基于格林模式的个案护理在肺癌患者中的应用效果  

Application effects of case nursing based on PRECEDE-PROCEED model in patients with lung cancer

作　　者：孙慧 张坤 SUN Hui;ZHANG Kun(Department of Respiratory and Critical Care Medicine of Henan Provincial People’s Hospital,Henan Provincial Key Laboratory of Nursing Medicine,Zhengzhou University People’s Hospital,Zhengzhou 450000 Henan,China)

机构地区：[1]河南省人民医院呼吸与危重症医学科河南省护理医学重点实验室郑州大学人民医院,河南郑州450000

出　　处：《中国民康医学》2024年第23期170-172,176,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于格林模式的个案护理在肺癌患者中的应用效果。方法:回顾性分析2021—2022年该院收治的102例肺癌患者的临床资料,根据不同护理方法将其分为对照组和观察组各51例。对照组实施常规护理,观察组在对照组基础上实施基于格林模式的个案护理,比较两组护理前后肺功能指标[第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、FEV_(1)/FVC]水平、自我感受负担[自我感受负担量表(SPBS)]评分、自我护理能力[自我护理能力量表(ESCA)]和生命质量[生活质量综合评定问卷-74(GQOLI-74)]评分,以及护理满意度。结果:护理后,两组FEV_(1)、FVC、FEV_(1)/FVC水平均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组SPBS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组ESCA、GQOLI-74评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为98.04%(50/51),高于对照组的86.27%(44/51),差异有统计学意义(P<0.05)。结论:在常规护理基础上采用基于格林模式的个案护理可提高肺癌患者肺功能指标水平、ESCA评分、GQOLI-74评分和护理满意度,以及降低SPBS评分的效果优于单纯常规护理效果。Objective:To observe application effects of case nursing based on PRECEDE-PROCEED model in patients with lung cancer.Methods:The clinical data of 102 patients with lung cancer admitted to this hospital from 2021 to 2022 were retrospectively analyzed.According to different nursing methods,they were divided into control group and observation group,51 cases in each group.The control group was given routine nursing,while the observation group was given the case nursing based on PRECEDE-PROCEED model on the basis of that of the control group.The levels of lung function indexes[forced expiratory volume in one second(FEV1),forced vital capacity(FVC),FEV1/FVC],the self-perceived burden[self-perceived burden scale(SPBS)]score,the self-care ability[exercise of self-care agency scale(ESCA)],the quality of life[general quality of life inventory-74(GQOLI-74)]score before and after the nursing,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the FEV1,FVC and FEV1/FVC levels of the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,SPBS scores of the two groups were lower than those before the nursing,that in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After the nursing,ESCA and GQOLI-74 scores of the two groups were higher than those before the nursing,those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 98.04%(50/51),which was higher than 86.27%(44/51)of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the case nursing based on PRECEDE-PROCEED model can improve the levels of lung function indexes,the ESCA scores,the GQOLI-74 scores and the nursi

关 键 词：格林模式 个案护理 肺癌 肺功能 自护能力 自我感受负担 生命质量 

分 类 号：R473.5[医药卫生—护理学]