基于HAPA理论的综合护理在乳腺癌化疗患者中的应用效果  

Application effects of comprehensive nursing based on HAPA theory in patients with breast cancer undergoing chemotherapy

作　　者：张琳 ZHANG Lin(Ward III of Department of Surgery of Anyang Tumor Hospital,Anyang 455000 Henan,China)

机构地区：[1]安阳市肿瘤医院外科三病区,河南安阳455000

出　　处：《中国民康医学》2025年第8期187-190,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于健康行动过程取向(HAPA)理论的综合护理在乳腺癌化疗患者中的应用效果。方法:回顾性分析2021年1月至2023年1月于该院进行化疗的90例乳腺癌患者的临床资料,按照入院先后顺序将其分为对照组与研究组各45例。对照组采用常规护理,研究组在对照组基础上采用基于HAPA理念的综合护理,比较两组护理前后癌因性疲乏[癌因性疲乏量表(CFS)]评分、营养状态指标[白蛋白(ALB)、前白蛋白(PAB)]水平、心境状态[简式心境状况问卷(POMS-SF)]评分、心理弹性[中文版Connor-Davidson心理弹性量表(CD-RISC)]评分和护理满意度。结果:护理后,两组CFS评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);护理后,两组ALB、PAB水平均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);护理后,两组POMSSF评分均低于护理前,且研究组低于对照组,两组CD-RISC评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);研究组护理满意度为100.00%(45/45),高于对照组的82.22%(37/45),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HAPA理论的综合护理可提高乳腺癌化疗患者营养状态指标水平、CD-RISC评分和护理满意度,降低CFS和POMS-SF评分,效果优于单纯常规护理。Objective:To observe application effects of comprehensive nursing based on health action process approach(HAPA)theory in patients with breast cancer undergoing chemotherapy.Methods:The clinical data of 90 patients with breast cancer who underwent chemotherapy in this hospital from January 2021 to January 2023 were retrospectively analyzed.According to the order of admission,they were divided into control group and study group,45 cases in each group.The control group was given routine nursing,while the study group was given the comprehensive nursing based on HAPA theory on the basis of that of the control group.The scores of cancer-related fatigue[cancer-related fatigue scale(CFS)],the nutritional status indicators[albumin(ALB),prealbumin(PAB)],the mood state[profile of mood states-short form(POMS-SF)],the psychological resilience[Chinese version of Connor-Davidson resilience scale(CD-RISC)]before and after the nursing,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the CFS scores of the two groups were lower than those before the nursing,that in the study group was lower than that in the control group,and the differences were statistically significant(P<0.05).After the nursing,the levels of ALB and PAB in the two groups were higher than those before the nursing,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the POMS-SF scores of the two groups were lower than those before the nursing,and that in the study group was lower than that in the control group;the CD-RISC scores of the two groups were higher than those before the nursing,and that in the study group was higher than that in the control group;and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the study group was 100.00%(45/45),which was higher than 82.22%(37/45)of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routi

关 键 词：乳腺癌 化疗 健康行动过程取向理论 综合护理 癌因性疲乏 心境状态 心理弹性 

分 类 号：R473.5[医药卫生—护理学]