摘要
目的研究基于KANO模式的护理干预策略在恶性肿瘤患儿化疗中的应用效果。方法选取2020年1月至2022年6月于安徽省儿童医院住院的恶性肿瘤患儿81例及其家长(每例患儿对应1名家长)进行研究,按照随机数字表法将患儿及其家长分为对照组(40对)和观察组(41对)。对照组患儿化疗后给予常规护理,观察组患儿化疗后给予基于KANO模式的护理干预策略。观察并比较两组患儿化疗依从性、家长满意度及患儿化疗后主要并发症发生情况。结果干预后,两组患儿化疗依从性评分高于干预前,且观察组患儿高于对照组患儿,差异有统计学意义(P<0.05)。干预后,观察组家长满意度优于对照组,差异有统计学意义(P<0.05)。干预后,观察组患儿化疗后主要并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论基于KANO模式的护理干预策略在恶性肿瘤患儿化疗中的应用效果良好,能有效降低化疗后主要并发症发生率,提高患儿化疗依从性,提高家长对满意度,值得推广应用。
Objective To study the application effect of nursing intervention strategy based on KANO model in chemotherapy of children with malignant tumors.Methods A total of 81 children with malignant tumors and their parents(one parent for each child)hospitalized in Anhui Children’s Hospital from January 2020 to June 2022 were selected for this study.The children and their parents were divided into control group(40 pairs)and observation group(41 pairs)according to random number table method.The control group was given conventional chemotherapy nursing after chemotherapy,and the observation group was given nursing intervention strategy based on KANO model.Chemotherapy compliance,parents’satisfaction,and the incidence of major complications after chemotherapy were observed and compared between the two groups.Results After intervention,the chemotherapy compliance scores of the two groups were higher than those before intervention,and those of observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the parents’satisfaction in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the total incidence of major complications after chemotherapy in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The nursing intervention strategy based on KANO model has a good application effect in children with malignant tumors undergoing chemotherapy,which can effectively reduce the incidence of major complications after chemotherapy,improve the compliance of children with chemotherapy,and improve the satisfaction of parents,which is worthy of promotion and application.
作者
喻萍萍
孙华中
刘艳
崔兵兵
高群
YU Pingping;SUN Huazhong;LIU Yan;CUI Bingbing;GAO Qun(Department of Tumor Surgery,Anhui Children’s Hospital,Anhui Province,Hefei 230022,China)
出处
《中国医药导报》
CAS
2023年第24期161-164,共4页
China Medical Herald
基金
安徽省卫生健康委员会科研项目(AHWJ2021a025)。
关键词
恶性肿瘤
KANO模式
健康教育
化疗
Malignant tumor
KANO model
Health education
Chemotherapy
