首页|基于症状动态模型理论的全方位护理模式对结肠癌化疗患者不良反应的影响

基于症状动态模型理论的全方位护理模式对结肠癌化疗患者不良反应的影响

Effect of Comprehensive Nursing Model on Adverse Reactions to Chemotherapy in Patients with Colon Cancer Based on Dynamic Symptom Model Theory

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目的:探讨基于症状动态模型理论的全方位护理模式对结肠癌化疗患者不良反应的影响.方法:将82例结肠癌化疗患者随机分为对照组和观察组,每组41例.对照组患者给予基础护理干预,观察组患者给予基于症状动态模型理论的全方位护理模式进行干预,观察2组心理患者状态、生活质量、自我护理能力以及不良反应发生情况.结果:干预前2组患者抑郁量表(HAMD)评分、焦虑量表(HAMA)评分比较差异无统计学意义(P>0.05),干预后1个月2组患者HAMD评分、HAMA评分均低于干预前,且观察组明显低于对照组(P<0.05);干预前2组患者生活质量量表(QLQ-C30)评分比较差异无统计学意义(P>0.05),干预后1个月2组患者QLQ-C30评分均高于干预前,且观察组明显高于对照组(P<0.05);干预前2组患者自我护理能力量表(ESCA)评分比较差异无统计学意义(P>0.05),干预后1个月2组患者ESCA评分均高于干预前,且观察组高于对照组(P<0.05);观察组患者不良反应发生率明显低于对照组(P<0.05).结论:将基于症状动态模型理论的全方位护理模式用于结肠癌化疗患者中,有助于改善患者的负面情绪,提高其生活质量和自我护理能力,减少化疗后不良反应的发生.
Objective To investigate the effect of comprehensive nursing model on adverse reactions to chemotherapy in patients with colon cancer based on dynamic symptom model theory.Methods Total 82 patients with colon cancer chemotherapy were randomly divided into the control group and the observa-tion group,41 cases in each group.Patients in the control group were given basic nursing intervention,and patients in the observation group were given comprehensive nursing model based on dynamic symptom model theory for intervention.The psychological state,quality of life,self-care ability and occurrence of ad-verse reactions of patients in both groups were observed.Results There was no significant difference in Hamilton depression scale(HAMD)and Hamilton anxiety scale(HAMA)scores between the two groups before intervention(P>0.05).One month after intervention,HAMD and HAMA scores in both groups were lower than those before intervention,which were significantly lower in the observation group than in the control group(P<0.05).There was no significant difference in quality of life questionnaire core 30 i-tems(QLQ-C30)scores between the two groups before intervention(P>0.05).One month after inter-vention,the QLQ-C30 scores of both groups were higher than those before intervention,which were signifi-cantly higher in the observation group than in the control group(P<0.05).There was no significant difference in exercise of self-care agency scale(ESCA)scores between the two groups before intervention(P>0.05).One month after intervention,ESCA scores in both groups were higher than those before in-tervention,which were higher in the observation group than in the control group(P<0.05).The inci-dence of adverse reactions in the observation group was significantly lower than that in the control group(P<0.05).Conclusion The application of comprehensive nursing model based on dynamic symptom model theory in patients with colon cancer undergoing chemotherapy is helpful to improve patients'nega-tive emotions,improve their quality of life and self-care ability,and reduce the occurrence of adverse reac-tions after chemotherapy.

Colon cancerChemotherapyDynamic symptom model theoryComprehensive nursing model

王林、王俊芳、史睿喆

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郑州大学第一附属医院接诊处(河南郑州 450000)

结肠癌 化疗 症状动态模型理论 全方位护理模式

2024

中国肛肠病杂志
中华中医药学会肛肠分会 山东中医药学会

中国肛肠病杂志

影响因子:0.131
ISSN:1000-1174
年,卷(期):2024.44(1)
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