OTO模式联合以问题为导向的管理模式对肝癌患者介入治疗围术期负性情绪的影响  

Clinical practice of online to offline mode combined with problem oriented management mode to correct perioperative negative emotions in liver cancer patients undergoing interventional surgery

作　　者：井学敏 袁春旺[1] 邢秀亚[1] 张永宏[1] 周丽[1] 邹凯捷 张莉莉[2] JING Xuemin;YUAN Chunwang;XING Xiuya(Interventional Catheterization Laboratory,Beijing Youan Hospital,Capital Medical University,Beijing 100069,China)

机构地区：[1]首都医科大学附属北京佑安医院介入导管室,北京市100069 [2]首都医科大学附属北京佑安医院护理部,北京市100069

出　　处：《河北医药》2024年第14期2168-2171,共4页Hebei Medical Journal

基　　金：科技创新2030-“新一代人工智能”重大项目(编号:2021ZD0113200)。

摘　　要：目的 探讨OTO模式联合以问题为导向的管理模式纠正肝癌患者介入治疗围术期负性情绪的效果。方法 纳入2020至2022年首都医科大学附属北京佑安医院收治的介入治疗的肝癌患者200例为研究对象,随机分为观察组和对照组,每组100例。对照组采用常规干预措施,观察组采用OTO模式联合以问题为导向的管理模式进行干预,比较2组的健康信念、心理状态、疾病知识掌握情况和自我护理能力。结果 2组干预后的健康信念量表评分高于干预前,观察组高于对照组(P<0.05)。2组干预后的焦虑、抑郁评分低于干预前,观察组低于对照组(P<0.05)。观察组的疾病知识掌握率为97.00%,高于对照组的75.00%(P<0.05)。2组干预后的自我护理能力量表(ESCA)评分评分高于干预前,观察组高于对照组(P<0.05)。结论 对行介入手术治疗的肝癌患者给予OTO模式联合以问题为导向的管理模式进行干预,能有效提升患者的疾病知识掌握率、自我护理能力和健康信念,改善患者的心理状态,效果显著。Objective To explore the effect of online to offline(OTO) mode combined with problem-oriented management mode on correcting perioperative negative emotions in liver cancer patients undergoing intervention surgery.Methods A total of 200 liver cancer patients treated with interventional surgery at Beijing Youan Hospital,Capital Medical University from January 2020 to December 2022 were included as the study subjects.they were randomly divided into the control group(n=100,routine intervention measures) and the observation group(n=100,OTO mode + problem-oriented management).The health beliefs,psychological status,mastery of disease knowledge,and self-care abilities of the two groups were compared.Results The health belief scale scores of the two groups after intervention were significantly higher than those before intervention,and the increase in the observation group was more common relative to the control group(P<0.05).The anxiety and depression scores of the two groups after intervention were significantly lower than before intervention,which in the observation group were significantly lower than the control group(P<0.05).The mastery rate of disease knowledge in the observation group was significantly higher than of the control group(97.00% vs 75.00%,P<0.05).The Exercise of Self-Care Agency Scale(ESCA) scores in the two groups after intervention were significantly higher than those before intervention,and the improvement in the observation group was more pronounced compared with the control group(P<0.05).Conclusion The combination of OTO mode and problem-oriented management in liver cancer patients undergoing interventional surgery can effectively promote their disease knowledge mastery rate,self-care ability,and health beliefs,and improve their psychological state,with significant results.

关 键 词：肝癌 介入治疗 以问题为导向 OTO模式 负性情绪 

分 类 号：R735.7[医药卫生—肿瘤]