知信行模式护理健康教育对肝癌晚期姑息治疗患者癌因性疲乏的影响

发布时间：2018-01-30 01:39

本文关键词： 知信行模式健康教育肝癌癌因性疲乏　出处：《河北医药》2016年03期 　论文类型：期刊论文

【摘要】：目的探讨知信行模式护理健康教育对肝癌晚期姑息治疗患者癌因性疲乏的影响。方法 128例肝癌晚期患者为研究对象,按区组随机化分组方法分为知信行组与常规组,知信行组62例,常规组66例,常规组给予常规肝癌晚期健康教育,知信行组应用知信行模式进行健康教育,比较2组患者的干预效果。结果干预后,知信行组患者Piper疲乏修正量表行为、情感、躯体、认知及疲乏总分评分均低于常规组(P0.05),疲乏程度较常规组显著改善(P0.05);且知信行组患者Spitzer生活质量指数活动能力、日常生活、健康感受、家庭支持、生活感受及疲乏总评分均较常规组增加(P0.05);知信行组患者对护理人员满意度明显高于常规组(95.16%,78.79%),差异有统计学意义(P0.05)。结论知信行模式护理健康教育可有效改善晚期肝癌患者的癌因性疲乏,提高患者生活质量,值得临床广泛推广和应用。
[Abstract]:Objective to explore the effect of health education on patients with advanced palliative treatment of hepatocellular carcinoma (HCC). Methods 128 patients with advanced liver cancer were studied. According to the method of block randomization, it was divided into two groups: the group of knowledge, the group of faith, the group of knowledge, the group of information, the group of information, the group of information, the group of 66 cases of routine, the routine group was given health education of advanced stage of liver cancer, and the group of group of knowledge, faith and action was used to carry out health. Results after the intervention, the scores of behavior, emotion, body, cognition and total fatigue score of the patients in the Piper fatigue correction scale were lower than those in the control group (P 0.05). Compared with the routine group, the fatigue degree was improved significantly (P 0.05). The activity ability of Spitzer quality of life index, daily life, health feeling, family support, life feeling and total score of fatigue of the patients in the group of knowing, believing and acting were significantly higher than those of the control group (P 0.05). The satisfaction degree of the patients in the group of knowing faith and acting was obviously higher than that of the routine group (95. 16% 78.79). Conclusion the health education can effectively improve the cancer-induced fatigue and improve the quality of life of patients with advanced liver cancer. It is worth popularizing and applying widely in clinic.
【作者单位】：海南省农垦总医院干部保健科;
【分类号】：R473.73
【正文快照】： 原发性肝癌(primary carcinoma of liver,PCL)是世界上发病率较高的恶性肿瘤之一[1]。由于我国健康体检意识薄弱,导致大部分PLC患者就诊时多已进入中晚期,失去了手术时机,因而,化疗成为PLC晚期患者的主要治疗手段之一[2]。然而在化疗期间,因临床症状及化疗药物所产生的毒副反

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