基于卡诺模型的人文关怀服务在食管癌化疗期间的应用  

Application of humanistic care service based on Kano model during chemotherapy for esophageal cancer

作　　者：钱爱新[1] 杨燕[1] 刘江利 QIAN Aixin;YANG Yan;LIU Jiangli(Department of Oncology,Anqing Municipal Hospital,Anhui Province,Anqing 246000,China)

机构地区：[1]安徽省安庆市立医院肿瘤内科,安徽安庆246000

出　　处：《中国医药导报》2023年第25期190-193,共4页China Medical Herald

摘　　要：目的探讨基于卡诺(KANO)模型的人文关怀服务在食管癌化疗期间的应用效果。方法选择2020年1月至2022年7月在安徽省安庆市立医院肿瘤内科进行食管癌化疗的82例患者护理情况进行研究。按照随机数字表法,分为对照组(41例)、观察组(41例)。对照组采用常规护理,观察组在对照组的基础上采用基于KANO模型的人文关怀服务。从患者入院开始,护理至出院,护理结束后对比分析护理前后两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、Spitzer生活质量简易量表(SQLI)评分;比较分析两组不良反应发生率及患者对护理的满意度。结果护理后,两组SAS、SDS评分低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。护理后,两组日常生活、生活感受、健康感受、活动能力、家庭支持评分高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论基于KANO模型的人文关怀服务在食管癌化疗期间应用,能改善患者的生活质量,值得推广。Objective To explore the application effect of humanistic care service based on Kano model(KANO)during esophageal cancer chemotherapy.Methods The nursing status of 82 patients undergoing chemotherapy for esophageal cancer in the Department of Oncology,Anqing Municipal Hospital,Anhui Province from January 2020 to July 2022 was studied.According to random number table method,they were divided into control group(41 cases)and observation group(41 cases).The control group was treated with routine nursing,and the observation group was treated with humanistic care service based on KANO model.From the beginning of patient admission,nursing to discharge,the self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score and spitzer simple quality of life scale(SQLI)score of the two groups were compared and analyzed after the end of nursing,and the incidence of adverse reactions and patients’satisfaction with nursing were compared and analyzed.Results After nursing,SAS and SDS scores of the two groups were lower than those before nursing,while those of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of daily life,life experience,health experience,activity ability,and family support in the two groups were higher than those before nursing,while those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse reactions in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Humanistic care service based on KANO model can improve the quality of life of patients during the chemotherapy of esophageal cancer,and it is worth promoting.

关 键 词：食管癌 化疗 卡诺模型 护理 人文关怀服务 焦虑 抑郁 满意度 

分 类 号：R473.74[医药卫生—护理学]