摘要
目的:探讨基于故事理论的健康行动程序在胶质瘤患者护理中的应用效果。方法:选取2020年8月—2022年8月安徽医科大学第一附属医院收治的80例胶质瘤患者进行研究,按照随机数表法分为两组,各40例。对照组采用常规护理,研究组采用基于故事理论的健康行动程序。比较两组血清指标、癌因性疲乏量表、心理状态及总体幸福感量表评分。结果:干预前,两组血清指标比较,差异无统计学意义(P>0.05);干预后,研究组白细胞介素-6(IL-6)、C反应蛋白(CRP)、皮质醇均低于对照组,差异有统计学意义(P<0.05)。干预前,两组癌因性疲乏量表评分比较,差异无统计学意义(P>0.05);干预后,研究组躯体疲乏、认知疲乏及情感疲乏评分均低于对照组,差异有统计学意义(P<0.05)。干预前,两组心理状态评分比较,差异无统计学意义(P>0.05);干预后,研究组汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分均低于对照组,差异有统计学意义(P<0.05)。干预前,两组总体幸福感量表评分比较,差异无统计学意义(P>0.05);干预后,研究组对生活的兴趣与满足、担忧健康、生命力、愉悦或忧郁的情绪、控制情感及行为及紧张与松弛评分高于对照组,差异有统计学意义(P<0.05)。结论:胶质瘤患者护理中应用基于故事理论的健康行动程序,有利于改善患者血清水平,缓解负性状态,提升幸福感。
Objective:To explore the application effect of health action procedure based on story theory in the nursing of patients with glioma.Method:A total of 80 glioma patients admitted to the First Affiliated Hospital of Anhui Medical University from August 2020 to August 2022 were selected for the study,and divided into two groups according to random number table method,with 40 cases in each group.The control group received routine nursing,while the study group received health action procedure based on story theory.Serum indexes,cancer-related fatigue scale,mental state and general well-being scale were compared between the two groups.Result:Before intervention,there were no significant differences in serum indexes between the two groups(P>0.05).After intervention,interleukin-6(IL-6),C-reactive protein(CRP)and cortisol in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Before intervention,there were no significant differences in cancer-related fatigue scale scores between the two groups(P>0.05).After intervention,the scores of physical fatigue,cognitive fatigue and emotional fatigue in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Before intervention,there were no significant differences in psychological status scores between the two groups(P>0.05).After intervention,the scores of Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Before intervention,there were no significant differences between the two groups in general well-being scale score(P>0.05).After intervention,the scores of interest and satisfaction in life,worry about health,vitality,happy or depressed mood,controlling emotion and behavior,and tension and relaxation in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Co
作者
孔岚竹
栗晓丽
李静
戈志鹏
KONG Lanzhu;LI Xiaoli;LI Jing;GE Zhipeng(The First Affiliated Hospital of Anhui Medical University,Hefei 230022,China;不详)
出处
《中外医学研究》
2023年第36期89-93,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
胶质瘤
故事理论
健康行动程序
干预效果
Glioma
Story theory
Health action procedure
Intervention effect
