Department of Physical Examination, Fenyang Hospital Shanxi Province, Fenyang, China.
Department of Emergency, Qingdao Hospital of Traditional Chinese Medicine (Qingdao Hiser Hospital), Qingdao, China.
Contrast Media Mol Imaging. 2022 Aug 8;2022:7547001. doi: 10.1155/2022/7547001. eCollection 2022.
The purpose of this study was to explore the value of extended care based on a biopsychosocial medicine model in patients with abnormal tumor markers on physical examination. One hundred and fifty-two cases with abnormal primary screening tumor markers who were examined in our medical examination center between January 2020 and January 2022 were selected as the subjects of this study and divided into intervention and control groups according to the random number table method, with 76 cases in each group. The control group was given the usual extended care intervention and the intervention group was given the extended care intervention based on the biopsychosocial medicine model. The compliance rates of regular follow-up, reasonable diet, appropriate exercise, and regular rest were compared between the two groups. After the intervention, the disease-related knowledge score in the intervention group was higher than that in the control group ( < 0.05). The compliance rates of regular return visits, reasonable diet, appropriate exercise, and regular routines in the intervention group were higher than those in the control group ( < 0.05). After the intervention, the scores of psychological states such as anxiety, depression, and post-traumatic growth in the intervention group were better than those in the control group ( < 0.05). After the intervention, the total scores of objective support, subjective support, support utilization, and social support in the intervention group were higher than those in the control group ( < 0.05). After the intervention, the intervention group had higher positive coping scores and lower negative coping scores than the control group ( < 0.05). Continuing care based on the biopsychosocial model of medicine is effective in people with abnormal tumor markers on medical screening. It can improve the knowledge about the disease, increase the compliance rate, improve negative emotions, psychological status, and social support, and promote a more positive way of responding.
本研究旨在探讨基于生物-心理-社会医学模式的延伸护理在体检肿瘤标志物异常患者中的应用价值。选取 2020 年 1 月至 2022 年 1 月在我院体检中心进行初筛肿瘤标志物异常的 152 例患者为研究对象,采用随机数字表法分为干预组和对照组,各 76 例。对照组给予常规延伸护理干预,干预组给予基于生物-心理-社会医学模式的延伸护理干预。比较两组患者定期随访、合理饮食、适当运动、规律作息的依从率。干预后,干预组疾病相关知识评分高于对照组( < 0.05)。干预组定期复诊、合理饮食、适当运动、规律作息的依从率均高于对照组( < 0.05)。干预后,干预组焦虑、抑郁、创伤后成长等心理状态评分优于对照组( < 0.05)。干预后,干预组客观支持、主观支持、支持利用度和社会支持总分均高于对照组( < 0.05)。干预后,干预组积极应对评分高于对照组,消极应对评分低于对照组( < 0.05)。基于生物-心理-社会医学模式的延续护理对体检肿瘤标志物异常人群有效,能提高患者对疾病的认知,提高依从率,改善负性情绪、心理状态和社会支持,促进更积极的应对方式。