护患合作模式下精细化干预在食道癌化疗患者中应用

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中文摘要：目的:探讨护患合作模式下的精细化干预在食道癌化疗患者中的应用效果。方法:选取2020年1月-2023年12月在某院收治的80例食道癌化疗患者，采用随机数表法将患者分为精细化干预组(n=40)和常规组(n=40)，常规组患者采用常规护理干预，精细化干预组患者采用护患合作模式下的精细化干预，两组患者均持续干预3个月。比较两组患者干预前后自我管理水平、负性情绪、希望水平、生活质量和化疗不良反应发生情况。结果:干预后，精细化干预组一般自我效能量表(GSES)评分和自我管理能力量表评分较常规组高，差异有统计学意义(t=4。254，8。394，5。636，7。325，10。791;P＜0。05);精细化干预组患者的焦虑、抑郁(HADS-A、HAMS-D)量表评分均低于常规组，差异有统计学意义(t=4。673，8。601;P＜0。05);精细化干预组患者的Herth希望水平量表(HHI)评分高于常规组患者，差异有统计学意义(t=11。666，P＜0。05);精细化干预组患者的癌症益处评分较常规组高，经济问题、复发担忧、形象问题和家庭压力维度分数较常规组低，差异均有统计学意义(t=10。494，12。136，11。344，6。687，9。555;P＜0。05)。精细化干预组患者化疗不良反应发生率为15。00％，常规组为35。00％，差异有统计学意义(x2=4。267，P＜0。05)。结论:护患合作模式下的精细化干预可以提升食道癌化疗患者的自我管理能力，减轻其负性情绪，并提高患者生活质量和护理满意度，降低化疗不良反应发生率。

外文标题：Application effect of fine intervention based on nurse-patient cooperation mode in patients undergoing esophageal cancer chemotherapy

外文摘要：Objective:To explore the application effect of fine intervention based on nurse-patient cooperation mode in patients undergoing esophageal cancer chemotherapy.Methods:A total of 80 patients undergoing esophageal cancer chemotherapy in the hospital were enrolled between January 2020 and December 2023.According to random number table method,they were divided into fine intervention group(n=40,fine intervention based on nurse-pa-tient cooperation mode)and routine group(n=40,routine intervention).All patients were intervened for 3 months.The self-management level,negative emotions,hope level,quality of life and the occurrence of adverse chemothera-py reactions were compared between the two groups before and after intervention.Results:After intervention,scores of general self-efficacy scale(GSES)and self-management ability scale in fine intervention group were higher than those in routine group(t=4.254,8.394,5.636,7.325,10.791;P＜0.05),scores of Hospital Anxiety-Depression Scale(HADS-A,HAMS-D)were lower than those in routine group(t=4.673,8.601;P＜0.05),and score of Herth hope index(HHI)was higher than that in routine group(t=11.666,P＜0.05).The score of cancer benefits in fine intervention group were higher than those in routine group,and scores of economic problems,concerns,image problems and family stress were lower than those in routine group(t=10.494,12.136,11.344,6.687,9.555;P＜0.05).There were significant differences in incidence of adverse chemotherapy reactions between fine intervention group and routine group(15.00％vs 35.00％,x2=4.267,P＜0.05).Conclusion:Fine intervention based on nurse-patient cooperation mode can improve self-management ability,alleviate negative emotions,improve quality of life and nursing satisfaction,and reduce the incidence of adverse chemotherapy reactions in patients undergoing esopha-geal cancer chemotherapy.

外文关键词：

Nurse-patient cooperationFine interventionEsophageal cancerChemotherapySelf-managementNegative emotionQuality of life

作者：

赵雅丽、张秀真、宋伟霞、王峰

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作者单位：

郑州大学第一附属医院肿瘤科 450000

关键词：

护患合作精细化干预食道癌化疗自我管理负性情绪生活质量

出版年：

2025

DOI：