Application of goal-oriented health education combined with phased nursing strategies in patients with cervical cancer undergoing concomitant radiochemotherapy
Objective To explore the effect of goal-oriented health education combined with phased nursing strategies in cervical cancer patients undergoing synchronous radiotherapy and chemotherapy(referred to as radiochemotherapy).Methods A total of 110 cervical cancer patients who underwent concomitant radiochemotherapy at Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology from September 2019 to September 2022 were selected as the study subjects.They were randomly divided into a control group and an observation group using a random number table method,with 55 cases in each group.The control group received routine care,while the observation group implemented goal-oriented health education combined with phased nursing strategies.The scores of the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Strategies Used by Patients to Promote Health(SUPPH),and Quality of Life Questionnaire-Core 30(QLQ-C30)were compared between the two groups,as well as the levels of carbohydrate antigen 125(CA125),carcinoembryonic antigen(CEA),and squamous cell carcinoma antigen(SCCA).The incidence of adverse reactions was compared between the two groups.Results After 6 and 12 weeks of intervention,the SAS and SDS scores,as well as CA125,CEA,and SCCA levels of the observation group were lower than those of the control group during the same period(all P＜0.05),and the above scores and indicators of both groups were lower than those before intervention(all P＜0.05).After 6 and 12 weeks of intervention,the SUPPH and QLQ-C30 scores of the observation group were higher than those of the control group during the same period(all P＜0.05),and the above scores of both groups were higher than those before intervention(all P＜0.05).After 12 weeks of intervention,the total incidence of adverse reactions in the observation group was lower than that in the control group(P＜0.05).Conclusion Goal-oriented health education combined with phased nursing strategies can alleviate the negative emotions of cervical cancer patients undergoing concomitant radiochemotherapy,improve their self-management efficiency and quality of life,and reduce serum tumor marker levels and incidence of adverse reactions.
cervical cancerconcomitant radiochemotherapygoal-oriented health educationphased nursing strategymental status
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