中华现代护理杂志2024,Vol.30Issue(36) :4969-4974.DOI:10.3760/cma.j.cn115682-20240425-02339

基于尊重选择模型的ACP教育干预在晚期肿瘤患者中的应用

Application of advance care planning education intervention based on the respecting choices model in advanced cancer patients

刘齐芬 张淑珍 张俊峰 李静芝
中华现代护理杂志2024,Vol.30Issue(36) :4969-4974.DOI:10.3760/cma.j.cn115682-20240425-02339

基于尊重选择模型的ACP教育干预在晚期肿瘤患者中的应用

Application of advance care planning education intervention based on the respecting choices model in advanced cancer patients

刘齐芬 1张淑珍 2张俊峰 3李静芝4
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作者信息

  • 1. 广东药科大学护理学院,广州 510220;东莞市松山湖中心医院胸外疼痛乳甲外科,东莞 523326
  • 2. 东莞市松山湖中心医院肿瘤中心,东莞 523326
  • 3. 东莞市松山湖中心医院护理部,东莞 523326
  • 4. 广东药科大学护理学院,广州 510220
  • 折叠

摘要

目的 探讨基于尊重选择模型的预立医疗照护计划(ACP)教育干预方案在晚期肿瘤患者中的应用效果.方法 采用便利抽样法,于2022年4月—2023年9月选取东莞市松山湖中心医院收治的78例晚期肿瘤患者为研究对象,按随机数字表法将患者分为观察组和对照组,各39例.对照组采用常规护理,观察组在对照组基础上采用基于尊重选择模型的ACP教育干预方案.比较两组患者干预前、干预后当天及干预后4周ACP准备度量表(ACPRS-C)、安宁疗护态度量表(PCAS-9)及中文版癌症治疗功能评价系统量表(FACT-G)得分.结果 干预后观察组患者ACPRS-C得分、PCAS-9得分、FACT-G得分均高于对照组,且两组间得分存在组间效应、时间效应和交互效应(P<0.01).结论 基于尊重选择模型的ACP教育干预方案能提高晚期肿瘤患者的ACP准备度,改善患者的安宁疗护态度,提高患者生活质量.

Abstract

Objective To evaluate the effectiveness of an advance care planning(ACP)education intervention based on the respecting choices model for patients with advanced cancer.Methods A total of 78 advanced cancer patients admitted to Songshan Lake Central Hospital of Dongguan City from April 2022 to September 2023 were selected by convenient sampling and divided randomly into an observation group and a control group(39 patients each).The control group received standard care,while the observation group received the ACP education intervention in addition to standard care,based on the respecting choices model.The ACP Readiness Scale(ACPRS-C),the Palliative Care Attitudes Scale(PCAS-9),and the Functional Assessment of Cancer Therapy-General(FACT-G)scale were used to assess both groups at baseline,immediately post-intervention,and four weeks after the intervention.Results Post-intervention scores on the ACPRS-C,PCAS-9,and FACT-G were significantly higher in the observation group compared to the control group.Group effects,time effects,and interaction effects were observed(P<0.01).Conclusions The ACP education intervention based on the respecting choices model effectively improves ACP readiness,palliative care attitudes,and quality of life in patients with advanced cancer.

关键词

肿瘤/尊重选择/预立医疗照护计划/安宁疗护/生命质量

Key words

Neoplasms/Respecting choice/Advance care planning/Palliative care/Quality of life

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出版年

2024
中华现代护理杂志
中华医学会

中华现代护理杂志

CSTPCD
影响因子:1.14
ISSN:1674-2907
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