基于健康行为改变整合理论的个体化干预在放射性粒子植入治疗肺癌患者中的应用效果  

Application effect of individual intervention based on integrated theory of health behavior change in lung cancer patients undergoing radioactive particle implantation therapy

作　　者：张瑞玲 张琳[1] 王会洁 ZHANG Ruiling;ZHANG Lin;WANG Huijie(First Ward,Department of Intervention,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院介入科一病区,郑州4500000

出　　处：《癌症进展》2024年第18期2085-2088,共4页Oncology Progress

摘　　要：目的探讨基于健康行为改变整合理论(ITHBC)的个体化干预在放射性粒子植入治疗肺癌患者中的应用效果。方法根据干预方法的不同将69例行放射性粒子植入治疗的肺癌患者分为对照组(n=35,常规干预)和观察组(n=34,基于ITHBC的个体化干预)。比较两组患者的癌因性疲乏[癌症疲乏量表(CFS)]、遵医行为(遵医行为调查问卷)、并发症发生情况及满意度。结果干预后3个月,两组患者CFS各维度评分均低于本组干预前,观察组患者CFS各维度评分均低于对照组,差异均有统计学意义(P﹤0.05)。观察组患者饮食运动管理、药物管理、自我管理评分均明显高于对照组,差异均有统计学意义(P﹤0.01)。观察组患者的并发症总发生率低于对照组,满意度高于对照组,差异均有统计学意义(P﹤0.05)。结论基于ITHBC的个体化干预可改善放射性粒子植入治疗肺癌患者的癌因性疲乏和遵医行为,降低并发症发生率,提高满意度。Objective To investigate the application effect of individual intervention based on integrated theory of health behavior change(ITHBC)in lung cancer patients undergoing radioactive particle implantation therapy.Method According to the different intervention methods,69 lung cancer patients who received radioactive particle implantation therapy were divided into control group(n=35,conventional intervention)and observation group(n=34,individual intervention based on ITHBC).The cancer-related fatigue[cancer fatigue scale(CFS)],compliance behavior(medical compliance behavior questionnaire),complications and satisfaction were compared between the two groups.Result Three months after intervention,the scores of all dimensions of CFS in both groups were lower than those before intervention,and the scores of all dimensions of CFS in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).The scores of diet and exercise management,drug management and self-management in observation group were significantly higher than those in control group,and the differences were statistically significant(P<0.01).The total incidence of complications in the observation group was lower than that in the control group,and the satisfaction rate was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Individual intervention based on ITHBC can improve cancer-related fatigue and compliance behavior,reduce the incidence of complications and increase satisfaction in lung cancer patients undergoing radioactive particle implantation therapy.

关 键 词：肺癌 放射性粒子植入治疗 健康行为改变整合理论 癌因性疲乏 遵医行为 并发症 满意度 

分 类 号：R734.2[医药卫生—肿瘤]