摘要
目的探讨3S2E干预模式联合多元化健康教育在老年肺癌患者放化疗中的应用效果。方法将106例老年肺癌患者按干预方法的不同分为常规干预组及3S2E教育组,每组53例,其中常规干预组给予常规干预,3S2E教育组在常规干预组的基础上给予3S2E干预模式联合多元化健康教育。比较两组患者汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、自我护理能力测定量表(ESCA)、疾病不确定感家属量表、欧洲癌症研究与治疗组织生命质量测定量表(EORTCQLQ-C30)、Piper疲乏修订量表(PFS-R)评分及满意度。结果干预后,3S2E教育组患者HAMA、HAMD、疾病不确定感家属量表、PFS-R量表各维度评分均明显低于常规干预组,EORTCQLQ-C30评分、ESCA量表各维度评分均明显高于常规干预组,差异均有统计学意义(P﹤0.01)。3S2E教育组患者满意度明显高于常规干预组,差异有统计学意义(P﹤0.01)。结论老年肺癌患者放化疗中应用3S2E干预模式联合多元化健康教育,能够改善患者负性情绪、癌因性疲乏和家属不确定感,提高自护能力及生活质量。
Objective To investigate the application effect of 3S2E intervention mode combined with diversified health education in elderly patients with lung cancer undergoing radiotherapy and chemotherapy.Method A total of 106 elderly patients with lung cancer were divided into routine intervention group and 3S2E education group,53 cases in each group.The routine intervention group was given routine intervention,and the 3S2E education group was given 3S2E intervention mode combined with diversified health education on the basis of routine intervention group.Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD),exercise of self-care agency scale(ESCA),family scale of diease uncertainty,European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30),Piper fatigue scale-revised(PFS-R)score and satisfaction were compared between the two groups.Result After intervention,the scores of HAMA,HAMD,family scale of diease uncertainty and the dimensional scores of PFS-R in 3S2E education group were lower than those in routine intervention group,and the scores of EORTC QLQ-C30 and the dimensional scores of ESCA were higher than those in routine intervention group,the differences were statistically significant(P<0.05).The satisfaction of 3S2E education group was significantly higher than that of routine intervention group,and the difference was statistically significant(P<0.01).Conclusion The application of 3S2E intervention mode combined with diversified health education during radiotherapy and chemotherapy of elderly patients with lung cancer can reduce patients’negative emotions,cancer-related fatigue and family uncertainty,improve self-care ability and quality of life.
作者
张宇娇
倪婧婧
毛冰
ZHANG Yujiao;NI Jingjing;MAO Bing(Department of Geriatric Respiratory Sleep,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)
出处
《癌症进展》
2024年第14期1532-1535,1566,共5页
Oncology Progress
基金
河南省医学科技攻关计划联合共建项目(LHGJ20210308)。
关键词
3S2E干预模式
多元化健康教育
老年肺癌
放化疗
3S2E intervention mode
diversified health education
elderly patients with lung cancer
chemoradiother-apy
