基于Neuman系统模式的干预在消化道肿瘤化疗患者中的应用效果  

Application effect of Neuman system model-based intervention in patients with gastrointestinal cancer undergoing chemotherapy

作　　者：孙起 仲立新[1] 张建东 SUN Qi;ZHONG Lixin;ZHANG Jiandong(Third Department of Oncology,Nanyang First People’s Hospital,Nanyang 473000,He’nan,China)

机构地区：[1]南阳市第一人民医院肿瘤内三科,河南南阳4730000

出　　处：《癌症进展》2024年第17期1916-1920,共5页Oncology Progress

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20200903)。

摘　　要：目的探讨基于Neuman系统模式的干预在消化道肿瘤化疗患者中的应用效果。方法将98例消化道肿瘤化疗患者按干预方式的不同分为对照组(53例)和研究组(45例),对照组接受常规干预,研究组在对照组的基础上接受基于Neuman系统模式的干预。比较两组患者的疾病不确定感[Mishel疾病不确定感量表(MUIS)]、心理状况[医院焦虑抑郁评定量表(HADS)]、应对方式[简易应对方式量表(SCSQ)]、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]及不良反应发生情况。结果干预2个月后,两组患者MUIS评分均较干预前降低,且研究组患者MUIS评分低于对照组,差异均有统计学意义(P﹤0.05)。干预2个月后,两组患者焦虑情绪、抑郁情绪评分均较干预前降低,且研究组患者焦虑情绪、抑郁情绪评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预2个月后,两组患者积极应对评分均较干预前升高,消极应对评分均较干预前降低,且研究组患者积极应对评分高于对照组,消极应对评分低于对照组,差异均有统计学意义(P﹤0.05)。干预2个月后,两组患者情绪功能、认知功能、躯体功能、社会功能、角色功能评分均较干预前升高,且研究组患者情绪功能、认知功能、躯体功能、社会功能、角色功能评分均高于对照组,差异均有统计学意义(P﹤0.05)。研究组患者不良反应总发生率低于对照组,差异有统计学意义(P﹤0.05)。结论消化道肿瘤化疗患者采用基于Neuman系统模式的干预可减轻疾病不确定感,缓解负性情绪,提升自我效能感,改善应对方式,提高生活质量,且可减少不良反应。Objective To investigate the application effect of Neuman system model-based intervention in patients with gastrointestinal cancer undergoing chemotherapy.Method A total of 98 patients with gastrointestinal cancer were divided into control group(53 cases)and study group(45 cases)according to different intervention methods.The control group received conventional intervention,and the study group received Neuman system model-based intervention.Disease uncertainty[Mishel uncertainty in illness scale(MUIS)],psychological status[hospital anxiety and depression scale(HADS)],coping style[simplified coping style questionnaire(SCSQ)]and quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)]and the occurrence of adverse reactions were compared between the two groups.Result After two months of intervention,the MUIS scores of both groups were lower than those before intervention,and the MUIS score of the study group was lower than that of the control group,the differences were statistically significant(P<0.05).After two months of intervention,the scores of anxiety and depression in both groups were lower than those before intervention,and the scores of anxiety and depression in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).After two months of intervention,the positive coping scores in both groups were higher than those before intervention,while the negative coping scores were lower than those before intervention,and the positive coping score in the study group was higher than that in the control group,while the negative coping score was lower than that in the control group,the differences were statistically significant(P<0.05).After two months of intervention,the scores of emotional function,cognitive function,physical function,social function and role function in both groups were higher than those before intervention,and the scores of emotional function,cognitive function,physical func

关 键 词：消化道肿瘤 化疗 基于Neuman系统模式的干预 疾病不确定感 应对方式 

分 类 号：R735[医药卫生—肿瘤]