基于赋能理论的自我管理方案在肝癌行靶向联合免疫治疗患者中的应用  

Application of self management scheme based on empowerment theory in targeted combined immunotherapy for liver cancer patients

作　　者：林海清[1] 肖艳玲[1] 谢少华[1] 王状双 林一吟 陈燕燕 LIN Haiqing;XIAO Yanling;XIE Shaohua;WANG Zhuangshuang;LIN Yiyin;CHEN Yanyan(Department of Hepatobiliary and Pancreatic Surgery,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325015,China;Department of Nursing,Eye Hospital,Wenzhou Medical University,Wenzhou 325027,China)

机构地区：[1]温州医科大学附属第一医院肝胆胰外科,浙江温州325015 [2]温州医科大学附属眼视光医院护理部,浙江温州325027

出　　处：《温州医科大学学报》2024年第3期222-227,232,共7页Journal of Wenzhou Medical University

基　　金：温州市基础性科研项目(Y20220695)。

摘　　要：目的:探讨基于赋能理论的自我管理方案在肝癌行靶向联合免疫治疗患者中临床应用效果。方法:前瞻性选取2022年4月至7月温州医科大学附属第一医院行靶向治疗联合免疫治疗肝癌患者60例作为研究对象,采用信封法分成对照组和观察组,每组30例。对照组采用常规的护理方案;观察组在其基础上实施基于赋能理论的自我管理方案干预,进行个性化赋能。比较2组患者出院后1个月的自我管理效能感以及生活质量得分情况。结果:干预后观察组自我效能感及各维度得分有明显提高,均高于对照组(P<0.05);观察组在整体生活质量、躯体功能、角色功能、认知功能、情绪功能、社会功能及疲倦、恶心呕吐、呼吸困难、失眠、腹泻、食欲丧失症状方面较对照组明显改善(P<0.05)。结论:运用赋能理论的自我管理干预方案,可以有效增强靶向联合免疫治疗肝癌患者的自我管理效能感,提高其战胜疾病的自信心和自我管理能力,能够改善患者的生活质量。Objective:To explore the clinical application effect of self management schemes based on empowerment theory in targeted combined immunotherapy for liver cancer patients.Methods:From April to July 2022,60 patients with liver cancer who received targeted therapy combined with immunotherapy in the First Affiliated Hospital of Wenzhou Medical University were prospectively selected as the research subjects.According to the envelope method,they were divided as the control group and the observation group,with 30 cases in each.The control group received routine nursing care,while the observation group was supplemented by the self-management scheme based on the empowerment theory.The self-management efficacy and quality of life scores of the two groups were compared one month after discharge.Results:After intervention,the selfefficacy and scores of all dimensions in the observation group were significantly higher than those in the control group(P<0.05).The overall life quality,physical function,role function,cognitive function,emotional function,social function and symptoms like fatigue,nausea and vomiting,dyspnea,insomnia,diarrhea and loss of appetite were significantly improved in the observation group,compared with the control group(P<0.05).Conclusion:The self-management intervention scheme using the empowerment theory can effectively enhance the selfmanagement efficacy of targeted combination immunotherapy patients with liver cancer,improve their selfconfidence and self-management ability to overcome the disease,and improve their quality of life.

关 键 词：赋能 肝癌 靶向联合免疫治疗 自我管理 生活质量 

分 类 号：R473.6[医药卫生—护理学]