基于症状管理策略下的健康教育对淋巴瘤化疗患者的影响  

Effects of Health Education Based on Symptom Management Strategy in Patients with Lymphoma Undergoing Chemotherapy

作　　者：李娜莎[1] 周敏[1] 田华灵 徐伟春[1] LI Nasha;ZHOU Min;TIAN Hualing;XU Weichun(General Department of Lymph and Mammary Glands,Henan Cancer Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省肿瘤医院淋巴乳腺综合内科,河南郑州450000

出　　处：《河南医学研究》2023年第22期4205-4209,共5页Henan Medical Research

摘　　要：目的 探究基于症状管理策略下的健康教育对淋巴瘤化疗患者化疗按时完成率、自我管理能力及疾病进展恐惧的影响。方法 选取2022年5—12月医院收治的90例淋巴瘤化疗患者作为研究对象,采用随机数字表法分为观察组、对照组,各45例。对照组接受常规健康教育,观察组接受基于症状管理策略下的健康教育。比较两组患者各化疗周期化疗按时完成率,干预前后健康知识知晓情况、自我管理能力、疾病进展恐惧评分及化疗期间不良反应发生情况。结果 观察组各化疗周期化疗按时完成率均高于对照组(P<0.05)。干预后,两组患者干预后健康知识知晓情况调查问卷评分高于干预前,且观察组高于对照组(P<0.05);自我管理能力量表评分高于干预前,且观察组高于对照组(P<0.05)。对照组干预前后状态焦虑量表、特质焦虑量表评分差异无统计学意义(P>0.05),观察组干预后状态焦虑量表、特质焦虑量表评分均较干预前降低(P<0.05),且观察组低于对照组(P<0.05)。观察组化疗期间不良反应总发生率低于对照组(P<0.05)。结论 基于症状管理策略下的健康教育可改善淋巴瘤化疗患者健康知识知晓情况及自我管理能力,减轻疾病进展恐惧,提高化疗按时完成度,减少不良反应。Objective To explore the influence of health education based on symptom management strategy on the timely completion rate of chemotherapy,self-management ability and fear of disease progress in patients with lymphoma.Methods A total of 90 patients with lymphoma treated in the hospital from May to December 2022 were selected as the research object,and were randomly divided into observation group and control group,with 45 cases in each group.The control group received routine health education,while the observation group received health education based on symptom management strategy.The completion rate of chemotherapy in each chemotherapy cycle,the awareness of health knowledge,self-management ability,fear score of disease progress and the occurrence of adverse reactions during chemotherapy were compared between the two groups.Results The completion rate of chemotherapy in each chemotherapy cycle in the observation group was higher than that in the control group(P<0.05).After the intervention,the questionnaire scores of patients’awareness of health knowledge in the two groups were higher than before the intervention,and the observation group was higher than the control group(P<0.05).The score of self-management ability scale was higher than before intervention,and the observation group was higher than the control group(P<0.05).There was no significant difference in the scores of state anxiety scale and trait anxiety scale in the control group before and after intervention(P>0.05),but the scores of state anxiety scale and trait anxiety scale in the observation group were lower than those before intervention(P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05).The total incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05).Conclusion Health education based on symptom management strategy can improve the awareness of health knowledge and self-management ability rate of patients with lymphoma undergoing chemotherapy,reduce

关 键 词：淋巴瘤 化疗 症状管理策略 健康教育 自我管理能力 疾病进展恐惧 

分 类 号：R473[医药卫生—护理学]