首页|基于Swanson关怀理论的肝癌化疗患者人文关怀护理方案的构建及应用

基于Swanson关怀理论的肝癌化疗患者人文关怀护理方案的构建及应用

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目的 构建肝癌化疗患者基于Swanson关怀理论的人文关怀护理模式,并评价该模式的应用效果.方法 本研究为一项前瞻性研究,纳入2022年1-12月南阳市中心医院120例肝癌化疗患者为研究对象,采用随机数字表法分为两组,每组60例.对照组接受常规护理干预,在对照组基础上,观察组接受基于Swanson关怀理论的人文关怀护理干预,均干预4周.比较干预前、干预4周时患者心理状态[采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评估];疼痛程度[采用视觉模拟评分法(VAS)评估]、睡眠质量[采用匹兹堡睡眠质量指数量表(PSQI)评估]及癌因性疲乏程度[采用癌症疲乏量表(CFS)评估].结果 干预4周,两组HAMA、HAMD、VAS、PSQI、CFS评分均较降低,且与对照组比较,观察组更低(P<0.05).结论 构建的基于Swanson关怀理论的人文关怀护理可以缓解肝癌化疗患者缓解负性情绪,减轻疼痛程度及癌因性疲乏程度,改善睡眠质量.
Constructing and Its Application of Humanistic Care Nursing Plan for Liver Cancer Chemotherapy Patients Based on Swanson Care Theory
Objective To construct a humanistic care model based on Swanson care theory for liver cancer chemotherapy patients,and evaluate the application effect of this model.Methods This study was a prospective cohort study.A total of 120 patients with liver cancer undergoing chemotherapy in Nanyang Central Hospital from January to December 2022 were enrolled as the study subjects.They were randomly divided into two groups with 60 patients in each group.The control group received routine nursing intervention,while the observation group received humanistic care intervention based on Swanson care theory on the basis of the control group.The intervention lasted for4 weeks.The psychological status[assessed by Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)],pain degree[assessed by visual analogue scale(VAS)],sleep quality[assessed by Pittsburgh sleep quality index(PSQI)]and cancer-related fatigue degree[assessed by cancer fatigue scale(CFS)]of patients before intervention and 4 weeks after intervention was compared.Results After 4 weeks of intervention,both groups had lower HAMA,HAMD,VAS,PSQI and CFS scores,and compared with the control group,the observation group were lower(P<0.05).Conclusion The humanistic care nursing based on Swanson care theory can alleviate negative emotions,alleviate pain and cancer-related fatigue,and improve sleep quality in liver cancer chemotherapy patients.

liver cancerchemotherapySwanson care theoryhumanistic care

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南阳市中心医院肿瘤内科三病区,河南南阳 473000

肝癌 化疗 Swanson关怀理论 人文关怀

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(5)
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