摘要
目的 基于行为分阶段转变理论构建肺癌患者输液港自我管理方案,并评定临床应用效果。方法 选取2022年5月至10月江苏省某医院收治的携带胸壁静脉输液港的肺癌患者168例为研究对象,分为观察组和对照组,各84例。对照组采用常规输液港护理措施,观察组在对照组基础上实施8个月基于行为分阶段转变理论构建的肺癌患者输液港自我管理方案,干预后比较两组患者输液港自我管理行为、癌因性疲乏程度、输液港相关并发症发生率、护理满意度。结果 观察组患者输液港自我管理行为总分及各维度评分均高于对照组,癌因性疲乏程度低于对照组,输液港相关并发症发生率低于对照组,护理满意度高于对照组(均P<0.05)。结论 基于行为分阶段转变理论模型的干预方案可以提升肺癌患者输液港自我管理行为,改善癌因性疲乏程度,降低并发症发生的风险,提升护理满意度,对保障患者顺利治疗具有重要意义。
Objective Based on the transtheoretical model,the self-management program of infusion port for lung cancer patients was constructed,and the clinical application effect was determined.Methods A total of 168 lung cancer patients with chest wall venous infusion port admitted to a Jiangsu hospital were selected as research objects from May to October 2022,and divided into observation group and control group,with 84 cases in each group.The control group was treated with conventional infusion port nursing measures.Based on the control group,the observation group implemented a self-management program of infusion port for lung cancer patients constructed based on the transtheoretical model for eight months.After intervention,the self-management behavior,the degree of cancer-related fatigue,the incidence of complications,and nurses'satisfaction were compared between two groups.Results In the observation group,the total score and each dimension score of self-management behavior in the observation group were higher(P<0.05),the degree of cancer-related fatigue was lower(P<0.05),the incidence of complications related to the infusion port was lower,the nursing satisfaction was higher than that in the control group(P<0.05).Conclusion The intervention program based on the transtheoretical model can improve the self-management behavior of infusion port in lung cancer patients,enhance the degree of cancer-related fatigue,reduce the risk of complications,and increase nurses'satisfaction,which was of great significance to ensure the smooth treatment of patients.
作者
伏加慧
薛翔
张菊凤
姜玉婷
周培华
李莉
FU Jiahui;XUE Xiang;ZHANG Jufeng;JIANG Yuting;ZHOU Peihua;LI Li(Department of Respiratory and Critical Care Medicine,the First Affiliated Hospital of Nanjing Medical University/Jiangsu Provincial People's Hospital,Nanjing 210029,China;Department of Respiratory and Critical Care Medicine,Nanjing Drum Tower Hospital,Nanjing 210029,China)
出处
《护理管理杂志》
CSCD
2024年第8期662-667,共6页
Journal of Nursing Administration
基金
国家重点研发计划专项(2018YFC1311904)。
关键词
肺癌
输液港
行为分阶段转变理论
自我管理能力
癌因性疲乏
护理
lung cancer
infusion port
the transtheoretical model
self-management ability
cancer-related fatigue
nursing
