基于Meleis转变理论的出院准备教育模式对肺癌化疗病人出院准备度的影响

    Effect of hospital discharge readiness education model based on Meleis transition theory on hospital discharge readiness of lung cancer patients treated with chemotherapy

    • 摘要:
      目的 探讨基于Meleis转变理论的干预护理对肺癌化疗病人出院准备度的影响。
      方法 将接受常规化疗的120例肺癌病人根据随机数字法分为常规护理组和干预护理组,每组60例。分别在病人化疗期间进行常规护理和基于Meleis转变理论的干预护理。使用出院准备度量表(RHDS)对病人出院时的准备度进行评分;使用肺癌治疗功能评估量表(FACT-L)对病人的生活质量进行评分;使用简易应对方式量表(SCSQ)对病人的自我应对方式进行评定。
      结果 干预护理组在出院时的RHDS量表中个人状态、适应能力以及预期获得帮助3个维度的评分以及总评分均显著高于常规护理组(P < 0.01)。干预护理组在出院时的FACT-L量表中生理状态、社会/家庭状况、情感状态、功能状态以及肺癌特异模块的评分以及总评分均显著高于常规护理组(P < 0.01)。干预护理组中积极应对病人为57例(95.7%),明显高于常规护理组的31例(51.7%)(P < 0.01)。
      结论 基于Meleis转变理论的干预护理可以提高肺癌化疗病人的出院准备度,增强其自我应对能力和改善生活质量,值得在临床上推广应用。

       

      Abstract:
      Objective To investigate the effects of intervention nursing based on Meleis transition theory on the discharge readiness of patients with lung cancer treated with chemotherapy.
      Methods A total of 120 lung cancer patients scheduled by routine chemotherapy were randomly divided into the routine nursing group and intervention nursing group(60 cases in each group).The routine nursing group and intervention nursing group were given the routine nursing and intervention nursing based on Meleis transition theory during chemotherapy period, respectviely.The readiness for hospital discharge scale(RHDS) was used to assess the patients' readiness for discharge, the functional assessment of cancer therapy-lung (FACT-L) scale was used to evaluate their quality of life, and the simplified coping style questionnaire(SCSQ) was used to assess their coping styles.
      Results In the RHDS scale at discharge, the scores of personal status, adaptive ability and expected help and total scores in the intervention nursing group were significantly higher than those in routine nursing group(P < 0.01).The scores of physiological status, social/family status, emotional status, functional status, lung cancer specific modules and total scores in the FACT-L scale at discharge in the intervention nursing group were significantly higher than those in routine nursing group(P < 0.01).The number of active coping patients in the intervention nursing group was 57 cases(95.7%), which was significantly higher than that in routine nursing group(31 cases, 51.7%)(P < 0.01).
      Conclusions Intervention nursing based on Meleis transition theory can improve the discharge readiness, coping abilities and quality of life of patients with lung cancer treated with chemotherapy, which is worth of promoting in clinical practice.

       

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