以健康行动过程取向理论为导向的护理在胶质瘤放化疗患者中的应用效果  

Application of health action process approach oriented nursing in patients with glioma undergoing radiotherapy and chemotherapy

作　　者：朱丽娟[1] 康盈盈[1] 王文节 陈若琨[1] 刘宇[1] ZHU Lijuan;KANG Yingying;WANG Wenjie;CHEN Ruokun;LIU Yu(Department of Neurosurgery,the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052)

机构地区：[1]郑州大学第一附属医院神经外科,郑州450052

出　　处：《郑州大学学报（医学版）》2023年第6期816-820,共5页Journal of Zhengzhou University(Medical Sciences)

基　　金：国家自然科学基金项目(81201990);河南省高等学校重点科研项目计划项目(18A320066)。

摘　　要：目的:分析以健康行动过程取向理论(HAPA)为导向的护理在胶质瘤放化疗患者中的应用效果。方法:选取2021年1月至2022年4月在郑州大学第一附属医院神经外科诊治的胶质瘤放化疗患者113例,采用整群(按病房)随机分组方法分为对照组56例和研究组57例,对照组给予常规护理干预,研究组给予以HAPA为导向的护理干预。3个月后,采用Morisky用药依从性问卷8评估服药依从性,采用癌症患者生命质量测定量表(QLQ-C30)评估生活质量。结果:干预前研究组和对照组服药依从性好、中等、差分别有21、13、23例和17、15、24例,干预后为34、13、10例和15、17、24例,干预后研究组服药依从性优于干预前,同时优于对照组(χ_(组别)^(2)=4.687,P=0.031;χ_(时间)^(2)=23.422,P<0.001)。干预后两组QLQ-C30各维度评分均较干预前提高(P<0.05),且研究组提高程度大于对照组(P<0.05)。研究组总不良反应发生率低于对照组(12.28%vs32.14%,P<0.05)。结论:以HAPA为导向的护理可有效提高胶质瘤放化疗患者的服药依从性和生活质量,减少化疗期间的不良反应。Aim:To explore the efficacy of health action process approach(HAPA) oriented nursing in patients with glioma undergoing radiotherapy and chemotherapy.Methods:A total of 113 patients with glioma treated by radiotherapy and chemotherapy in Department of Neurosurgery of the First Affiliated Hospital of Zhengzhou University,from January 2021 to April 2022 were selected,and randomly grouped by cluster(according to Ward)into control group(56 cases) and research group(57 cases).The control group was given routine nursing intervention,and the research group was given nursing intervention guided by the HAPA orientation theory for 3 months.The Morisky Medication Compliance Questionnaire 8 was used to assess medication compliance,and the Quality of Life of Patients with Cancer(QLQ-C30) was used to assess quality of life.Results:There were 21,13,23 cases with good,medium,poor medication compliance in the research group,17,15,24 cases in the control group before intervention,and 34,13,10 cases in the research group and 15,17,24 cases in the control group after intervention.After intervention,the medication compliance of the research group was better than that before intervention,and better than the control group(χ_(组别)^(2)=4.687,P=0.031;χ_(时间)^(2)=23.422,P<0.001);each dimension score and total score of QLQ-C30 of the research group were higher than those before intervention,and the improvement were greater than those of the control group(P<0.05).The incidence of adverse reactions in the research group was lower than that of the control group(12.28% vs 32.14%,P<0.05).Conclusion:The HAPA-oriented nursing can effectively improve drug compliance and quality of life of the patients with glioma undergoing radiotherapy and chemotherapy,and reduce adverse reactions during chemotherapy.

关 键 词：健康行动过程取向理论 胶质瘤 服药依从性 生活质量 

分 类 号：R739.41[医药卫生—肿瘤]