基于风险理念的肿瘤干预计划对宫颈癌放疗病人自护能力、希望水平的影响

    Effect of cancer intervention plan based on risk concept on self-care ability and level of hope in patients with cervical cancer undergoing radiotherapy

    • 摘要:
      目的: 分析基于风险理念的肿瘤干预计划对宫颈癌放疗病人自护能力、希望水平的影响。
      方法: 选择2022年8月至2023年4月收治的宫颈癌放疗病人376例纳入研究,按随机数字表法分为2组,A组接受常规护理干预,B组接受基于风险理念的肿瘤干预计划,2组均持续干预2个月。比较2组干预前、干预2个月后自护能力、生命质量、希望水平、心理痛苦程度,研究期间并发症发生情况。
      结果: 干预2个月后2组自护能力各维度,环境、心理、生理、社会关系各维度及总分,以及希望水平各维度评分均较干预前升高(P < 0.05),且B组均高于A组(P < 0.01)。干预2个月后2组轻微痛苦的病人占比均较干预前升高,且B组更高,中度痛苦、重度痛苦的病人占比则均降低,且B组更低(P < 0.05)。B组并发症总发生率4.26%低于A组的10.11%(P < 0.05)。
      结论: 基于风险理念的肿瘤干预计划可缓解宫颈癌放疗病人心理痛苦程度,提高病人自护能力、希望水平的同时改善其生命质量,还能够降低并发症发生风险。

       

      Abstract:
      Objective To analyze the impact of tumor intervention plan based on risk concept on self-care ability and hope level of cervical cancer patients undergoing radiotherapy.
      Methods A total of 376 patients with cervical cancer treated with radiotherapy from August 2022 to April 2023 were selected and divided into two groups according to the random number table method. Group a received routine nursing intervention, group B received tumor intervention plan based on risk concept, and both groups continued the intervention for 2 months. The self-care ability, quality of life, hope level, degree of psychological pain, and the incidence of complications during the study period were compared between the two groups before and after the intervention for 2 months.
      Results After 2 months of intervention, the scores of each dimension of self-care ability, environment, psychology, physiology, social relations and total score, as well as the scores of each dimension of hope level in the two groups were higher than those before intervention (P < 0.05), and the scores in group B were higher than those in group A (P < 0.01). Two months after the intervention, the proportion of patients with mild pain in the two groups was higher than that before the intervention, and group B was higher, while the proportion of patients with moderate pain and severe pain was lower, and group B was lower (P < 0.05). The total incidence of complications in group B was 4.26% lower than 10.11% in group A (P < 0.05).
      Conclusion The tumor intervention plan based on the concept of risk can alleviate the psychological pain of patients with cervical cancer radiotherapy, improve the self-care ability and hope level of patients, improve their quality of life, and reduce the risk of complications.

       

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