發(fā)布時(shí)間：2018-01-30 01:39

  本文關(guān)鍵詞： 知信行模式 健康教育 肝癌 癌因性疲乏　出處：《河北醫(yī)藥》2016年03期 　論文類(lèi)型：期刊論文

【摘要】：目的探討知信行模式護(hù)理健康教育對(duì)肝癌晚期姑息治療患者癌因性疲乏的影響。方法 128例肝癌晚期患者為研究對(duì)象,按區(qū)組隨機(jī)化分組方法分為知信行組與常規(guī)組,知信行組62例,常規(guī)組66例,常規(guī)組給予常規(guī)肝癌晚期健康教育,知信行組應(yīng)用知信行模式進(jìn)行健康教育,比較2組患者的干預(yù)效果。結(jié)果干預(yù)后,知信行組患者Piper疲乏修正量表行為、情感、軀體、認(rèn)知及疲乏總分評(píng)分均低于常規(guī)組(P0.05),疲乏程度較常規(guī)組顯著改善(P0.05);且知信行組患者Spitzer生活質(zhì)量指數(shù)活動(dòng)能力、日常生活、健康感受、家庭支持、生活感受及疲乏總評(píng)分均較常規(guī)組增加(P0.05);知信行組患者對(duì)護(hù)理人員滿(mǎn)意度明顯高于常規(guī)組(95.16%,78.79%),差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論知信行模式護(hù)理健康教育可有效改善晚期肝癌患者的癌因性疲乏,提高患者生活質(zhì)量,值得臨床廣泛推廣和應(yīng)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.
【作者單位】： 海南省農(nóng)墾總醫(yī)院干部保健科;
【分類(lèi)號(hào)】：R473.73
【正文快照】： 原發(fā)性肝癌(primary carcinoma of liver,PCL)是世界上發(fā)病率較高的惡性腫瘤之一[1]。由于我國(guó)健康體檢意識(shí)薄弱,導(dǎo)致大部分PLC患者就診時(shí)多已進(jìn)入中晚期,失去了手術(shù)時(shí)機(jī),因而,化療成為PLC晚期患者的主要治療手段之一[2]。然而在化療期間,因臨床癥狀及化療藥物所產(chǎn)生的毒副反

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本文編號(hào)：1474938