首页|4CR模式护理对弥漫大B细胞淋巴瘤化疗患者遵医行为及心理状态的影响

4CR模式护理对弥漫大B细胞淋巴瘤化疗患者遵医行为及心理状态的影响

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目的 观察延续性护理和随访管理(4CR)模式护理对弥漫大B细胞淋巴瘤(DLBCL)化疗患者遵医行为及心理状态的影响.方法 选取2021年12月至2022年12月郑州大学第一附属医院收治的100例DLBCL化疗患者,用随机数表法纳为研究组(50例)与对照组(50例),对照组患者接受常规护理,研究组患者则在此基础上接受4CR模式护理.比较两组遵医行为、焦虑量表(SDS)、抑郁量表(SAS)、生活质量测定量表(QLQ-C30)评分,并统计干预期间不良反应的发生情况.结果 干预后两组遵医行为、QLQ-C30评分较干预前高,研究组高于对照组;两组SAS、SDS评分较干预前低,研究组低于对照组(P<0.05).研究组不良反应总发生率为12.00%,低于对照组的28.00%(P<0.05).结论4CR模式护理能显著提高DLBCL化疗患者的遵医行为,同时有助于改善患者的心理状态与生活质量,降低化疗相关不良反应发生率.
Effect of 4CR Mode of Nursing on Compliance Behavior and Mental State of Patients with Diffuse Large B-Cell Lymphoma Undergoing Chemotherapy
Objective To observe the effect of continuous nursing and follow-up management(4CR)mode of nursing on compliance behavior and mental state of patients with diffuse large B-cell lymphoma(DLBCL)undergoing chemotherapy.Methods One hundred patients with DLBCL from December 2021 to December 2022 in the First Affiliated Hospital of Zhengzhou University were selected,and divided into a study group(50 cases)and a control group(50 cases)by random number table method.The control group received routine nursing,while the study group received 4CR mode of nursing.The two groups were compared in terms of compliance behavior,self-rating anxiety scale(SAS),self-rating depression scale(SDS),and quality of life scale(QLQ-C30)score.The incidence rates of adverse reactions in the two groups were calculated.Results After intervention,compliance behavior scores and QLQ-C30 scores of the two groups increased,and above scores of the study group were higher than those of the control group(P<0.05).The SAS scores and SDS scores of the two groups decreased,and above scores of the study group were lower than those of the control group(P<0.05).The total incidence of adverse reactions in the study group(12.00%)was lower than that in the control group(28.00%)(P<0.05).Conclusion 4CR mode of nursing can significantly improve compliance behaviors of patients with DLBCL undergoing chemotherapy.In addition,the intervention can help to improve the patients'mental state and quality of life,and reduce the incidence of adverse reactions to chemotherapy.

continuous nursingfollow-up managementdiffuse large B-cell lymphomacompliance behaviormental state

刘晓、张聪丽、张霞

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郑州大学第一附属医院血液内科,河南郑州 450000

延续性护理 随访管理 弥漫大B细胞淋巴瘤 遵医行为 心理状态

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(3)
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