[1]陈英璐,肖 伶.基于Neuman健康照顾模式的三级预防护理在肺癌放化疗患者压力管理中的应用[J].医学信息,2023,36(16):152-157.[doi:10.3969/j.issn.1006-1959.2023.16.031]
　CHEN Ying-lu,XIAO Ling.Application of Three-level Preventive Nursing Based on Neuman Health Care Model in Stress Management of Lung Cancer Patients Undergoing Chemoradiotherapy[J].Journal of Medical Information,2023,36(16):152-157.[doi:10.3969/j.issn.1006-1959.2023.16.031]
点击复制

基于Neuman健康照顾模式的三级预防护理在肺癌放化疗患者压力管理中的应用()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年16期
页码:
152-157
栏目:
护理研究
出版日期:
2023-08-15

文章信息/Info

Title:
Application of Three-level Preventive Nursing Based on Neuman Health Care Model in Stress Management of Lung Cancer Patients Undergoing Chemoradiotherapy
文章编号:
1006-1959（2023）16-0152-06
作者:
陈英璐; 肖 伶
（天津市宝坻区人民医院外科三病区，天津 301800）
Author(s):
CHEN Ying-lu; XIAO Ling
(The Third Ward of Surgical Department,Tianjin Baodi District People’s Hospital,Tianjin 301800,China)
关键词:
Neuman理论; 健康照顾模式; 三级预防护理; 肺癌; 放化疗; 压力管理
Keywords:
Neuman theory; Health care model; Three-level preventive nursing; Lung cancer; Radiochemotherapy; Stress management
分类号:
R473.73
DOI:
10.3969/j.issn.1006-1959.2023.16.031
文献标志码:
A
摘要:
目的 探讨基于Neuman理论健康照顾模式的三级预防护理在肺癌放化疗患者压力管理中的应用效果。方法 选择我院2021年6月-2022年8月收治的40例需要进行放化疗的肺癌患者作为研究对象，采用随机数字表法分为研究组和对照组，每组20例。对照组使用常规放化疗护理，研究组在对照组基础上使用基于Neuman理论健康照顾模式的三级预防护理，比较两组护理后心理压力（CPSS）评分、医学应对（MCMQ）评分、自我管理能力（AHSMSRS）评分、生活质量（GQOL-74）评分、癌因性疲乏评分以及护理满意度。结果 研究组护理后紧张感、失控感及CPSS总分均低于对照组，差异有统计学意义（P＜0.05）；研究组面对、回避、屈服评分均优于对照组，差异有统计学意义（P＜0.05）；研究组自我管理认知、自我管理行为、自我管理环境评分均高于对照组，差异有统计学意义（P＜0.05）；研究组躯体功能、社会功能、情绪功能以及整体健康评分均高于对照组，差异有统计学意义（P＜0.05）；研究组躯体疲乏、心理疲乏和认知疲乏评分均低于对照组，差异有统计学意义（P＜0.05）；研究组护理满意度高于对照组，差异有统计学意义（P＜0.05）。结论 在肺癌患者放化疗的过程中使用基于Neuman理论健康照顾模式的三级预防护理，能提高患者自我管理的能力、生活质量以及对整体护理的满意度，同时降低患者负面情绪和心理压力，值得临床应用。
Abstract:
Objective To analyze and explore the application effect of three-level preventive nursing based on Neumans health care model in stress management of patients with lung cancer undergoing chemoradiotherapy.Methods A total of 40 patients with lung cancer who needed chemoradiotherapy in our hospital from June 2021 to August 2022 were selected as the research objects. They were divided into study group and control group by random number table method, with 20 patients in each group. The control group was given routine radiotherapy and chemotherapy nursing, and the study group was given three-level preventive nursing based on Neuman theory health care model on the basis of the control group. The psychological stress (CPSS) score, medical coping (MCMQ) score, self-management ability (AHSMSRS) score, quality of life (GQOL-74) score, cancer-related fatigue score and nursing satisfaction were compared between the two groups.Results The total scores of tension, out of control and CPSS in the study group were lower than those in the control group, and the differences were statistically significant (P<0.05). The scores of confrontation, avoidance and yield in the study group were better than those in the control group, and the differences were statistically significant (P<0.05). The scores of self-management cognition, self-management behavior and self-management environment in the study group were higher than those in the control group, and the differences were statistically significant (P<0.05). The scores of physical function, social function, emotional function and overall health in the study group were higher than those in the control group, and the differences were statistically significant (P<0.05). The scores of physical fatigue, psychological fatigue and cognitive fatigue in the study group were lower than those in the control group, and the differences were statistically significant (P<0.05). The nursing satisfaction of the study group was higher than that of the control group, and the difference was statistically significant (P<0.05).Conclusion The application of three-level preventive nursing based on Neuman theory health care model in the process of chemoradiotherapy for lung cancer patients can improve patients’ self-management ability, quality of life and satisfaction with holistic nursing, and reduce patients’ negative emotions and psychological pressure, which is worthy of clinical application.

