基于TTM的医院-家庭协同护理模式对结直肠癌术后化疗患者HHI评分、SUPPH评分的影响  

Effect of Hospital-Family Collaborative Nursing Model Based on TTM on Scores of HHI and SUPPH in Postoperative Patients with Colorectal Cancer Undergoing Chemotherapy

作　　者：张立华 李欣 蒋亚军 ZHANG Li-hua;LI Xin;JIANG Ya-jun(Department of Coloproctology,Henan Honli Hospital,Changyuan,Henan 453400;Department of Information,Henan Hongli Hospital,Changyuan,Henan 453400)

机构地区：[1]河南宏力医院肛肠科,河南长垣453400 [2]河南宏力医院信息科,河南长垣453400

出　　处：《中国肛肠病杂志》2025年第1期68-71,共4页Chinese Journal of Coloproctology

摘　　要：目的:探讨基于行为分阶段转变理论模型(TTM)的医院-家庭协同护理模式对结直肠癌术后化疗患者Herth希望量表(HHI)评分及自我效能感量表(SUPPH)评分的影响。方法:选取2021年1月至2023年10月结直肠癌根治术后化疗患者83例,将其随机分为TTM组42例和常规组41例。常规组采取生命体征监测、心理及饮食护理等常规护理方式,TTM组采取基于TTM的医院-家庭协同护理模式,比较2组患者干预前、后HHI评分、SUPPH评分和生活质量。结果:护理前2组患者HHI各维度评分及总分比较差异无统计学意义(P>0.05);护理后2组患者HHI各维度评分及总分均升高,且TTM组均高于常规组(P<0.05)。护理前2组患者SUPPH各维度评分及总分比较差异无统计学意义(P>0.05);护理后2组患者SUPPH各维度评分及总分均升高,且TTM组均高于常规组(P<0.05)。护理前2组癌症患者生命质量量表(EORTC-QLQ-C30)各维度评分比较差异无统计学意义(P>0.05);护理后2组患者EORTC QLQ-C30各维度评分均升高,且TTM组均高于常规组(P<0.05)。结论:基于TTM的医院-家庭协同护理模式能够提高结直肠癌术后化疗患者的希望水平及自我效能,改善患者生活质量。Objective To explore the effect of hospital-family collaborative nursing model based on the transtheoretical model and stages of change(TTM)on the scores of Herth hope index(HHI)and self-efficacy scale(SUPPH)in postoperative patients with colorectal cancer undergoing chemotherapy.Methods A total of 83 patients undergoing chemotherapy after radical resection of colorectal cancer from January 2021 to October 2023 were randomly divided into the TTM group(42 cases)and the routine group(41 cases).The routine group was given routine nursing methods such as vital sign monitoring,psychological and diet nursing,while the TTM group received hospital-family collaborative nursing model based on TTM.The scores of HHI and SUPPH,and quality of life were compared between the two groups before and after the intervention.Results There were no statistically significant differences in the scores of each dimension and the total score of HHI between the two groups before nursing(P>0.05).After nursing,the scores of each dimension and the total score of HHI in both groups increased,which were higher in the TTM group than in the routine group(P<0.05).Before nursing,there were no statistically significant differences in the scores of each dimension and the total score of SUPPH between the two groups(P>0.05).After nursing,the scores of each dimension and the total score of SUPPH in both groups increased,which were higher in the TTM group than in the routine group(P<0.05).There was no significant difference in the scores of each dimension of EORTC QLQ-C30 between the two groups before nursing(P>0.05).After nursing,the scores of each dimension of EORTC QLQ-C30 increased in both groups,which were higher in the TTM group than in the routine group(P<0.05).Conclusion Hospital-family collaborative nursing model based on TTM can improve the hope level and self-efficacy of postoperative patients with colorectal cancer undergoing chemotherapy,and improve their quality of life.

关 键 词：结直肠癌 手术 化疗 行为分阶段转变理论模型 医院-家庭协同护理 Herth希望量表 自我管理效能感 

分 类 号：R47[医药卫生—护理学]