摘要
目的探讨自我效能管理对阿帕替尼治疗胃肠道肿瘤患者症状群的影响。方法选择2020年1月—2021年6月在医院肿瘤科住院进行阿帕替尼治疗的胃肠道肿瘤患者94例为研究对象,按照组间基本资料具有可比性的原则分为对照组和观察组,每组47例。阿帕替尼治疗期间对照组采取常规护理管理,观察组在对照组基础上实施自我效能管理,为期2个月。比较两组患者一般自我效能感量表(GSES)评分、记忆症状评估量表(MSAS)评分、手足综合征发生情况。结果干预前,两组患者GSES评分、MSAS各维度评分比较差异无统计学意义(P>0.05);干预后,观察组GSES评分高于对照组,MSAS各维度评分低于对照组,差异有统计学意义(P<0.05)。观察组和对照组手足综合征发生率分别为8.51%(4/47)和27.66%(13/47),经比较差异有统计学意义(P<0.05)。结论自我效能管理可有效提高阿帕替尼治疗胃肠道肿瘤患者的自我效能,缓解躯体、心理等不适症状,减少手足综合征发生率。
Objective To explore the eff ect of self-effi cacy management on the symptom group of patients with gastrointestinal cancer treated with apatinib.Methods To select 94 gastrointestinal cancer patients hospitalized in the oncology department of the hospital from January 2020 to June 2021 as the study subjects.According to the principle of comparability of basic data between groups,they were divided into a control group and an observation group,with 47 cases in each group.Routine nursing management was adopted in the control group during the treatment of apatinib,and self-effi cacy management was implemented in the observation group on the basis of the control group for 2 months.General self-effi cacy scale(GSES)score,memorial symptom assessment scale(MSAS)score and hand and foot syndrome were compared between the two groups.Results Before the intervention,there was no significant difference in the GSES score and each dimension scores of MSAS between the two groups(P>0.05).After the intervention,the GSES score in the observation group was higher than that in the control group,the each dimension scores of MSAS were lower than those in the control group,and the diff erences were statistically significant(P<0.05).The incidence of hand and foot syndrome was 8.51%(4/47)in the observation group and 27.66%(13/47)in the control group,and the diff erence was statistically signifi cant(P<0.05).Conclusion Self-effi cacy management can eff ectively improve the self-effi cacy of patients with gastrointestinal cancer treated with apatinib,alleviate physical and psychological symptoms,and reduce the incidence of hand and foot syndrome.
作者
黄艳萍
钟玉婵
徐结芳
唐武兵
HUANG Yanping;ZHONG Yuchan;XU Jiefang;TANG Wubing(Nanhai District People's Hospital,Foshan,528200,China)
出处
《护理实践与研究》
2022年第24期3758-3762,共5页
Nursing Practice and Research
基金
佛山市科学技术局课题(编号:2018AB002402)。
关键词
胃肠道肿瘤
阿帕替尼
自我效能
症状群
手足综合征
Gastroenteric tumor
Apatinib
Self-effi cacy
Symptom group
Hand and foot syndrome
