基于KAP理论模式延续性护理对胃癌化疗患者希望水平、癌因性疲乏及化疗依从性的影响  

Effect of continuous nursing based on KAP theory model on hope level,cancer-related fatigue and chemotherapy compliance in gastric cancer chemotherapy patients

作　　者：唐玉美 陈芸 高丽君 刘晓艳 TANG Yumei;CHEN Yun;GAO Lijun;LIU Xiaoyan(The First Hospital of Putian City,Fujian Province,Putian,Fujian 351100,China)

机构地区：[1]福建省莆田市第一医院,福建莆田351100

出　　处：《现代医药卫生》2024年第22期3888-3892,共5页Journal of Modern Medicine & Health

摘　　要：目的探讨基于知信行(KAP)理论模式延续性护理用于胃癌化疗患者的效果。方法采用随机数字表法将2021年6月至2023年6月该院收治的92例胃癌化疗患者分为观察组(46例,采取常规护理)和对照组(46例,实施基于KAP理论模式延续性护理),病例选取时间为2021年6月至2023年6月。2组均持续护理观察3个月。对2组患者希望水平(Herth希望量表评分)、癌因性疲乏(Piper疲乏修正量表评分)、化疗依从性(化疗依从性评分)、生活质量[简明健康状况调查问卷(SF-36量表)评分]等进行比较。结果观察组患者护理后Herth希望量表总分[(36.63±3.13)分vs.(28.84±3.05)分]、化疗依从性、SF-36量表评分[(82.27±3.56)分vs.(71.18±3.49)分]均明显较对照组高,与对照组相比,Piper疲乏修正量表评分明显偏低,差异均有统计学意义(P<0.05)。结论胃癌化疗患者经基于KAP理论模式延续性护理干预后,希望水平得到进一步提升,可降低患者癌因性疲乏程度,促进其化疗依从性提升,从而改善患者生活质量水平。Objective To explore the effect of continuous nursing based on knowledge,attitude,practice(KAP)theory in the gastric cancer chemotherapy patients.Methods A total of 92 gastric cancer chemotherapy patients admitted to the hospital from June 2021 to June 2023 were randomly divided into the observation group(46 cases,taking routine nursing)and the control group(46 cases,taking continuous nursing based on KAP theory model),and the case selection time was from June 2021 to June 2023.Both groups received continuous nursing observation for three months.The hope level(Herth hope scale score),cancer-related fatigue(Piper Fatigue Revised Scale score),chemotherapy compliance(chemotherapy compliance score)and quality of life(SF-36 Scale score)of the two groups were compared.Results The total score scores of Herth hope scale[(36.63±3.13)points vs.(28.84±3.05)points],chemotherapy compliance and SF-36 scale[(36.63±3.13)points vs.(28.84±3.05)points]in the observation group were significantly higher than those in the control group,and the scores of Piper fatigue revised scale were significantly lower than those in the control group,with statistical significance(P<0.05).Conclusion After continuous nursing intervention based on the KAP theory model,hope level of the gastric cancer chemotherapy patients can be further improved,which can reduce their cancer-related fatigue and improve their chemotherapy compliance,thus improving the quality of life of patients.

关 键 词：胃癌 化疗 知信行理论 延续性护理 希望水平 癌因性疲乏 化疗依从性 

分 类 号：R735.2[医药卫生—肿瘤] R473.73[医药卫生—临床医学]