摘要
目的探讨基于行为改变模式(behavior change wheel,BCW)理论的健康教育模式在肺癌患者中的应用效果。方法选择2017年6月至2018年12月在我院住院且符合纳入标准的200例肺癌患者作为研究对象,采用随机数字表法将其分为干预组和对照组,每组100例。两组均给予常规护理及健康教育。在此基础上,干预组实施基于BCW理论的健康教育。比较两组患者的生活质量。结果出院时,两组患者肺癌患者生活质量测定量表EORTC QLQ-C30的躯体功能、角色功能、认知功能、情绪功能及社会功能5个维度、3个症状维度:疲劳维度、恶心及呕吐维度及疼痛维度,6个单一条目(气短、失眠、食欲缺乏、便秘、腹泻、经济困难)及总体健康状况差异无统计学意义(p>0.05)。出院后3个月,干预组患者生活质量测定量表EORTCQLQ-C30中,躯体功能、角色功能、认知功能、情绪功能及社会功能5个维度的功能及总体健康状况均明显优于对照组,且肺癌患者生活质量测定量表EORTC 3个症状维度:疲乏、恶心及呕吐、疼痛、6个单一条目(气短、失眠、食欲缺乏、便秘、腹泻、经济困难)均较对照组明显改善,差异均有统计学意义(p<0.05)。结论基于BCW理论的健康教育模式能提高肺癌患者的生活质量,值得在临床中推广应用。
Objective To explore the effect of health education model based on behavior change wheel(BCW)in patients with lung cancer.Methods A total of 200 lung cancer patients who were eligible for the study and hospitalized in our hospital from June 2017 to December 2018 were selected as the research objects.The patients were divided into intervention group(n=100)and control group(n=100)by random number table method.Both groups were given routine nursing care and health education.On this basis,the intervention group were given health education based on BCW.The quality of life was compared between the two groups.Results At discharge,there was no significant difference in the scores of fifteen dimensions of EORTC QLQ-C30 between the two groups,which were 5 function dimensions including physical function,role function,cognitive function,emotional function and social function,3 symptom dimensions including fatigue,nausea and vomiting,and pain,6 items including Shortness of breath,insomnia,lack of appetite,constipation,diarrhea,financial difficulties,and overall health(p>0.05).At 3 months after discharge,the scores of the 5 function dimensions and overall health of the intervention group were higher than those in the control group(p<0.05).The intervention group performed better than the control group in 3 symptom dimensions and 6 items,and the differences were all statistically significant(p<0.05).Conclusion Health education model based on BCW can improve the quality of life of lung cancer patients.
作者
那夕明
王微
金燕
姚晓丹
NA Xi-ming;WANG Wei;JIN Yan;YAO Xiao-dan(Taizhou Hospital of Zhejiang Province)
出处
《医院管理论坛》
2020年第3期70-73,共4页
Hospital Management Forum
关键词
行为改变模式
健康教育
肺癌患者
生活质量
Behavior change wheel
Health education
Lung cancer
Quality of life
