基于KTA的认知干预及护理对软组织肉瘤患者的自我管理效能、生活质量及功能状态的影响  

Effects of KTA-based cognitive intervention and nursing on self-management efficacy,quality of life,and functional status of patients with soft tissue sarcoma

作　　者：张萍萍 贾艳[1] ZHANG Pingping;JIA Yan(Department of Bone and Soft Tissue Tumor and Hand and Foot Surgery,Jiangsu Provincial Hospital,Jiangsu Province,Nanjing 210003,China)

机构地区：[1]江苏省人民医院骨与软组织肿瘤及手足外科,江苏南京210003

出　　处：《中国医药导报》2023年第26期173-176,共4页China Medical Herald

摘　　要：目的探究基于知识转化循证实践模式(KTA)的认知干预及护理对软组织肉瘤患者自我管理效能、生活质量及功能状态的影响。方法前瞻性选取2021年4月至2022年4月江苏省人民医院收治的80例软组织肉瘤患者为研究对象。根据随机数字表法将其分为对照组和观察组,各40例。对照组给予一般干预措施,观察组采用基于KTA认知干预及护理。护理至出院,比较两组护理前后自我管理效能[中文版癌症自我管理效能感量表(C-SUPPH)]、生活质量[健康调查量表36(SF-36)]及功能状态卡氏(KAS)评分。结果护理后,两组C-SUPPH各项评分均高于护理前,且观察组高于对照组(P<0.05)。护理后,两组SF-36各项评分均高于护理前,且观察组高于对照组(P<0.05)。护理后,两组KAS评分均高于护理前,且观察组高于对照组(P<0.05)。结论基于KTA的认知干预及护理应用于软组织肉瘤患者,能提高其自我管理效能感、生活质量及功能状态,值得临床推广。Objective To explore the effects of KTA-based cognitive intervention and nursing on self-management efficacy,quality of life,and functional status of patients with soft tissue sarcoma.Methods A total of 80 patients with soft tissue sarcoma admitted to Jiangsu Provincial Hospital from April 2021 to April 2022 were prospectively selected as the study objects.They were divided into control group and observation group according to random number table method,with 40 cases in each group.The control group was given the general care method,and the observation group was given KTA-based cognitive intervention and nursing measures.Nursing until both groups of patients were discharged,the self-management efficiency(the Chinese version of the cancer self-management efficacy scale[C-SUPPH]),quality of life(36-item short form health survey,short form 36[SF-36]),and functional status(Karnofsky’s score)of the two groups before and after the nursing intervention were compared.Results After nursing,C-SUPPH scores in both groups were higher than those before nursing,and observation group were higher than those of control group(P<0.05).After nursing,SF-36 scores in both groups were higher than those before nursing,and observation group was higher than those of control group(P<0.05).After nursing,KAS scores in both groups were higher than those before nursing,and those in observation group were higher than those in control group(P<0.05).Conclusion KTA based cognitive intervention and nursing applied to patients with soft tissue sarcoma can improve self-management efficacy,quality of life,and functional status,which is worthy of clinical promotion.

关 键 词：软组织肉瘤 知识转化循证实践模式 认知护理 生活质量 自我管理效能感 

分 类 号：R473[医药卫生—护理学]