CICARE沟通模式下激励式护理对原发性肺癌首诊患者的干预效果研究  

Effect of motivational nursing based on CICARE communication model on first-diagnosed patients with primary lung cancer

作　　者：严澎 杨燕 王伟 YAN Peng;YANG Yan;WANG Wei(Respiratory Medicine Department,Brain Hospital Affiliated to Nanjing Medical University,Nanjing Chest Hospital,Nanjing,Jiangsu,210009)

机构地区：[1]南京医科大学附属脑科医院/南京市胸科医院呼吸内科,江苏南京210009

出　　处：《实用临床医药杂志》2024年第24期138-142,共5页Journal of Clinical Medicine in Practice

基　　金：国家自然科学基金青年科学基金项目(81700068)。

摘　　要：目的探讨CICARE沟通模式下激励式护理对肺癌患者的影响。方法选取146例首诊肺癌患者作为研究对象,随机分为对照组和观察组,每组73例。对照组应用常规护理,观察组在常规护理基础上应用CICARE沟通模式下激励式护理。比较2组患者干预前后癌因性疲乏症状、心理状态及希望水平。结果干预后,2组患者癌因性疲乏量表各维度得分均降低,且观察组低于对照组,差异有统计学意义(P<0.05);干预后,2组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)得分均降低,且观察组低于对照组,差异有统计学意义(P<0.05);干预后,2组患者Herth希望量表(HHI)各维度得分及总分均提高,且观察组得分高于对照组,差异有统计学意义(P<0.05)。结论CICARE沟通模式下激励式护理能在常规治疗及护理的基础上缓解肺癌患者癌因性疲乏症状,减轻患者焦虑、抑郁等不良情绪。Objective To explore the impact of motivational nursing based on the CICARE communication model in patients with lung cancer.Methods A total of 146 first-diagnosed patients with lung cancer were selected as study subjects and randomly divided into control group and observation group,with 73 patients in each group.The control group received routine nursing,while the observation group received motivational nursing based on the CICARE communication model in addition to routine nursing.Cancer-related fatigue symptoms,psychological status,and hope levels were compared between the two groups before and after the intervention.Results After intervention,the scores of all dimensions of the Cancer-Related Fatigue Inventory decreased in both groups,with lower scores in the observation group compared to the control group(P<0.05).After intervention,the scores of the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)decreased in both groups,with lower scores in the observation group compared to the control group(P<0.05).The scores of all dimensions and the total score of the Herth Hope Index(HHI)increased in both groups after the intervention,with higher scores in the observation group compared to the control group(P<0.05).Conclusion Motivational nursing based on the CICARE communication model can alleviate cancer-related fatigue symptoms and improve anxiety and depression,and other negative emotions in lung cancer patients compared with routine treatment and nursing.

关 键 词：CICARE沟通模式 激励式护理 肺癌 癌因性疲乏症状 心理状态 

分 类 号：R734[医药卫生—肿瘤] R563[医药卫生—临床医学] R473.73