摘要
目的:分析运用知信行理论模式(Knowledge,Attitude/Belief,Practice,KAP)护理干预在胃癌化疗患者中的价值。方法:选取2019年4月—2021年2月河南科技大学第一附属医院收治的76例胃癌患者作为研究对象,采用掷硬币法将患者分为对照组与观察组,每组各38例。对照组采用肿瘤化疗常规护理,观察组在肿瘤化疗常规护理的基础上采用KAP模式护理。比较两组患者干预前1 d及干预结束后4周的汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)、汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)、自我效能量表(General Self-Efficacy Scale,GSEG)、Herth希望指数量表(Herth hope index,HHI)及健康调查简表(the MOS item short from health survey,SF-36)评分。结果:观察组干预结束后4周的HAMD、HAMA评分均较对照组低,差异有统计学意义(t=12.81、12.83,P<0.05);观察组干预结束4周的GSEG评分较对照组高,差异有统计学意义(t=2.25,P<0.05);观察组干预结束后4周的HHI中的与他人保持亲密关系、采取积极行动、对现实及未来态度评分均较对照组高,差异有统计学意义(t=2.56、2.29、2.55,P<0.05);观察组干预结束后4周的SF-36评分较对照组高,差异有统计学意义(t=10.64,P<0.05)。结论:在肿瘤化疗常规护理的基础上采用KAP模式护理胃癌化疗患者可有效改善患者的抑郁、焦虑情绪,提高患者的自我效能感和希望水平,改善患者的生活质量。
Objective:To analyze the effects of using the Knowledge,Attitude/Belief,Practice(KAP)nursing intervention for gastric cancer chemotherapy patients on their depression level,anxiety level,self-efficacy score,hope level and quality of life.Methods:76 gastric cancer patients admitted to the hospital from April 2019 to February 2021 were selected as the study subjects,and the coin toss method was used to divide the patients into the control and observation groups,with 38 cases in each group.The control group used conventional care of oncology chemotherapy,and the observation group used KAP mode of care based on conventional care of oncology chemotherapy.The Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA),General Self-Efficacy Scale(GSEG),Herth hope index(HHI)and the MOS item short from health survey(SF-36)scores of the two groups were compared 1 d before and 4 weeks after the end of the intervention.Results:The HAMD and HAMA scores were lower in the observation group than in the control group 4 weeks after the end of the intervention,and the difference was statistically significant(t=12.81,12.83,P<0.05).The GSEG score at the end of 4 weeks of intervention was higher in the observation group than in the control group,with a statistically significant difference(t=2.25,P<0.05).The scores of maintaining close relationships with others,taking positive actions,and attitudes toward reality and the future in the HHI 4 weeks after the end of the intervention were higher in the observation group than in the control group,with statistically significant differences(t=2.56,2.29,2.55,P<0.05).The SF-36 scores at 4 weeks after the end of the intervention were higher in the observation group than in the control group,and the difference was statistically significant(t=10.64,P<0.05).Conclusion:Adopting the KAP model to care for gastric cancer chemotherapy patients on the basis of conventional oncology chemotherapy care can effectively improve patients’depression and anxiety,increase their self-efficacy and hope level,and improve their quality of life.
作者
郭嘉明
Guo Jiaming(Department of Medical Oncology,The First Affiliated Hospital of Henan University of Science and Technology,Luoyang,Henan,471000,China)
出处
《黑龙江医学》
2023年第16期1994-1996,2000,共4页
Heilongjiang Medical Journal
关键词
化疗
知信行理论模式
胃癌
生活质量
Chemotherapy
Knowledge,Attitude,Practice mode
Gastric cancer
Quality of life
