摘要
目的 探讨个案管理模式在肺癌化疗患者中的应用价值及对其希望水平与生活质量的改善作用。方法 选取2020年4月至2022年4月在该院接受化疗的81例患者,按随机数字表法分为2组,对照组40例行常规护理,观察组41例于常规护理基础上实施个案管理模式,对比2组患者的不适症状改善情况、希望水平与癌因疲乏程度、化疗不良反应发生情况及生活质量。结果 观察组护理后的中文版安德森症状评估量表(MDASI-C)评分、癌因疲乏量表(CFS)评分较对照组低,Herth希望量表(HHI)评分、肺癌患者生活质量测定量表(FACT-L)评分较对照组高,差异均有统计学意义(P<0.05);观察组Ⅲ度以上化疗相关不良反应发生率(7.32%)低于对照组的25.00%,差异有统计学意义(P<0.05)。结论 个案管理模式应用于肺癌化疗患者中可有效缓解其不适症状,并改善其希望水平与癌因疲乏,降低不良反应发生率,进一步提升其生活质量。
Objective To explore the intervention effect of case management model in lung cancer pa-tients with chemotherapy and the improvement of their hope level and quality of life.Methods A total of 81 patients who received chemotherapy in this hospital from April 2020 to April 2022 were selected and divided into two groups according to random number table method.Forty patients in the control group received rou-tine nursing,and 41 patients in the observation group received case management model nursing based on rou-tine nursing.The improvement of discomfort symptoms,the level of hope,the degree of cancer fatigue,the in-cidence of chemotherapy adverse reactions and the quality of life of the two groups were compared.Results After nursing,the scores of Chinese version of Anderson symptom assessment scale(MDASI-C) and Cancer-related Fatigue Scale(CFS) in the observation group were lower than those in the control group,while the scores of Herth Hope Inventory(HHI) and Function Assessment of Cancer Therapy-Lung(FACT-L) were higher in the observation group,and the differences were statistically significant(P <0.05).The incidence of chemotherapy-related adverse reactions(7.32%) in observation group was lower than that in control group (25.00%),and the difference was statistically significant(P <0.05).Conclusion The application of case management model in patients with lung cancer chemotherapy can effectively relieve their discomfort symp-toms, improve their hope level and cancer-related fatigue,reduce the incidence of adverse reactions,and further improve their quality of life.
作者
张利敏
ZHANG Limin(Department of Respiratory and Critical Care Medicine,Wuxi People's Hospital,Wuxi,Jiangsu 214000,China)
出处
《现代医药卫生》
2023年第17期2955-2959,共5页
Journal of Modern Medicine & Health
关键词
个案管理模式
肺癌
化疗
护理
Case management model
Lung cancer
Chemotherapy
Nursing
