基于阶段性改变理论的干预护理对肺癌患者的影响  

Effect of Intervention Nursing Based on Staged Change Theory in Patients with Lung Cancer

作　　者：陈春贤[1] 余鹤英[1] 邓转晴 胡云兰 Chen Chunxian;Yu Heying;Deng Zhuanqing(Zhongshan City People′s Hospital,Zhongshan Guangdong 528400,China)

机构地区：[1]中山市人民医院,广东中山528400

出　　处：《齐鲁护理杂志》2023年第24期24-26,共3页Journal of Qilu Nursing

摘　　要：目的:探讨基于阶段性改变理论的干预护理对肺癌患者的影响。方法:选取中山市人民医院收治的肺癌患者92例,病例选取时间为2022年1月1日~2023年1月31日;将其分为对照组(常规护理)和观察组(基于阶段性改变理论的干预护理)各46例;两组均护理2个月。比较两组负性情绪、遵医行为、自我效能、生存质量、护理满意度。结果:干预后,两组负性情绪、生存质量评分均低于干预前(P<0.05),且观察组低于对照组(P<0.05);观察组总遵从率、总满意度均高于对照组(P<0.05);干预后,两组自我效能评分均高于干预前(P<0.05),且观察组高于对照组(P<0.05)。结论:肺癌患者应用基于阶段性改变理论的干预护理,有助于缓解负性情绪,促进遵医行为,改善自我效能,提高生存质量和护理满意度。Objective:To explore the effect of intervention nursing based on the theory of stage change in lung cancer patients.Methods:A total of 92 patients with lung cancer admitted in Zhongshan Municipal People′s Hospital from January 1,2022 to January 31,2023 were selected and divided into the control group and the observation group with 46 cases in each group.The control group was given routine nursing intervention,and the observation group was given intervention nursing based on the theory of stage change.Both groups were nursed for 2 months.The negative emotions,compliance behavior,self-efficacy,quality of life(before and after intervention),and nursing satisfaction)were compared between the two groups.Results:After the intervention,the negative emotions and quality of life scores were lower than those before intervention(P<0.05),and lower in the observation group than those in the control group(P<0.05).After the intervention,the total compliance and satisfaction rates in the observation group were higher than those in the control group(P<0.05).After the intervention,the scores of self-efficacy were higher in both groups than those before intervention(P<0.05),and higher in the observation group than those in the control group(P<0.05).Conclusion:The application of intervention nursing based on the theory of stage change in patients with lung cancer can help them to improve their negative emotions promote their compliance behavior,improve their self-efficiency,improve their quality of life and enhance their nursing satisfaction.

关 键 词：肺癌 阶段性改变理论 自我效能 遵医行为 负性情绪 生存质量 满意度 

分 类 号：R473.73[医药卫生—护理学]