中国临床护理2024,Vol.16Issue(12) :749-753.DOI:10.3969/j.issn.1674-3768.2024.12.005

基于正强化理论的护理模式在宫颈癌日间化疗患者中的应用

Application of nursing model based on positive reinforcement theory in patients with cervical cancer undergoing daytime chemotherapy

谢婧 朱明珠 杨丽
中国临床护理2024,Vol.16Issue(12) :749-753.DOI:10.3969/j.issn.1674-3768.2024.12.005

基于正强化理论的护理模式在宫颈癌日间化疗患者中的应用

Application of nursing model based on positive reinforcement theory in patients with cervical cancer undergoing daytime chemotherapy

谢婧 1朱明珠 1杨丽1
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作者信息

  • 1. 石河子大学第一附属医院妇科,新疆石河子 832000
  • 折叠

摘要

目的 探讨基于正强化理论的护理模式在宫颈癌日间化疗患者中的应用效果.方法 选取2019年1月-2023年6月笔者所在医院收治的84例宫颈癌术后行日间化疗的患者作为研究对象,采用随机数字表法将其分为对照组和观察组,各42例.对照组采用常规日间化疗护理模式,观察组采用基于正强化理论的护理模式,采用抑郁自评量表和社会支持评定量表评估两组抑郁及社会支持情况,并比较两组化疗后不良反应持续时间.结果 干预后,观察组抑郁程度轻于对照组(Z=-2.698,P=0.007),社会支持度总分高于对照组(Z=-6.750,P<0.001),观察组化疗不良反应持续时间短于对照组(Z=-7.751,P<0.001).结论 基于正强化理论的护理模式可改善宫颈癌日间化疗患者的负性情绪和社会支持度,缩短化疗不良反应的影响时间,值得临床推广.

Abstract

Objective To explore the effect of nursing mode under positive reinforcement theory in patients with cervical cancer undergoing daytime chemotherapy.Methods Totally 84 patients undergoing daytime chemotherapy for cervical cancer between January 2019 and June 2023 were randomly divided into a control group(n=42)and an observation group(n=42).The control group was given routine daytime chemotherapy nursing,while the observation group was provided with nursing based on the positive reinforcement theory.Then both groups were evaluated using the self-rating depression scale(SDS),social support rating scale(SSRS).Moreover,the duration time of side effects after chemotherapy were compared between the two groups.Results There were significant differences between the two groups in the SDS score(Z=-2.698,P=0.007),as well as the social support(Z=-6.750,P<0.001)after intervention.The duration of side effects in the observation group reduced significantly compared with the control group(Z=-7.751,P<0.001).Conclusion The nursing mode based on the positive reinforcement theory can significantly improve the emotional state,social support.Moreover,it can shorten the duration of side effects caused by chemotherapy to a certain extent.Therefore,it is worthy of promotion in clinical nursing.

关键词

正强化理论/日间化疗/宫颈癌/心理/副反应

Key words

Positive reinforcement theory/Daytime chemotherapy/Cervical cancer/Psychology/Side effect

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出版年

2024
中国临床护理
中国医师协会 武汉市医学科学研究所

中国临床护理

影响因子:0.843
ISSN:1674-3768
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