参考文献/References:

[1]张雪芹,李林,张菊芬,等.“1+1”对症健康宣教模式在单纯性鼾症患者扁桃体切除术后的应用[J].成都医学院学报,2022,17(4):518-521.[2]肿瘤医学论坛.2020年全球癌症最新数据解读[J].中国肿瘤临床与康复,2021,28(3):301.[3]李千.临床优质护理干预在晚期非小细胞肺癌同步放化疗患者中的应用效果分析[J].四川解剖学杂志,2021,29(1):71-72.[4]王丽丽,姚绍芹.多模式延续护理对晚期肺癌化疗病人生活质量和睡眠质量的影响[J].全科护理,2020,18(34):4851-4853.[5]刘辉,罗凤.基于护理程序的护理干预在非小细肺癌术后放化疗患者中的应用观察[J].实用中西医结合临床,2020,20(3):174-175.[6]董慧敏.中晚期肺癌放化疗患者实施延续护理的价值[J].甘肃医药,2022,41(3):278-280.[7]代世杰,张宇虹.基于Neuman理论的压力管理模式对习惯性流产产妇产前精神状态及产后抑郁情况的效果研究[J] 齐齐哈尔医学院学报,2020,41(23):3012-3014. [8]曾淑超.针对护理对肺癌同步放化疗患者胃肠功能和生活质量的影响[J].河北医药,2021,43(13):2067-2069,2073.[9]王明莉.延续性护理模式对晚期肺癌化疗患者睡眠及生活质量的影响[J].河北北方学院学报(自然科学版),2022,38(8):38-40.[10]郝丽琼,吴师容,曹丹,等.肺癌化疗患者癌因性疲乏发生情况及与社会支持的相关性研究[J].解放军医药杂志,2017,29(7):37-40.[11]白国岭.肺癌放化疗患者实施舒适护理对患者治疗依从性及生活质量的影响[J].黑龙江中医药,2021,50(2):182-183.[12]季红燕,王美华,朱向阳.循证护理对肺癌放化疗患者治疗依从性与生活质量的影响[J].护理实践与研究,2019,16(15):56-58. [13]刘玉娟,钟秀英,姚玉香,等.赋能健康教育对肺癌放化疗患者疾病不确定感以及自我管理效能感的影响[J].护理实践与研究,2023,20(3):413-417.[14]陈文杰.综合护理干预措施在非小细胞肺癌放化疗患者中的应用效果观察[J].黑龙江中医药,2021,50(5):196-197.[15]童志花,林碧.放化疗高血压肺癌患者实施个性化护理对其生活质量的影响[J].心血管病防治知识,2022,12(25):64-66.[16]张黎雪,王洁,孙军.以Neuman理论为指导的压力管理对缺血性脑血管疾病神经介入治疗病人心境状态及应对方式的影响[J].全科护理,2021,19(21):2927-2932.[17]肖源,詹碧鸣,陈杰龙,等.压力感知导管行环肺静脉电隔离术治疗阵发性心房颤动13例[J].介入放射学杂志,2018,27(6):564-568.[18]王涛,岳庆雄,庞占琪,等.合并卵圆孔未闭的阵发性心房颤动射频消融治疗[J].中国心脏起搏与心电生理杂志,2022,36(2):134-137.[19]吕柯.起源于肺静脉的房性心律失常体表心电图和心内电生理特点[J].实用医技杂志,2022,29(4):444-446. [20]林华蓉.纽曼系统护理模式对中晚期肝癌介入治疗术后病人生活质量和不良情绪的影响[J].安徽医药,2019,23(9):1834-1838.[21]黄平利,邵鹏.肝癌晚期患者生命末期姑息护理模式的构建[J].国际护理学杂志,2022,41(4):739-743.

更新日期/Last Update: 1900-01-01