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健康教育联合认知干预在肿瘤科门诊治疗室中的护理效果

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目的 考察健康教育联合认知干预在肿瘤科门诊治疗室中的护理效果。方法 选取2021年1月至2022年12月在中国科学技术大学附属第一医院离子医学中心肿瘤科门诊治疗室诊治的116例患者为研究对象,采用随机数字表法分为对照组和观察组,每组58例。对照组给予常规护理方法,观察组给予健康教育联合认知干预。比较2组的心理状态等指标。结果 干预1个月和2个月后,观察组的抑郁自评量表、焦虑自评量表、匹兹堡睡眠质量指数、视觉模拟评分法评分均低于同一时间对照组的相应评分,自我护理能力量表和生活质量综合评定问卷评分均高于同一时间对照组的相应评分(P均<0。05);2组在干预1个月后的上述评分与干预前的比较结果,以及干预2个月后的上述评分与干预前、干预1个月后的上述评分比较,结果均较优(P均<0。05)。观察组合理膳食、规范用药、戒烟戒酒、规律作息、适当运动和定期复查的遵医率均高于对照组(P均<0。05)。结论 健康教育联合认知干预可改善肿瘤科门诊治疗室患者的心理状态、遵医行为和睡眠质量,提高患者的自我护理能力和生活质量,有效缓解其疼痛感。
Nursing effect of health education combined with cognitive intervention in outpatient treatment room of oncology department
Objective To investigate the nursing effect of health education combined with cognitive intervention in outpatient treatment room of oncology department.Methods A total of 116 patients diagnosed and treated in the outpatient treatment room of the Oncology Department at Ion Medical Center of the First Affiliated Hospital of University of Science and Technology of China from January 2021 to December 2022 were selected as the study subjects.They were divided into control and observation groups by random number table method,with 58 cases in each group.The control group was given routine nursing method,and the observation group was given health education combined with cognitive intervention.The psychological state and other indicators of the two groups were compared.Results After 1 and 2 months of intervention,the scores of the Self-Rating Depression Scale,the Self-Rating Anxiety Scale,the Pittsburgh Sleep Quality Index,and the Visual Analogue Scale in the observation group were lower than those in the control group,and the scores of the Exercise of Self-Care Agency and the Generic Quality of Life Inventory-74 were higher than those in the control group(all P<0.05).The above scores after 1 month of intervention were better than those before intervention,and the above scores after 2 months of intervention were better than those before intervention and after 1 month of intervention(all P<0.05).The compliance rates of reasonable diet,standardized medication,smoking cessation and alcohol withdrawal,regular routines,appropriate exercises,and regular reexamination in the observation group were higher than those in the control group(all P<0.05).Conclusion Health education combined with cognitive intervention can improve the psychological state,compliance behaviors and sleep quality of patients in the outpatient treatment room of oncology department,increase their self-care ability and quality of life,and effectively relieve their pain.

tumoroutpatient treatment roomcognitive interventionhealth educationquality of life

张玉茹、周敏、刘相霞

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中国科学技术大学附属第一医院离子医学中心 合肥离子医学中心,安徽合肥,230031

肿瘤 门诊治疗室 认知干预 健康教育 生活质量

2024

中西医结合护理(中英文)
上海交通大学

中西医结合护理(中英文)

ISSN:2096-0867
年,卷(期):2024.10(8)