摘要
目的:探讨反馈—问题解决护理模式干预对原发性肝癌(PLC)介入治疗患者疾病接受度及术后康复的影响,为临床护理提供依据。方法:选取2022年1—12月福建省肿瘤医院收治的82例PLC患者作为研究对象,按照入院时间先后将其分为常规组与干预组,每组各41例。常规组采用常规护理,干预组在常规护理基础上实施反馈—问题解决护理模式干预。比较两组患者干预前后自我效能感[一般自我效能感量表(GSES)评分]、疾病接受度[中文版疾病接受度量表(AIS-CHI)评分]、生命质量[癌症患者生命质量核心量表(QLQ-30)评分]、术后康复及并发症发生情况。结果:干预后,干预组患者GSES及AIS-CHI评分均明显高于常规组,差异均有统计学意义(t=6.122、9.019,P<0.05)。干预后,干预组患者QLQ-30各维度评分均明显高于常规组,差异均有统计学意义(t=3.927、5.917、5.296、5.409、5.801、5.278,P<0.05)。干预组患者术后排气时间、进食时间、排便时间、下床活动时间及住院时间均明显短于常规组,差异均有统计学意义(t=4.970、7.449、9.719、5.577、12.794,P<0.05)。干预组患者术后并发症发生率明显低于常规组,差异有统计学意义(χ^(2)=6.248,P<0.05)。结论:反馈—问题解决护理模式干预可提升PLC介入治疗患者的疾病接受度,增强其自我效能感,促进患者术后康复,提高患者生命质量。
Objective:To probe into the influence of feedback problem-solving nursing intervention on the acceptance of disease and postoperative rehabilitation of patients with primary liver cancer(PLC)after interventional therapy,so as to provide basis for clinical nursing.Methods:82 patients with PLC admitted to Fujian Cancer Hospital from January to December 2022 were divided into routine group and intervention group according to their admission time,with 41 patients in each group.Routine nursing was adopted in the routine group,and feedback problem-solving nursing mode was applied in the intervention group on the basis of routine nursing.Self-efficacy scale(GSES),disease acceptance(AIS-CHI),quality of life(QLQ-30),postoperative recovery time and complications were compared between the two groups before and after intervention.Results:The scores of GSES and AIS-CHI in the intervention group were significantly higher than those in the control group(t=6.122,9.019;P<0.05).After intervention,the scores of QlQ-30 in the intervention group were significantly higher than those in the routine group(t=3.927,5.917,5.296,5.409,5.801,5.278;P<0.05).The time of passing gas,eating,defecating,getting out of bed and staying in hospital in the intervention group were significantly shorter than those in the routine group(t=4.970,7.449,9.719,5.577,12.794;P<0.05).The total incidence of postoperative complications in intervention group was significantly lower than that in routine group(χ^(2)=6.248,P<0.05).Conclusion:Feedback problem-solving nursing intervention can improve the disease acceptance of patients undergoing PLC intervention,enhance their self-efficacy,promote postoperative recovery,and improve their quality of life.
作者
刘丽云
邱志锋
周婷
陈小娟
Liu Liyun;Qiu Zhifeng;Zhou Ting(Zone 21,Fujian Cancer Hospital,Fujian Medical University School of Oncology Clinical Medicine,Fuzhou,Fujian,350014,China)
出处
《黑龙江医学》
2024年第14期1775-1778,共4页
Heilongjiang Medical Journal
关键词
原发性肝癌
介入治疗
反馈—问题解决护理模式
疾病接受度
生命质量
术后康复
Primary liver cancer
Interventional therapy
Feedback problem-solving nursing model
Disease acceptance
Quality of life
Postoperative recovery
