全程个案管理对肝癌患者心理状态及自我护理能力的影响
Whole-process case management effects on mental state and self-care ability in patients with liver cancer.
作者信息
Ju Man-Di, Qin Qin, Li Meng
机构信息
Department of Internal Medicine of Abdominal Oncology, Hubei Cancer Hospital, Wuhan 430070, Hubei Province, China.
Department of Hepatological Surgery, Wuhan No. 1 Hospital, Wuhan 430000, Hubei Province, China.
出版信息
World J Gastrointest Surg. 2024 Mar 27;16(3):833-841. doi: 10.4240/wjgs.v16.i3.833.
BACKGROUND
Regarding the incidence of malignant tumors in China, the incidence of liver cancer ranks fourth, second only to lung, gastric, and esophageal cancers. The case fatality rate ranks third after lung and cervical cancer. In a previous study, the whole-process management model was applied to patients with breast cancer, which effectively reduced their negative emotions and improved treatment adherence and nursing satisfaction.
AIM
To explore Mental state and self-care ability in patients with liver cancer: effects of whole-process case management.
METHODS
In this single-center, randomized, controlled study, 60 randomly selected patients with liver cancer who had been admitted to our hospital from January 2021 to January 2022 were randomly divided into an observation group ( = 30), who received whole-process case management on the basis of routine nursing measures, and a control group ( = 30), who were given routine nursing measures. We compared differences between the two groups in terms of anxiety, depression, the level of hope, self-care ability, symptom distress, sleep quality, and quality of life.
RESULTS
Post-intervention, Hamilton anxiety scale, Hamilton depression scale, memory symptom assessment scale, and Pittsburgh sleep quality index scores in both groups were lower than those pre-intervention, and the observation group had lower scores than the control group ( < 0.05). Herth hope index, self-care ability assessment scale-revision in Chinese, and quality of life measurement scale for patients with liver cancer scores in both groups were higher than those pre-intervention, with higher scores in the observation group compared with the control group ( < 0.05).
CONCLUSION
Whole-process case management can effectively reduce anxiety and depression in patients with liver cancer, alleviate symptoms and problems, and improve the level of hope, self-care ability, sleep quality, and quality of life, as well as provide feasible nursing alternatives for patients with liver cancer.
背景
在中国恶性肿瘤的发病率方面，肝癌发病率位居第四，仅次于肺癌、胃癌和食管癌。病死率仅次于肺癌和宫颈癌，位居第三。在之前的一项研究中，全程管理模式应用于乳腺癌患者，有效降低了他们的负面情绪，提高了治疗依从性和护理满意度。
目的
探讨肝癌患者的心理状态和自我护理能力：全程个案管理的效果。
方法
在这项单中心、随机对照研究中，随机选取2021年1月至2022年1月期间我院收治的60例肝癌患者，随机分为观察组（n = 30）和对照组（n = 30）。观察组在常规护理措施基础上接受全程个案管理，对照组给予常规护理措施。比较两组在焦虑、抑郁、希望水平、自我护理能力、症状困扰、睡眠质量和生活质量方面的差异。
结果
干预后，两组汉密尔顿焦虑量表、汉密尔顿抑郁量表、记忆症状评估量表和匹兹堡睡眠质量指数评分均低于干预前，且观察组评分低于对照组（P < 0.05）。两组的赫思希望指数、中文版自我护理能力评估量表修订版和肝癌患者生活质量测量量表评分均高于干预前，且观察组评分高于对照组（P < 0.05）。
结论
全程个案管理可有效降低肝癌患者的焦虑和抑郁情绪，缓解症状和问题，提高希望水平、自我护理能力、睡眠质量和生活质量，为肝癌患者提供可行的护理方案。
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