首页|患者参与管理模式联合纽曼系统护理模式在原发性肝癌介入患者中的应用效果

患者参与管理模式联合纽曼系统护理模式在原发性肝癌介入患者中的应用效果

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目的 探讨患者参与管理模式联合纽曼系统护理模式在原发性肝癌介入患者中的应用效果。方法 选取 2021 年 9 月至 2023 年 5 月在晋江市安海医院进行诊治的原发性肝癌患者 124 例作为研究对象,按照随机信封 1∶1 抽签法分为联合组和对照组,每组 62 例。所有患者给予载药微球介入治疗 3 个月,对照组在治疗期间给予常规护理,联合组在对照组基础上,给予患者参与管理模式联合纽曼系统护理模式护理。比较 2 组患者的客观缓解率、服药依从性、生活质量和不良反应发生率。结果 护理后,联合组客观缓解率为 83。9%(52/62),高于对照组[67。7%(42/62),P<0。05];联合组Morisky服药依从性量表(MMAS)评分为(6。52±1。65)分,优于对照组[(5。45±2。12)分,P<0。05];联合组的情感指数、健康指数和生活满意度指数分别为(87。38±2。13)分、(89。47±1。47)分和(86。46±2。46)分,高于对照组[分别为(77。02±1。98)分、(79。47±2。47)分和(69。83±3。11)分)],差异均有统计学意义(均P<0。05)。联合组不良反应总发生率为6。5%(4/62),低于对照组[21。0%(13/62),P<0。05]。结论 患者参与管理模式联合纽曼系统护理模式应用于原发性肝癌介入患者,可以提高患者客观缓解率和服药依从性,降低不良反应发生率,改善患者生活质量。
Application effect of patient participation management mode combined with Newman system nursing mode in patients with primary liver cancer undergoing interventional therapy
Objective To investigate the effects of a patient-participation management model combined with the Neuman systems nursing model on patients with primary liver cancer undergoing interventional therapy.Methods A total of 124 patients with primary liver cancer treated at Anhai Hospital,Jinjiang City,between September 2021 and May 2023 were selected as study subjects.Using a 1∶1 random envelope draw method,the patients were divided into a combined group and a control group,with 62 cases in each group.All patients received drug-eluting bead transarterial chemoembolization(DEB-TACE)for three months.The control group received routine nursing care during the treatment,while the combined group received nursing care based on the patient-participation management model and Neuman systems nursing model in addition to routine care.The objective response rate(ORR),medication adherence,quality of life,and incidence of adverse reactions were compared between the two groups.Results After nursing intervention,the ORR in the combined group was 83.9%(52/62),which was higher than that in the control group[67.7%(42/62),P<0.05];the medication adherence score,assessed using the Morisky Medication Adherence Scale(MMAS),was higher in the combined group[(6.52±1.65)]than in the control group[(5.45±2.12),P<0.05];the emotional index,health index,and life satisfaction index of the combined group were(87.38±2.13),(89.47±1.47),and(86.46±2.46),respectively,all significantly higher than those in the control group[(77.02±1.98),(79.47±2.47),and(69.83±3.11),all P<0.05].The incidence of adverse reactions in the combined group was 6.5%(4/62),lower than that in the control group[21.0%(13/62),P<0.05].Conclusion The application of the patient-participation management model combined with the Neuman systems nursing model in primary liver cancer patients undergoing interventional therapy can improve the objective response rate and medication adherence,reduce the incidence of adverse reactions,and enhance patients'quality of life.

Patient participation management modeNewman system nursing modePrimary liver canceInterventional therapy

苏月辉、林惠烦、高丽云

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福建省晋江市安海医院急诊科,晋江 362261

福建省晋江市安海医院消毒供应中心,晋江 362261

患者参与管理模式 纽曼系统护理模式 原发性肝癌 介入治疗

2024

中国肿瘤临床与康复
中国癌症研究基金会

中国肿瘤临床与康复

影响因子:0.887
ISSN:1005-8664
年,卷(期):2024.31(8)