摘要
目的 将认知护理干预方案,用于老年肿瘤患者,分析护理效果。方法 病例是老年肿瘤患者90例,研究时间2020年4月到2022年4月。将45例纳入普通组,进行常规护理。将另45例纳入认知护理干预组,进行认知护理干预。研究生活质量量表(WHOQOL-BREF)、焦虑(HAMA)、遵医依从性(Frankl)、老年肿瘤健康知识掌握评分、临床护理满意率。结果 ①护理4周后的HAMA评分指标,与普通组比较,认知护理干预组的更低(p<0.05);②护理4周后的WHOQOL-BREF评分、临床护理满意率、Frankl、老年肿瘤健康知识掌握评分指标,与普通组比较,认知护理干预组的均更高(p<0.05)。结论 将认知护理干预方案,用于老年肿瘤患者,能够更利于患者健康知识掌握情况、焦虑情绪改善,提高遵医依从性,利于改善生活质量。
关键词: 认知护理干预;老年肿瘤;生活质量;遵医依从性
Abstract
Objective Cognitive nursing intervention program, used in elderly cancer patients, to analyze the nursing effect. Methods A total of 90 elderly tumor patients were enrolled from April 2020 to April 2022. Forty-five cases were included in the general group for routine nursing. Another 45 cases were included in the cognitive nursing intervention group for cognitive nursing intervention. The Quality of Life Scale (WHOQOL-BREF), anxiety (HAMA), compliance (Frankl), health knowledge mastery score of senile tumors, and satisfaction rate of clinical care were studied. Results ① The HAMA score index after 4 weeks of nursing was lower in the cognitive nursing intervention group than in the general group (p < 0.05). ② After 4 weeks of nursing, the WHOQOL-BREF score, clinical nursing satisfaction rate, Frankl and health knowledge score index of elderly tumor were higher in cognitive nursing intervention group than in general group (p < 0.05). Conclusion The cognitive nursing intervention program used in elderly cancer patients can be more conducive to the patients' health knowledge, anxiety improvement, improve medical compliance, and improve the quality of life.
Key words: Cognitive nursing intervention; Old age tumor; Quality of life; Medical compliance
参考文献 References
[1] 胡爽,李海艳,黄丽,等. 血液科恶性肿瘤老年患者化疗肝损伤的认知干预护理分析[J]. 中国保健营养,2019,29(36):164.
[2] 郑雅珍,刘东芳,赵晓亮,等. 认知干预对血液科老年恶性肿瘤化疗后肝损伤患者负性情绪的影响[J]. 检验医学与临床,2017,14(7):915-917.
[3] 李文琳. 手术室护理干预对改善胃肠外科老年患者术后认知功能障碍的效果分析[J]. 医学食疗与健康,2021,19(6):159-190.
[4] 谢娟,孙强. 术前认知干预抑制老年口腔恶性肿瘤手术患者麻醉苏醒期躁动的效果[J]. 中华现代护理杂志,2017,23(27):3500-3503.
[5] 阿米娜•曲海,韩记真,马玲,等. 多学科团队模式护理干预对老年晚期肺癌伴骨转移患者治疗依从性、癌因性疲乏及焦虑抑郁的影响[J]. 中国医药导报,2017,14(25):167-170
[6] 孙晓林,郑丽娜,钱国武,等. 强化院外健康信念对老年结肠癌患者健康认知、行为改善的效果[J]. 中华现代护理杂志,2018,24(34):4134-4138.
[7] 刘晨音,黄梦莉,黄颖,等. 回授法认知行为干预对老年妇科恶性肿瘤患者的影响[J]. 中国老年学杂志,2018,38(9):2110-2113.
[8] 胡皎,高燕,贾悦,等. 认知功能与老年肿瘤PICC置管病人并发症发生风险的相关性研究[J]. 全科护理,2021,19(13):1827-1829.
[9] 李翠玲,张巧云,崔静,等. 整体护理联合宣传教育对老年慢性肺源性心脏病患者自我认知及生活质量的影响[J]. 贵州医药,2020,44(5):826-827.
[10] 明莹莹,郭艳侠. 认知行为干预对老年膀胱癌造口患者自我效能及应对能力的影响[J]. 中国医刊,2018,53(3):327-345.