Siebens领域管理模式在乙型肝炎相关肝癌患者中的应用效果  

Application effect of Siebens domain management model in patients with hepatitis B-related liver cancer

作　　者：谷华丽[1] 潘玉倩 孙春伟[1] 闪海霞[1] 赵珊 李帅旗 GU Huali;PAN Yuqian;SUN Chunwei;SHAN Haixia;ZHAO Shan;LI Shuaiqi(First Ward,Department of Infectious Diseases,Nanyang Central Hospital,Nanyang 473000,He’nan,China)

机构地区：[1]南阳市中心医院感染性疾病科一病区,河南南阳473000

出　　处：《癌症进展》2025年第2期240-244,共5页Oncology Progress

摘　　要：目的探讨Siebens领域管理模式(SDMM)在乙型肝炎相关肝癌患者中的应用效果。方法根据干预方式的不同将65例乙型肝炎相关肝癌患者分为对照组(32例)和观察组(33例),对照组患者接受常规干预,观察组患者在对照组的基础上接受SDMM干预。比较两组患者的心理状况[简式简明心境问卷(POMS-SF)]、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]、并发症发生情况及满意度。结果干预后,两组患者紧张-焦虑、迷惑-混乱、疲乏-迟钝、抑郁-沮丧、愤怒-敌意评分均低于本组干预前,精力-活力评分均高于本组干预前,观察组患者紧张-焦虑、迷惑-混乱、疲乏-迟钝、抑郁-沮丧、愤怒-敌意评分均低于对照组,精力-活力评分高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者EORTC QLQ-C30各维度评分均高于本组干预前,观察组患者EORTC QLQ-C30各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的并发症总发生率低于对照组,总满意度高于对照组,差异均有统计学意义(P﹤0.05)。结论SDMM可改善乙型肝炎相关肝癌患者的心理状况、生活质量,减少并发症,提高满意度。Objective To investigate the application effect of Siebens domain management model(SDMM)in patients with hepatitis B-related liver cancer.Method According to the different intervention methods,65 patients with hepatitis B-related liver cancer were divided into control group(32 cases)and observation group(33 cases).Patients in the control group received routine intervention,and patients in the observation group received SDMM intervention on the basis of the control group.The psychological status[profile of mood states-short form(POMS-SF),quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)],incidence of complications and satisfaction of the two groups were compared.Result After intervention,the scores of tension-anxiety,puzzlement-confusion,fatigue-sluggishness,depression-frustration and anger-hostility in both groups were lower than those before intervention,the scores of energy-vitality were higher than those before intervention,the scores of tension-anxiety,puzzlement-confusion,fatigue-sluggishness,depression-frustration and anger-hostility in observation group were lower than those in control group,the score of energy-vitality was higher than that in control group,and the differences were statistically significant(P<0.05).After intervention,the dimensional scores of EORTC QLQ-C30 in both groups were higher than those before intervention,and the dimensional scores of EORTC QLQ-C30 in observation group were higher than those in control group,the differences were statistically significant(P<0.05).The total incidence of complications in observation group was lower than that in control group,and the total satisfaction rate was higher than that in control group,the differences were statistically significant(P<0.05).Conclusion SDMM can improve the psychological status and quality of life of patients with hepatitis B-related liver cancer,reduce complications,and improve satisfaction.

关 键 词：肝癌 乙型肝炎 Siebens领域管理模式 生活质量 满意度 

分 类 号：R735.7[医药卫生—肿瘤]