信息化医养结合式院外干预在淋巴瘤患者全程管理中的应用
Application of Informatization-Based Medical and Elderly Care Combined Out-of-Hospital Intervention in the Whole-Course Management of Lymphoma Patients
张璋 1邝绮华 1曾秀娟 1王晓敏1
作者信息
- 1. 中山大学肿瘤防治中心 广东广州 510060
- 折叠
摘要
目的:探讨信息化医养结合式院外干预在淋巴瘤患者全程管理中的应用效果.方法:选取 2022 年 1 月 1 日～6 月 30 日收治的 273 例淋巴瘤患者作为对照组,采用常规院外干预;选取2022 年7 月1 日～12 月31 日收治的250 例淋巴瘤患者作为研究组,实施信息化医养结合式院外干预.比较两组干预前后癌因性疲乏情况[采用癌因性疲乏量表(CFS)]、心理状况[采用简明心境问卷(POMS)]、应对方式[采用医学应对方式问卷(MCMQ)]、健康行为[采用健康行为量表(HPLP-Ⅱ)].结果:干预后,两组CFS各维度评分均低于干预前(P<0.05),且研究组低于对照组(P<0.01);干预后,两组POMS中精力-活力维度评分高于干预前(P<0.05),其他维度评分均低于干预前(P<0.05),且研究组优于对照组(P<0.01);干预后,两组MCMQ中屈服、回避维度评分均低于干预前(P<0.05),面对维度评分高于干预前(P<0.05),且研究组优于对照组(P<0.01);干预后,两组HPLP-Ⅱ各维度评分均高于干预前(P<0.05),且研究组高于对照组(P<0.01).结论:将信息化医养结合式院外干预应用于淋巴瘤患者全程管理中,能有效改善其癌因性疲乏情况及负性情绪,促使其以积极的应对方式对待疾病,提高其健康行为.
Abstract
Objective:To explore the application effect of informatization-based medical and elderly care combined out-of-hospital inter-vention in the whole-course management of lymphoma patients.Method:A total of 273 lymphoma patients admitted from January 1 to June 30,2022 were selected as the control group,and routine out-of-hospital interventions were used.A total of 250 lymphoma patients admitted from July 1 to December 31,2022 were selected as the study group,and an information-based medical care combined out-of-hospital inter-ventions was implemented.The status of cancer-related fatigue using Cancer-related Fatigue Scale(CFS),psychological status using Profile of Mood States(POMS),coping strategies using Medical Coping Modes Questionnaire(MCMQ),and health behavior using Health-Promo-ting Lifestyle Profile-Ⅱ(HPLP-Ⅱ)were compared between the two groups before and after the intervention.Results:After intervention,the CFS scores of all dimensions in both groups were lower than those before intervention(P<0.05),and the study group were lower scores than those of the control group(P<0.01).After intervention,the scores of the energy vitality dimension in both groups of POMS scores were higher than those before intervention(P<0.05),while the scores of other dimensions were lower than those before intervention(P<0.05),and the study group were better than the control group(P<0.01).After intervention,the yield and avoidance dimension scores in both groups of MCMQ scores were lower than before intervention(P<0.05),while the face dimension scores was higher than those before intervention(P<0.05),and the study group was better than the control group(P<0.01).After intervention,the HPLP Ⅱ scores in all di-mensions in both groups were higher than those before intervention(P<0.05),and the study group were higher those than the control group(P<0.01).Conclusion:The application of informatization-based medical and elderly care combined with out-of-hospital interventions in the whole-course management of lymphoma patients can effectively improve their cancer-related fatigue and negative emotions,encourage them to approach the disease in a positive manner,and improve their health behavior.
关键词
信息化/医养结合/院外干预/淋巴瘤/全程管理Key words
Informatization/Combination of medical and elderly care/Out-of-hospital interventions/Lymphoma/Whole-course manage-ment引用本文复制引用
出版年
2024
NETL
NSTL
维普
万方数据