民医院肿瘤科,河南郑州450003

出　　处：《黑龙江医学》2023年第14期1760-1762,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨基于创新扩散理论的循证护理对食管癌患者感知控制水平及生活质量的影响。方法:选取2019年6月—2021年9月河南省人民医院收治的96例食管癌患者作为研究对象,按照随机数表法分为试验组与对照组,每组各48例。对照组实施常规护理,试验组实施基于创新扩散理论的循证护理,均干预3个月。比较两组患者干预前及干预3个月后的感知控制水平及生活质量。结果:干预后,试验组患者癌症体验与效能量表(CEES) 6个维度得分显著高于对照组,差异有统计学意义(t=7.590、7.320、5.685、5.764、5.457、7.084,P<0.05)。干预后,试验组患者的食管癌专用量表(QLQ-OES18)10个领域评分显著低于对照组,差异有统计学意义(t=-9.279、-10.068、-15.621、-9.365、-16.764、-19.471、-21.945、-12.430、-8.486、-13.155,P<0.05)。结论:基于创新扩散理论的循证护理可提高食管癌患者的感知控制水平,改善患者的生活质量。Objective:To explore the influence of evidence-based nursing based on innovation diffusion theory on the perception control level and quality of life of patients with esophageal cancer.Methods:96 cases of esophageal cancer patients admitted to the hospital from June 2019 to September 2021 were selected as the study subjects and divided into a test group and a control group according to the random number table method,with 48 cases in each group.The control group implemented conventional care and the experimental group implemented evidence-based care based on the theory of diffusion of innovation,both with a 3-month intervention.The level of perceived control and quality of life of the two groups were compared before and after 3 months of the intervention.Results:After the intervention,the study group scored significantly higher than the control group on the six dimensions of the cancer erperience and efficacy scale(CEES),with statistically significant differences(t=7.590,7.320,5.685,5.764,5.457,7.084,P<0.05).After the intervention,the 10 domain scores of the esophageal cancer-specific scale(QLQ-OES18)were significantly lower in the study group than in the control group,with statistically significant differences(t=-9.279,-10.068,-15.621,-9.365,-16.764,-19.471,-21.975,-12.430,-8.486,-13.155,P<0.05).Conclusion:Evidence-based care based on innovative diffusion theory can improve perceived control and quality of life in patients with esophageal cancer.

关 键 词：食管癌 创新扩散理论 循证护理 感知控制水平 生活质量 

分 类 号：R473.73[医药卫生—护理学]