摘要
目的:观察专案护理联合健康教育在结直肠癌化疗中的应用效果和对患者疾病认知及依从性的影响。方法:选取2020年5月—2022年3月商丘市第一人民医院接受化疗的138例结直肠癌患者作为研究对象,采用抽签法将其分为试验组和对照组,每组各69例。对照组给予常规护理,试验组实施专案护理联合健康教育,比较两组患者护理前后的疾病认知情况、护理后的化疗依从性,对所有患者开展为期6个月的短期随访,比较两组患者的自我管理能力以及生存情况。结果:护理后,试验组患者疾病认知调查量表各维度评分均高于对照组,差异有统计学意义(t=3.391、2.331、2.843,P<0.05);经不同方法护理后,试验组患者化疗依从性优良率高于对照组,差异有统计学意义(χ^(2)=5.306,P<0.05);随访期间,试验组患者自我护理能力量表(ESCA)评分、一般自我效能感量表(GESE)评分高于对照组,癌症患者生存质量量表(QLQ-C30)、结直肠癌患者生命质量测定量表(FACT-C)评分均高于对照组,差异有统计学意义(t=2.382、2.539、2.608、3.611,P<0.05)。结论:专案护理结合健康教育在结直肠癌化疗中具有较高应用价值,可有效改善患者的疾病认知及化疗依从性,增强患者自我管理能力并提升远期生存质量。
Objective:To observe the application effect of special nursing combined with health education in chemotherapy for colorectal cancer and the effect on patients'disease cognition and compliance.Methods:138 cases of colorectal cancer patients who received chemotherapy in the hospital from May 2020 to March 2022 were selected as the study subjects,and they were equally divided into experimental group and control group by lottery method,with 69 cases in each group.The control group was given routine care,and the experimental group implemented special care combined with health education.The disease cognition before and after nursing care,the compliance to chemotherapy after nursing care were compared between the two groups,and a short-term follow-up of 6 months was carried out for all the patients to compare the self-management ability and survival of the two groups.Results:After nursing,the scores of all dimensions of the Disease Awareness Survey Scale in the experimental group were higher than those in the control group,and the difference was statistically significant(t=3.391,2.331,2.843;P<0.05).After different methods of care,the excellent rate of chemotherapy adherence in the experimental group was higher than that in the control group,and the difference was statistically significant(χ^(2)=5.306,P<0.05).During the follow-up period,the self-care competence scale(ESCA)scores and general self-efficacy scale(GESE)scores of the experimental group were higher than those of the control group,and the scores of the Quality of Survival Scale for Patients with Cancer(QLQ-C30)and the Quality of Life Measurement Scale for Patients with Colorectal Cancer(FACT-C)were higher than those of the control group,and the differences were statistically significant(t=2.382,2.539,2.608,3.611;P<0.05).Conclusion:The combination of special nursing care and health education has high application value in colorectal cancer chemotherapy,which can effectively improve patients'disease cognition and chemotherapy compliance,enhance patients'self-management ability,and improve the quality of long-term survival.
作者
窦帆
王小盼
Dou Fan;Wang Xiaopan(Department of Oncology,Shangqiu First People's Hospital,Shangqiu,Henan,476000,China)
出处
《黑龙江医学》
2024年第10期1225-1227,1231,共4页
Heilongjiang Medical Journal
基金
河南省医学教育研究项目(2021002165)。
关键词
结直肠癌化疗
专案护理
健康教育
疾病认知
依从性
Chemotherapy for colorectal cancer
Special nursing
Health education
Disease cognition
Compliance
