摘要
目的探讨基于信息、动机、行为技巧(IMB)模式的综合护理在经尿道膀胱肿瘤电切术(TURBT)后膀胱灌注化疗患者中的应用价值。方法选取2019年11月至2021年10月郑州大学第一附属医院收治的94例膀胱癌患者纳入研究,所有患者均在TURBT术后行膀胱灌注化疗。按随机数表法将患者分为对照组和观察组,每组47例。对照组患者膀胱灌注化疗期间给予常规护理,观察组患者在常规护理基础上采取基于IMB模式的综合护理。干预6个月后,比较两组患者的治疗依从性、并发症、复发率、心理状态[心境状态量表(POMS)]、疲乏感[癌因性疲乏程度量表(PFS)]、自我管理效能[癌症自我管理效能感量表(SUPPH)]、生活质量[癌症生活质量量表(EORTCQLQC30)]。结果干预6个月后,观察组患者的总治疗依从率为100.00%,明显高于对照组的85.11%,差异有统计学意义(P<0.05);干预6个月后,观察组患者POMS量表中的消极心境评分为(49.66±5.74)分,明显低于对照组的(55.87±4.66)分,积极心境评分为(31.18±4.62)分,明显高于对照组的(26.69±3.17)分,差异均有统计学意义(P<0.05);干预6个月后,观察组患者的EORTCQLQC30评分、SUPPH评分分别为(80.33±4.39)分、(103.26±8.46)分,明显高于对照组的(72.56±5.06)分、(94.66±5.97)分,PFS评分为(3.69±0.45)分,明显低于对照组的(4.61±0.50)分,差异均有统计学意义(P<0.05);干预期间,观察组患者的并发症总发生率为10.64%,明显低于对照组的27.66%,差异均有统计学意义(P<0.05);随访1年,观察组患者的复发率为4.26%,略低于对照组的8.89%,但差异无统计学意义(P>0.05)。结论基于IMB模式的综合护理不仅可降低TURBT术后膀胱灌注化疗患者并发症的发生风险,增强自我管理效能,提高治疗依从性,而且还能改善患者心境状态,减轻疲乏感,提高生活质量。
Objective To explore the application value of comprehensive nursing based on information,motivation,and behavioral skills(IMB)model in patients undergoing bladder perfusion chemotherapy after transurethral resection of bladder tumor(TURBT).Methods Ninetyfour patients with bladder cancer who admitted to the First Affiliated Hospital of Zhengzhou University from November 2019 to October 2021 were selected as research objects.All of them received bladder perfusion chemotherapy after TURBT.The patients were divided into a control group and an observation group according to random number table method,with 47 patients in each group.The patients in the control group received routine nursing during bladder perfusion chemotherapy,while the patients in the observation group received comprehensive nursing based on the IMB model on the basis of routine nursing.After 6 months of intervention,the treatment compliance,complications,recurrence rate,psychological status[Profile of Mood State(POMS)],fatigue[Piper Fatigue Scale(PFS)],selfmanagement efficacy[Strategies Used by People to Promote Health(SUPPH)],and quality of life[30-item European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire(EORTCQLQC30)]were compared between the two groups.Results After 6 months of intervention,the total compliance rate for treatment in the observation group was 100.00%,which was significantly higher than 85.11%in the control group(P<0.05).After 6 months of intervention,the negative mood score of the POMS scale in the observation group was(49.66±5.74)points,which was significantly lower than(55.87±4.66)points in the control group,while the positive mood score was(31.18±4.62)points,significantly higher than(26.69±3.17)points in the control group(P<0.05).After 6 months of intervention,the EORTCQLQC30 score and SUPPH score in the observation group were(80.33±4.39)points and(103.26±8.46)points,respectively,which were significantly higher than(72.56±5.06)points and(94.66±5.97)points in the control group,while the PFS score was(3.69±0.45)points,significantly lower than(4.61±0.50)points in the control group(P<0.05).During the intervention,the total incidence of complications in the observation group was 10.64%,which was significantly lower than 27.66%in the control group(P<0.05).After oneyear of followup,the recurrence rate in observation group was slightly lower than that in the control group(4.26%vs 8.89%),and the difference was not statistically significant(P>0.05).Conclusion Comprehensive nursing based on IMB mode can reduce the risk of complications in patients undergoing bladder perfusion chemotherapy after TURBT,enhance selfmanagement efficacy,and improve treatment compliance,and thus improve the mood state of patients,reduce fatigue,and improve the quality of life.
作者
薛秋云
高丽娜
史小丽
XUE Qiu-yun;GAO Li-na;SHI Xiao-li(Blood Sample Collection,Department of Clinical Laboratory,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,CHINA;Department of Urology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,CHINA;Department of Oncology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,CHINA)
出处
《海南医学》
CAS
2023年第21期3172-3177,共6页
Hainan Medical Journal
基金
2021年度河南省医学科技攻关计划联合共建项目(编号:LHGJ20210692)。
关键词
膀胱灌注
膀胱癌
经尿道膀胱肿瘤电切术
信息、动机、行为技巧模式
心理状态
生活质量
Bladder perfusion
Bladder cancer
Transurethral resection of bladder tumors
Information,motivation,and behavioral skills model
Mental state
Quality of life
