Objective To investigate the application effect of Neuman system model-based intervention in patients with gastrointestinal cancer undergoing chemotherapy.Method A total of 98 patients with gastrointestinal cancer were divided into control group(53 cases)and study group(45 cases)according to different intervention methods.The control group received conventional intervention,and the study group received Neuman system model-based intervention.Dis-ease uncertainty[Mishel uncertainty in illness scale(MUIS)],psychological status[hospital anxiety and depression scale(HADS)],coping style[simplified coping style questionnaire(SCSQ)]and quality of life[European Organization for Re-search and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)]and the occurrence of adverse reactions were compared between the two groups.Result After two months of intervention,the MUIS scores of both groups were lower than those before intervention,and the MUIS score of the study group was lower than that of the con-trol group,the differences were statistically significant(P＜0.05).After two months of intervention,the scores of anxiety and depression in both groups were lower than those before intervention,and the scores of anxiety and depression in the study group were lower than those in the control group,the differences were statistically significant(P＜0.05).After two months of intervention,the positive coping scores in both groups were higher than those before intervention,while the negative coping scores were lower than those before intervention,and the positive coping score in the study group was higher than that in the control group,while the negative coping score was lower than that in the control group,the differ-ences were statistically significant(P＜0.05).After two months of intervention,the scores of emotional function,cognitive function,physical function,social function and role function in both groups were higher than those before intervention,and the scores of emotional function,cognitive function,physical function,social function and role function in the study group were higher than those in the control group,the differences were statistically significant(P＜0.05).The total inci-dence of adverse reactions in the study group was lower than that in the control group,and the difference was statistically significant(P＜0.05).Conclusion Neuman system model-based intervention can reduce disease uncertainty,relieve nega-tive emotions,enhance self-efficacy,improve coping style and quality of life,and reduce adverse reactions in patients with gastrointestinal cancer undergoing chemotherapy.
gastrointestinal cancerchemotherapyNeuman system model-based interventiondisease uncertaintycoping style
万方数据
维普
