基于二元应对出院准备服务在老年肺癌患者中的应用
Impact of Binary Response Based on Discharge Preparation Services on Elderly Lung Cancer Patients
武凌慧 1崔佳佳 1刘欣欣1
作者信息
- 1. 河南省胸科医院 河南郑州 450000
- 折叠
摘要
目的:探讨基于二元应对出院准备服务在老年肺癌患者中的应用方法及效果.方法:选取 2020 年 3 月 1 日～2023 年 3月31 日收治的83 例老年肺癌患者及其照顾者随机分为实验组42 例和对照组41 例,对照组采用常规护理干预,实验组在此基础上开展基于二元应对出院准备服务;比较两组患者干预前后医学应对方式问卷(MCMQ)、老年人出院准备度量表(RHDS-OP-SF)评分,照顾者干预前后家庭照顾负担访谈量表(FBIS)、癌症照顾者综合需求量表(CNAT-C)评分.结果:干预后,两组患者MC-MQ中面对评分及RHDS-OP-SF评分高于干预前(P<0.05),且实验组高于对照组(P<0.05);干预后,两组患者MCMQ中回避、屈服评分低于干预前(P<0.05),且实验组低于对照组(P<0.05);干预后,实验组照顾者FBIS中对家庭活动影响、对家庭成员沟通影响、对家庭成员心理健康、总分及CNAT-C评分均低于干预前(P<0.05),且实验组低于对照组(P<0.05).结论:对老年肺癌患者实施基于二元应对出院准备服务,有助于改善患者应对方式,提升出院准备度,减轻家属照护负担.
Abstract
Objective:To investigate the application methods and effects of binary response based on discharge preparation services on elderly lung cancer patients.Methods:A total of 83 elderly lung cancer patients and their corresponding caregivers admitted from March 1,2020 to March 31,2023 were randomly divided into the experimental group(n=42)and the control group(n=41).The control group re-ceived routine nursing intervention.On this basis,the experimental group carries out binary response based on discharge preparation serv-ices.The scores of the medical coping questionnaire(MCMQ),the readiness for hospital discharge scale(RHDS-OP-SF),the family care burden interview schedule(FBIS),and the comprehensive needs assessment tool for cancer caregivers(CNAT-C)were compared between two groups of patients before and after intervention.Results:After intervention,the MCMQ score and HDS-OP-SF score in both groups of patients were higher than that of before intervention(P<0.05),and the scores of experimental group was higher than those of the control group(P<0.05).After intervention,the avoidance and surrender scores in MCMQ of both groups of patients were lower than those before intervention(P<0.05),and the scores of the experimental group was lower than those of the control group(P<0.05).After intervention,the FBIS scores of caregivers in terms of their impact on family activities,communication with family members,psychological health of fami-ly members,total score,and CNAT-C score in the experimental group were lower than those before intervention(P<0.05),and the scores of the experimental group was lower than those of the control group(P<0.05).Conclusion:Implementing binary response based on dis-charge preparation services for elderly lung cancer patients can help improve their coping styles,enhance their readiness for discharge and reduce family members'care burden.
关键词
肺癌/二元应对/出院准备服务/应对方式/出院准备度/家属照护负担Key words
Lung cancer/Binary response/Discharge preparation services/Response methods/Preparedness for discharge/Family members'care burden引用本文复制引用
出版年
2024
NETL
NSTL
万方数据