摘要
目的探讨六步肿瘤管理模式在初诊胃癌患者中的应用效果。方法选取2018年3月—2020年3月河北北方学院附属第一医院114例初诊胃癌患者,根据入院顺序分为对照组和试验组两组,每组各57例。对照组给予常规护理,试验组在对照组基础上给予六步肿瘤管理模式。观察两组遵医行为,对比干预前后心理状态(HAMA、HAMD评分)、疾病不确定感(MUIS-A评分)、应对方式(MCMQ评分)、生活质量(FACT-G评分)。结果干预4周内试验组总遵医率94.74%高于对照组78.95%(P<0.05);干预4周后试验组HAMA、HAMD评分低于对照组(P<0.05);干预4周后试验组MUIS-A评分低于对照组(P<0.05);干预4周后试验组MCMQ评分改善程度优于对照组(P<0.05);干预4周后试验组情感状况评分高于对照组(P<0.05),干预4周后两组生活质量评分比较,差异无统计学意义(P>0.05)。结论六步肿瘤管理模式应用于初诊胃癌患者中,可改善其焦虑、抑郁情绪,促进患者采用积极应对方式,降低其疾病不确定感,提高患者遵医行为,改善生活质量。
Objective To explore the application of the six-step tumor management model in newly diagnosed gastric cancer patients and its influence on nursing communication ability,treatment confidence,and disease uncertainty(MUIS-A)score.Methods A total of 114 newly diagnosed gastric cancer patients from the First Affiliated Hospital of Hebei North University from March 2018 to March 2020 were selected.According to the admission order,they were divided into two groups:control group and test group,with 57 cases in each group.The control group was given routine care,and the test group was given a six-step tumor management model based on the control group.Observe the two groups'compliance behaviors,and compare the mental state before and after intervention[using Hamilton anxiety scale(HAMA),Hamilton depression rating scale(HAMD)score],Mishel disease uncertainty scale(Mishel)Uncertainty in Illness Scale for Adults,(MUIS-A),coping style[Medical coping modes questionnaire(MCMQ)score],quality of life[Functional assessment of cancer therapy-genera scal,(FACT-G)].Results The total compliance rate of the trial group within 4 weeks of intervention was 94.74%higher than that of the control group 78.95%(P<0.05);the HAMA and HAMD scores of the trial group were lower than those of the control group after 4 weeks of intervention(P<0.05);the trial group after 4 weeks of intervention The score of MUIS-A was lower than that of the control group(P<0.05);the improvement of MCMQ score of the test group was better than that of the control group after 4 weeks of intervention(P<0.05);the emotional status score of the test group was higher than that of the control group after 4 weeks of intervention(P<0.05).There was no statistically significant difference in the scores of functional status,physiological status,and social/family status between the two groups after 4 weeks of intervention(P>0.05).Conclusion The six-step tumor management model applied to newly diagnosed gastric cancer patients can improve their anxiety and depression,and can improve
作者
孙守燕
鲍昕
马婕
SUNShouyan;BAO Xin;MA Jie(Department of Medical Oncology,the First Affiliated Hospital of Hebei North University,Zhangjiakou Hebei 075000,China)
出处
《中国急救复苏与灾害医学杂志》
2022年第11期1506-1510,共5页
China Journal of Emergency Resuscitation and Disaster Medicine
基金
河北省科技厅科学技术课题(编号:20180789)。
关键词
初诊胃癌
六步肿瘤管理模式
护理沟通能力
疾病不确定感
应对方式
心理状态
生活质量
Newly diagnosed gastric cancer
Six-step tumor management model
Nursing communication ability
Uncertainty of disease
Coping style
Mental state
Quality of life
