[1]严明珠),马智勇),赵艳秋),等.个案管理模式对肺癌化疗患者生活质量及自我感受负担的影响[J].郑州大学学报(医学版),2018,(02):241-245.[doi:10.13705/j.issn.1671-6825.2017.08.003]
 YAN Mingzhu),MA Zhiyong),ZHAO Yanqiu),et al.Effects of case management model on quality of life and self-perceived burden in lung cancer patients with chemotherapy[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2018,(02):241-245.[doi:10.13705/j.issn.1671-6825.2017.08.003]
点击复制

个案管理模式对肺癌化疗患者生活质量及自我感受负担的影响()
分享到:

《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2018年02期
页码:
241-245
栏目:
应用研究
出版日期:
2018-03-20

文章信息/Info

Title:
Effects of case management model on quality of life and self-perceived burden in lung cancer patients with chemotherapy
作者:
严明珠1)马智勇2)赵艳秋2)张 琳2)高亚娜2)王明琴2)
1)郑州大学附属肿瘤医院(河南省肿瘤医院)护理部 郑州 450008
2)郑州大学附属肿瘤医院(河南省肿瘤医院)内科 郑州 450008
Author(s):
YAN Mingzhu1)MA Zhiyong2)ZHAO Yanqiu2)ZHANG Lin2)GAO Yana2)WANG Mingqin2)
1)Department of Nursing, the Affiliated Cancer Hospital of Zhengzhou University(Henan Cancer Hospital), Zhengzhou 450008
2)Department of Respiratory Medicine, the Affiliated Cancer Hospital of Zhengzhou University(Henan Cancer Hospital), Zhengzhou 450
关键词:
个案管理 肺癌 化疗 生活质量 自我感受负担
Keywords:
case management lung cancer chemotherapy quality of life self-perceived burden
分类号:
R473.5
DOI:
10.13705/j.issn.1671-6825.2017.08.003
摘要:
目的:探讨个案管理模式对肺癌化疗患者生活质量及自我感受负担的影响情况。方法:选择某肿瘤医院肺癌化疗患者230例,分为干预组114例和对照组116例。干预组实施个案管理,对照组进行肺癌化疗常规护理,分别于干预前后评价2组患者自我感受负担水平及生活质量变化。结果:个案管理模式干预后3个月,2组患者干预前后生活质量得分差值比较显示,除情绪功能、疲乏、疼痛、失眠和经济困难外,干预组生活质量总分及其他维度水平均优于对照组(P<0.05); 干预组在身体、情感两方面的自我感受负担低于对照组(P<0.05)。结论:个案管理模式可有效改善肺癌化疗患者的生活质量,降低患者自我感受负担水平。
Abstract:
Aim: To explore the effects of case management model on the quality of life and self-perceived burden in lung cancer patients with chemotherapy.Methods: A total of 230 patients with lung cancer accepting chemotherapy were selected and divided into intervention group(n=114)and control group(n=116). The intervention group attended case management program, and control group received routine care and follow-up. The quality of life and self-perceived burden of the patients were evaluated.Results: After the intervention of case management model, the overall health status and other dimensions of the intervention group were higher than those of control group except emotion function, fatigue, pain, insomnia, and economic difficulties(P<0.05). Moreover, the physical, emotional aspects of the self-perceived burden in the intervention group were lower than those of control group after intervention of case management model(P<0.05).Conclusion: Case management model could effectively improve the quality of life of patients with lung cancer during chemotherapy, and reduce the level of self-perception burden of patients.

参考文献/References:

[1] 陆舜,虞永峰,纪文翔.2015年肺癌诊疗指南:共识和争议[J].解放军医学杂志,2016,41(1):1
[2] 汪浩,项东阳,孟颖,等.阶段性认知行为干预对肺癌化疗患者情绪及生活质量的影响分析[J].护士进修杂志,2015,30(24):2266
[3] 张德雪,贾国云,黄慧.心理弹性对肺癌化疗患者自我感受负担的影响[J].临床与病理杂志,2017,37(5):1025
[4] HARDIE H,LEARY A.Value to patients of a breast cancer clinical nurse specialist[J].Nurs Stand,2010,24(34):42
[5] 薛美琴,张玲娟.个案管理模式在我国的应用及思考[J].中华护理杂志,2014,49(3):367
[6] 吴晓丹,王霞,张惠婷,等.个案管理模式在肿瘤患者管理中的应用现状及展望[J].护理学报,2016,23(19):18
[7] 孔轻轻,沙永生,赵岳.肺康复训练对肺癌术后化疗患者生活质量的影响[J].护士进修杂志,2014,29(10):880
[8] 苏文利,彭少华,林海峰.营养支持疗法对老年原发性支气管肺癌患者化疗期间生活质量的影响[J].中国医药导报,2015,12(6):44
[9] 万崇华,陈明清,张灿珍,等.癌症患者生命质量测定量表EORTC QLQ-C30中文版评介[J].实用肿瘤杂志,2005,20(4):353
[10]COUSINEAU N,MCDOWELL I,HOTZ S,et al.Measuring chronic patients' feelings of being a burden to their caregivers: development and preliminary validation of a scale[J].Med Care,2003,41(1):110
[11]武燕燕,姜亚芳.癌症患者自我感受负担的调查与分析[J].护理管理杂志,2010,10(6):405
[12]王艳芳.肺癌患者化疗期间症状群对其生活质量的应用效果[J].实用临床医药杂志,2017,18(21):125
[13]杨志彦,楚新霞.化疗前后肺癌患者生活质量、焦虑抑郁情绪变化及生活质量影响因素[J].中国医药导报,2016,5(13):122
[14]林伟芬,江锦芳,李赛梅,等.肺癌化疗患者生活质量研究及影响因素分析[J].国际护理学杂志,2014,33(8):1974
[15]蒋向玲,覃惠英,谭坚铃,等.肿瘤个案管理实施现状与思考[J].中国护理管理,2015,15(6):678
[16]何冰杰,王晓燕,余丽君,等.心理支持护理对肺癌术后化疗患者自我感受负担和生活质量的影响[J].中国肿瘤临床与康复,2017(1):92
[17]王海珍.住院肺癌患者自我感受负担的现状及影响因素分析[J].中国卫生产业,2016,13(4):64
[18]蒋向玲.肿瘤个案管理师准入标准及角色职能的构建研究[J].中国实用护理杂志,2016,32(8):561

