首页|基于行为分阶段转变理论的肺癌患者输液港自我管理方案构建及应用研究

基于行为分阶段转变理论的肺癌患者输液港自我管理方案构建及应用研究

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目的 基于行为分阶段转变理论构建肺癌患者输液港自我管理方案,并评定临床应用效果。方法 选取 2022 年 5 月至10 月江苏省某医院收治的携带胸壁静脉输液港的肺癌患者168 例为研究对象,分为观察组和对照组,各84 例。对照组采用常规输液港护理措施,观察组在对照组基础上实施 8 个月基于行为分阶段转变理论构建的肺癌患者输液港自我管理方案,干预后比较两组患者输液港自我管理行为、癌因性疲乏程度、输液港相关并发症发生率、护理满意度。结果 观察组患者输液港自我管理行为总分及各维度评分均高于对照组,癌因性疲乏程度低于对照组,输液港相关并发症发生率低于对照组,护理满意度高于对照组(均P<0。05)。结论 基于行为分阶段转变理论模型的干预方案可以提升肺癌患者输液港自我管理行为,改善癌因性疲乏程度,降低并发症发生的风险,提升护理满意度,对保障患者顺利治疗具有重要意义。
The construction and application of infusion port self-management program for lung cancer patients based on the transtheo-retical model
Objective Based on the transtheoretical model,the self-management program of infusion port for lung cancer patients was constructed,and the clinical application effect was determined.Methods A total of 168 lung cancer patients with chest wall venous infusion port admitted to a Jiangsu hospital were selected as research objects from May to October 2022,and divided into observation group and control group,with 84 cases in each group.The control group was treated with conventional infusion port nursing measures.Based on the control group,the observation group implemented a self-management program of infusion port for lung cancer patients constructed based on the transtheoreti-cal model for eight months.After intervention,the self-management behavior,the degree of cancer-related fatigue,the incidence of complica-tions,and nurses'satisfaction were compared between two groups.Results In the observation group,the total score and each dimension score of self-management behavior in the observation group were higher(P<0.05),the degree of cancer-related fatigue was lower(P<0.05),the incidence of complications related to the infusion port was lower,the nursing satisfaction was higher than that in the control group(P<0.05).Conclusion The intervention program based on the transtheoretical model can improve the self-management behavior of infusion port in lung cancer patients,enhance the degree of cancer-related fatigue,reduce the risk of complications,and increase nurses'satisfaction,which was of great significance to ensure the smooth treatment of patients.

lung cancerinfusion portthe transtheoretical modelself-management abilitycancer-related fatiguenursing

伏加慧、薛翔、张菊凤、姜玉婷、周培华、李莉

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210029,南京市,江苏省人民医院/南京医科大学第一附属医院呼吸与危重症医学科

210029,南京市鼓楼医院呼吸与危重症医学科

肺癌 输液港 行为分阶段转变理论 自我管理能力 癌因性疲乏 护理

国家重点研发计划专项

2018YFC1311904

2024

护理管理杂志
中国人民解放军北京军区总医院

护理管理杂志

CSTPCD
影响因子:2.38
ISSN:1671-315X
年,卷(期):2024.24(8)
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