肺癌免疫治疗患者静脉血栓栓塞症自我管理干预方案的构建及应用
Development and implementation of self-management intervention in patients recei-ving immunotherapy for lung cancer
徐薇薇 1文彦 1梁娟 1汪建琼 1罗莎 1严文凤1
作者信息
- 1. 四川省肿瘤临床医学研究中心,四川省肿瘤医院·研究所,四川省癌症防治中心,电子科技大学附属肿瘤医院胸部肿瘤内科(四川 成都,610041)
- 折叠
摘要
目的 基于健康行为整合理论构建肺癌免疫治疗患者静脉血栓栓塞症自我管理干预方案并评价应用效果.方法 将130例肺癌免疫治疗患者按入院时间分为对照组和干预组各65例.对照组实施常规护理,干预组在对照组基础上,严格遵循复杂干预方案的开发指南构建自我管理干预方案并实施.于干预前,干预后即刻,干预后1个月、2个月比较两组静脉血栓栓塞症 自我管理行为、管理满意度、风险自我评估率、静脉血栓栓塞症发生率、焦虑抑郁、自我效能感、生活 自理能力的差异.结果 干预后不同时间,干预组上述指标显著优于对照组(均P＜0.05).结论 基于健康行为整合理论的静脉血栓栓塞症自我管理干预方案在肺癌免疫治疗患者中的应用,有助于患者建立良好的 自我管理行为,降低静脉血栓栓塞症发生率,改善焦虑抑郁情绪,提升自我效能感和生活自理能力.
Abstract
Objective To develop and evaluate the effect of self-management intervention based on the integrated theory of health be-havior on venous thromboembolism(VTE)prevention in patients receiving immunotherapy for lung cancer.Methods A total of 130 patients with lung cancer receiving immunotherapy were allocated into a control group and an intervention group chronologically,with 65 in each group.The control group received routine nursing care,while the intervention group received self-management in-tervention for VTE prevention,which was developed following the guidance for developing complex interventions.The differences in VTE self-management behavior,satisfaction with VTE management,risk self-assessment rate,VTE incidence,anxiety and de-pression,self-efficacy,and self-care ability were compared between the two groups before,immediately after,1 month,and 2 months after the intervention.Results The above-mentioned evaluation indicators in the intervention group were superior to those in the control group at different time points after the intervention(all P＜0.05).Conclusion The self-management intervention for VTE prevention in lung cancer patients receiving immunotherapy developed based on the integrated theory of health behavior,ena-bles patients to adopt and maintain VTE self-management behaviors,reduces the incidence of VTE,alleviates anxiety and depres-sion,and enhances self-efficacy and self-care ability.
关键词
肺癌/免疫治疗/静脉血栓栓塞症/健康行为整合理论/自我管理/自我效能/负性情绪/生活自理能力Key words
lung cancer/immunotherapy/venous thromboembolism/integrated theory of health behavior/self-manage-ment/self-efficacy/negative emotions/self-care ability引用本文复制引用
基金项目
四川省医学会(恒瑞)科研基金科研课题(2021)(2021HR67)
出版年
2024
NETL
NSTL
万方数据