相似文献/References:

[1]徐勇超,丁明翠,冯晓蕾,等.miR-210基因表达和多态性与肺癌易感性的关系[J].郑州大学学报(医学版),2018,(06):726.[doi:10.13705/j.issn.1671-6825.2018.06.001]
 XU Yongchao,DING Mingcui,FENG Xiaolei,et al.Relationship of miR-210 gene expression and polymorphism to the lung cancer susceptibility[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2018,(02):726.[doi:10.13705/j.issn.1671-6825.2018.06.001]
[2]宋永安,刘海洋,张晓菊.阿帕替尼对肺腺癌H1650细胞增殖、活性氧水平和凋亡的影响[J].郑州大学学报(医学版),2019,(02):223.[doi:10.13705/j.issn.1671-6825.2018.09.011]
 SONG Yongan,LIU Haiyang,ZHANG Xiaoju.Effects of apatinib on proliferation, ROS level and apoptosis of lung adenocarcinoma H1650 cells[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2019,(02):223.[doi:10.13705/j.issn.1671-6825.2018.09.011]
[3]纪鹏慧),段书音),李尊税),等.基于肿瘤标志群的支持向量机模型在肺癌辅助诊断中的价值[J].郑州大学学报(医学版),2019,(03):398.[doi:10.13705/j.issn.1671-6825.2018.11.047]
 JI Penghui),DUAN Shuyin),LI Zunshui),et al.Value of support vector machine model based on tumor markers in aided diagnosis of lung cancer[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2019,(02):398.[doi:10.13705/j.issn.1671-6825.2018.11.047]
[4]江国强,方 芳.厄洛替尼联合康莱特对肺癌A549细胞增殖、侵袭及JAK2/STAT3信号通路的影响[J].郑州大学学报(医学版),2019,(03):418.[doi:10.13705/j.issn.1671-6825.2018.05.042]
 JIANG Guoqiang,FANG Fang.Effects of kanglaite and erlotinib combination on proliferation and invasion and JAK2/STAT3 signaling pathway of lung cancer A549 cells[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2019,(02):418.[doi:10.13705/j.issn.1671-6825.2018.05.042]
[5]邵 华,张 怡,黄 丽,等.NF1和p-ERK1/2蛋白在苯并芘联合脂多糖诱导的小鼠肺癌中的表达[J].郑州大学学报(医学版),2019,(06):835.[doi:10.13705/j.issn.1671-6825.2018.12.048]
 SHAO Hua,ZHANG Yi,HUANG Li,et al.Expressions of NF1 and p-ERK1/2 in B(a)p and LPS-induced lung cancer in mice[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2019,(02):835.[doi:10.13705/j.issn.1671-6825.2018.12.048]
[6]郑连喜),邓 超),何 平),等.上调叉头框转录因子J2对肺癌细胞凋亡及CHOP蛋白表达的影响[J].郑州大学学报(医学版),2019,(06):854.[doi:10.13705/j.issn.1671-6825.2018.08.045]
 ZHENG Lianxi),DENG Chao),HE Ping),et al.R734.2[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2019,(02):854.[doi:10.13705/j.issn.1671-6825.2018.08.045]
[7]郭 丹),闫秀明),杨 亮),等.HOXA6基因过表达对肺癌A549细胞增殖和凋亡的影响[J].郑州大学学报(医学版),2019,(06):909.[doi:10.13705/j.issn.1671-6825.2019.04.080]
 GUO Dan),YAN Xiuming),YANG Liang),et al.Effects of HOXA6 gene overexpression on proliferation and apoptosis of lung cancer A549 cells[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2019,(02):909.[doi:10.13705/j.issn.1671-6825.2019.04.080]

备注/Memo

备注/Memo:
【作者简介】严明珠,通信作者,女,1962年4月生,本科,副主任护师,研究方向:肿瘤内科护理,E-mail:874338562@qq.com
更新日期/Last Update: 2018-03-20