基于达标互动理论的护理干预策略在脑胶质瘤术后化疗患者中的应用效果  

Application effect of nursing intervention strategies via the goal achievement interaction theory in patients with glioma after chemotherapy

作　　者：田宇慧 李康宁 王凡 阎文帅 王聪[1] 李圆圆 汤海群 Tian Yuhui;Li Kangning;Wang Fan;Yan Wenshuai;Wang Cong;Li Yuanyuan;Tang Haiqun(Department of Neurosurgery,Baoding No.1 Central Hospital,Baoding Hebei 071000,China)

机构地区：[1]河北省保定市第一中心医院神经外科,河北保定071000

出　　处：《保健医学研究与实践》2024年第8期111-116,共6页Health Medicine Research and Practice

基　　金：河北省保定市科学技术研究与发展计划项目(16ZF004)。

摘　　要：目的 探讨基于达标互动理论的护理干预策略应用于脑胶质瘤术后化疗患者中的效果,以期为临床治疗提供参考。方法 本研究选取2023年2月—2024年2月在保定市第一中心医院接受脑胶质瘤术后化疗的患者75例为研究对象。采用随机数字表法将患者分为对照组(n=37)和观察组(n=38)。对照组患者采用常规护理,观察组患者在常规护理基础上进行基于达标互动理论的护理干预。干预3个月时,比较2组患者治疗依从性、不良反应发生率;比较2组患者干预前后(干预后为干预3个月时)一般自我效能感量表(GSES)、Barthel指数(BI)及生活质量核心量表(QLQ-C30)评分。结果 观察组患者治疗依从性优良率为97.37%,高于对照组的78.38%,差异有统计学意义(P<0.05)。干预前,2组患者GSES、BI评分比较,差异无统计学意义(P>0.05)。干预后,2组患者GSES、BI评分均高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。观察组患者不良反应发生率为21.05%,低于对照组的43.24%,差异有统计学意义(P<0.05)。干预前,2组患者QLQ-C30中角色功能、躯体功能、认知功能、社会功能评分比较,差异无统计学意义(P>0.05)。干预后,2组患者QLQ-C30中角色功能、躯体功能、认知功能、社会功能评分均高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。结论 基于达标互动理论的护理干预策略应用于脑胶质瘤术后化疗患者中的效果显著,可提高患者治疗依从性,增强患者自我效能,促进患者日常生活能力的改善,降低患者不良反应发生率,提高患者生活质量水平。Objective To explore the effect of nursing intervention strategies from the perspective of goal achievement interaction theory in patients with glioma after surgery and chemotherapy,aiming to provide support for clinical treatment.Methods This study selected 75 patients with glioma who underwent chemotherapy after surgery from February 2023 to February 2024 at our hospital as the research participants.Patients were randomly assigned to a control group(n=37)and an observation group(n=38)using the random number table method.The control group received routine nursing,while the observation group received nursing intervention based on the goal achievement interaction theory in addition to routine nursing.The treatment compliance,incidence of adverse events,General Self-Efficacy Scale(GSES),Barthel Index(BI),and Quality of Life Questionnaire Core 30(QLQ-C30)scores of the two groups were compared before and after the intervention(after the intervention was at the 3-month mark).Results The excellent and good rate of treatment compliance in the observation group was significantly higher than that in the control group(97.37%vs.78.38%;P<0.05).Before intervention,no statistically significant difference was noted in GSES and BI scores between the two groups(P>0.05).After intervention,the GSES and BI scores in both groups were increased,and scores in the observation group were higher than the control group,with statistically significant differences(P<0.05).The incidence of adverse events in the observation group was significantly lower than that in the control group(21.05%vs.43.24%;P<0.05).Before intervention,no statistically significant difference was noted in the role function,physical function,cognitive function,and social function scores of the QLQ-C30 between the two groups(P>0.05).After intervention,these subscale scores in both groups were significantly higher than before the intervention,and scores in the observation group were significantly higher than the control group(P<0.05).Conclusion The application of nursing in

关 键 词：脑胶质瘤 化疗 护理干预 达标互动理论视阈 

分 类 号：R473.73[医药卫生—护理学]