摘要
目的:探讨Snyder希望理论结合院外移动平台在肝癌术后护理中的应用价值。方法:采用便利抽样法,纳入2018年1月—2019年3月在郑州大学第一附属医院接受肝切除术的84例原发性肝癌术后患者为研究对象,随机分为观察组和对照组,每组42例。对照组实施常规健康教育及定期随访,观察组应用Snyder希望理论联合移动平台进行随访干预。干预前后采用Herth希望量表(HHI)、自我护理能力量表(ESCA)、癌症治疗功能评价系统之肝胆量表(FACT-Hep)比较两组干预效果。结果:干预3个月后,观察组患者HHI总分(39.74±2.66)分,ESCA总分(140.05±6.35)分,FACT-Hep总分(153.57±9.61)分,均高于对照组,差异有统计学意义(t值分别为11.228、15.925、5.492;P<0.05)。结论:Snyder希望理论与移动平台联合,能够提升肝癌患者希望水平、自我护理能力及生活质量。
Objective To explore the application value of Snyder's hope theory combined with out of hospital mobile platform in patients with liver neoplasms after surgery.Methods A total of 84 patients with primary hepatocellular carcinoma who underwent hepatectomy in the First Affiliated Hospital of Zhengzhou University from January 2018 to March 2019 were selected as research objects by the convenient sampling method.They were randomly divided into the observation group and the control group,with 42 cases in each group.The control group was given routine health education and regular follow-up while the observation group was given Snyder's hope theory combined with mobile platform for follow-up intervention.Before and after intervention,Herth Hope Index(HHI)scale,Exercise of Self-Care Agency(ESCA)scale and Functional Assessment of Cancer Therapy-Hepatobiliary(FACT-Hep)were used to compare intervention effects between two groups.Results After 3 months of intervention,the total score of HHI(39.74±2.66),ESCA(140.05±6.35)and FACT-hep(153.57±9.61)in the observation group were all higher than those in the control group,and the differences were statistically significant(t=11.228,15.925,5.492;P<0.05).Conclusions Snyder's hope theory combined with mobile platform can improve the hope level,self-care ability and quality of life of patients with liver neoplasms.
作者
王小平
朱艳霞
谢秋莉
Wang Xiaoping;Zhu Yanxia;Xie Qiuli(Department of Infectious Diseases,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)
出处
《中华现代护理杂志》
2020年第15期2050-2054,共5页
Chinese Journal of Modern Nursing
基金
传染病防治国家科技重大专项(2018ZX10301201)
国家自然科学基金青年项目(81600506)
国家自然科学基金青年项目(81702757)
中国博士后科学基金(2017464&20182814)。
关键词
肝肿瘤
希望理论
移动平台
自我护理能力
生活质量
Liver neoplasms
Hope theory
Mobile platform
Self-care ability
Quality of life
