首页|MPNFS理论指导下护理对肺癌化疗患者希望水平、预后效果的影响

MPNFS理论指导下护理对肺癌化疗患者希望水平、预后效果的影响

Effect of MPNFS nursing on hope level and prognosis of patients with lung cancer undergoing chemotherapy

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目的:探究MPNFS理论指导下护理对肺癌化疗患者的临床应用效果.方法:回顾性分析法选取淮安市第一人民医院肿瘤内科2022年4月至2024年3月接收的110例肺癌化疗患者临床资料,将实施常规护理措施纳入常规组,实施MPNFS理论指导下护理措施纳入MPNFS组,各55例,于干预前、干预4周后,对两组患者希望水平、癌因疲乏、并发症、营养指数、肺功能等指标进行对比.结果:干预前,两组患者希望水平、癌因疲乏、营养指数、肺功能相比差异均无统计学意义(P>0.05).干预4周后,MPNFS组患者在采取积极的行动、与他人保持亲密、对现实和未来的积极态度等希望水平综合评分高于常规组(P<0.05);MPNFS组患者在认知疲乏、情感疲乏、躯体疲乏等癌因疲乏总评分低于常规组(P<0.05);MPNFS组患者在营养不良、间质性肺炎、骨髓抑制、恶心呕吐等并发症发生率低于常规组(P<0.05);MPNFS组营养指数高于常规组(P<0.05);MPNFS组患者肺功能高于常规组(P<0.05).结论:MPNFS理论指导下护理有助于提升肺癌化疗患者疾病希望水平,缓解癌因疲乏,降低并发症,改善营养状态,提高肺功能水平.
Objective:To explore the clinical application effect of nursing under the guidance of MPNFS theory on patients with lung cancer chemotherapy.Methods:Clinical data of 110 patients with lung cancer receiving chemotherapy in the Department of Oncology of Huai'an First People's Hospital from April 2022 to March 2024 were selected by retrospective analysis.Routine nursing measures were included in the routine group,and nursing measures under the guidance of MPNFS theory were included in the MPNFS group,55 cases in each group.Hope level,cancer fatigue,complications,nutritional index and lung function were compared between the two groups.Results:Before the intervention,hope level,cancer fatigue,nutritional index,lung function were compared with between the two groups,(P>0.05).Four weeks after the intervention,patients in the MPNFS group were higher than those in the conventional group in taking positive actions,keeping close with others,and taking a positive attitude towards reality and the future(P<0.05);In the MPNFS group,the total fatigue score for cancer fatigue was lower than that in the conventional group(P<0.05);In the MPNFS group,the occurrence of complications such as malnutrition,interstitial pneumonia,bone marrow suppression,nausea and vomiting was lower than that in the conventional group(P<0.05);The nutritional index of the MPNFS group was higher than that of the conventional group(P<0.05);Pulmonary function was higher in the MPNFS group than in the conventional group(P<0.05).Conclusion:Nursing under the guidance of MPNFS theory can improve the hope level of lung cancer chemotherapy patients,alleviate cancer fatigue,reduce complications,improve nutritional status,and enhance lung function.

chemotherapy for lung cancerMPNFS theoretical nursinghope levelcancer due to fatiguecomplicationsnutritional indexlung function

井妍妍、陈华青、林丽、杨璐、莫永静

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南京医科大学附属淮安第一医院肿瘤内科,江苏淮安 223000

南京医科大学附属淮安第一医院胃肠科,江苏淮安 223000

南京医科大学附属淮安第一医院神经内科,江苏淮安 223300

肺癌化疗 MPNFS理论护理 希望水平 癌因疲乏 并发症 营养指数 肺功能

2024

现代医学
东南大学

现代医学

CSTPCD
影响因子:0.703
ISSN:1671-7562
年,卷(期):2024.52(11)