以CTM为基础的信息支持对肝癌介入术后患者癌性疼痛程度和肝功能及应对方式的影响价值  

Ctm-based information supports the value of influence on the degree of cancer pain,liver function and coping style of patients after interventional hepatocellular carcinoma surgery

作　　者：李如月 翟景明[2] 邱立帅 LI Ruyue;ZHAI Jingming;QIU Lishuai(The First Affiliated Hospital of Henan University of Science and Technology,Luoyang,Henan 471000,China)

机构地区：[1]河南科技大学第一附属医院肿瘤科,河南洛阳471000 [2]河南科技大学第一附属医院胃肠外科,河南洛阳471000 [3]河南科技大学第一附属医院手术室,河南洛阳471000

出　　处：《社区医学杂志》2024年第23期812-816,共5页Journal Of Community Medicine

基　　金：河南省科技攻关项目(172102310406)。

摘　　要：目的探索以跨理论模型(CTM)为基础的信息支持对肝癌介入术后患者癌性疼痛程度、肝功能及应对方式的影响价值。方法选取2020-06-08-2022-06-28河南科技大学第一附属医院肝癌介入术后患者114例作为研究对象,依照干预方式分为常规组和支持组。常规组57例给予常规干预,支持组57例在常规组基础上给予CTM为基础的信息支持,对比2组患者癌性疼痛控制效果、肝功能、应对方式。使用Excel 2016进行数据汇总,应用SPSS 26.0对资料进行分析,研究资料中的计量数据,均通过正态性检验,以X±S描述,2组间的比较为t检验,组内干预前、干预6个月后相关数据比较采用单因素协方差分析。检验水准α=0.05(双尾)。结果单因素协方差分析结果显示,支持组干预6个月后癌性疼痛控制障碍问卷(BQ)评分为(12.81±2.11)分,低于常规组的(17.16±3.04)分,差异有统计学意义,F=883.204,P<0.001;疼痛数字评分法(NRS)评分为(2.11±0.32)分,低于常规组的(3.13±0.38)分,差异有统计学意义,F=167.111,P<0.001;碱性磷酸酶(ALP)为(42.31±7.11)U/L,低于常规组的(51.48±8.32)U/L,差异有统计学意义,F=1124.815,P<0.001;天门冬氨酸氨基转移酶(AST)为(43.57±8.16)U/L,低于常规组的(60.21±9.22)U/L,差异有统计学意义,F=4405.920,P<0.001;丙氨酸氨基转移酶(ALT)为(19.52±4.83)U/L,低于常规组的(28.67±5.08)U/L,差异有统计学意义,F=5562.906,P<0.001;积极应对评分为(27.11±3.06)分,高于常规组的(16.75±2.44)分,差异有统计学意义,F=699.691,P<0.001;回避评分为(10.23±1.25)分,低于常规组的(16.35±2.12)分,差异有统计学意义,F=3742.454,P<0.001;屈服评分为(7.06±0.83)分,低于常规组的(9.91±1.21)分,差异有统计学意义,F=1311.082,P<0.001。结论以CTM为基础的信息支持可改善肝癌介入术后患者肝功能,降低癌性疼痛控制效果,调节应对方式。Objective To explore the value of information support based on cross-theoretical model(CTM) on the degree of cancer pain, liver function and coping with style of patients after interventional hepatocellular carcinoma.Methods A total of 114 patients with liver cancer after interventional surgery in the First Affiliated Hospital of Henan University of Science and Technology from 2020-06-08 to 2022-06-28 were selected as the study objects, and were divided into routine group and support group according to the intervention method.Fifty-seven patients in the conventional group were given routine intervention, and 57 patients in the support group were given CTM-based information support on the basis of the conventional group.The effect of cancer pain control, liver function and coping with style was compared between the two groups.Excel 2016 was used for data summary, and SPSS 26.0 was used for research data analysis.The measurement data in the research data were all described by X±S through normality test,and the comparison between the two groups was t-test.The comparison of relevant data before intervention and 6 months after intervention in the group was performed by one-way covariance analysis.Test level α=0.05(two-tailed).Results Univariate covariance analysis showed that the BQ score of the support group was(12.81±2.11) points after 6 months of intervention, which was lower than that of the conventional group(17.16±3.04) points,and the difference was statistically significant(F=883.204,P<0.001).Pain numerical scoring(NRS) score was(2.11±0.32),lower than that of conventional group(3.13±0.38),the difference was statistically significant,F=167.111,P<0.001;Alkaline phosphatase(ALP) was(42.31±7.11) U/L,lower than that in conventional group(51.48±8.32) U/L,and the difference was statistically significant,F=1 124.815,P<0.001;Aspartate aminotransferase(AST) was(43.57±8.16) U/L,lower than that of conventional group(60.21±9.22) U/L,the difference was statistically significant,F=4 405.920,P<0.001;Alanine aminotran

关 键 词：跨理论模型 肝癌介入术 癌性疼痛程度 应对方式 

分 类 号：R473.73[医药卫生—护理学]