导航护理模式在肺癌术后化疗患者中的应用

doi:10.3761/j.issn.1672-9234.2022.12.014

摘要/Abstract

摘要：

目的探讨导航护理模式在肺癌术后化疗患者中的应用效果。方法 2020年7月—11月，选取某三级甲等医院收治的肺癌术后化疗患者为研究对象，按院区分为试验组（n=39）和对照组（n=41）。对照组接受肺癌术后化疗常规护理与健康教育；试验组接受导航护理模式，由护士担任导航员在门诊就诊时、住院期间、居家期间基于对患者的需求评估进行护理干预。比较两组干预前、干预结束时及干预结束后1个月的患者的自我管理能力，比较干预结束后1个月、3个月患者的非计划再入院情况。结果癌症患者自我管理测评表得分组间与时间存在交互效应（F_交互=57.439，P<0.001），简单效应分析显示，干预结束时、干预结束后1个月试验组癌症患者自我管理得分均高于对照组（P<0.001）。干预结束后3个月非计划性再入院率试验组低于对照组（P<0.05）。结论导航护理模式可提高肺癌术后化疗患者的自我疾病管理能力，并减少患者非计划性入院次数。

关键词: 肺肿瘤, 放化疗, 辅助, 健康教育, 导航模式, 自我管理能力

Abstract:

Objective To evaluate the effects of navigation nursing model in postoperative chemotherapy patients with lung cancer. Methods From July to November 2020，postoperative chemotherapy patients with lung cancer who were hospitalized were selected into an experimental group（n=39） and a control group（n=41） according to the ward of the hospital. The patients in the control group received routine care and health education. The experimental group was given the navigation nursing mode，and the nurse acted as the navigator to carry out nursing intervention based on the patient’s needs assessment during outpatient treatment，hospitalization and discharge. The self-management ability was compared between the two groups at admission，at the end of and one month after the intervention. The unplanned readmission was compared at one-month and three-month after the intervention. Results Interactive effect in time and grouping（F_interaction=57.439，P<0.00l） was founded in the scores of cancer patients’ self-management evaluation scale between the two groups. Besides，simple effect analysis showed that the scores of the cancer patients’ self-management evaluation scale in the experimental group were higher than that in the control group（P<0.001） at the end of the intervention and one month after the intervention. Also，the experimental group was better than the control group（P<0.05） with regard to the unplanned readmission rates at three-month after the intervention. Conclusion The navigation nursing model can improve the disease management ability of postoperative chemotherapy patients with lung cancer，as well as reduce the frequency of unplanned hospitalizations.

Key words: Lung Neoplasms, Chemoradiotherapy, Adjuvant, Health Education, Navigator model, Self-management ability

徐榆林, 李豪, 王晓东, 袁媛, 蒋秋玲, 郝献芳. 导航护理模式在肺癌术后化疗患者中的应用[J]. 中华护理教育, 2022, 19(12): 1124-1129.

XU Yulin, LI Hao, WANG Xiaodong, YUAN Yuan, JIANG Qiuling, HAO Xianfang. Application of navigation nursing model in postoperative chemotherapy patients with lung cancer[J]. Chinese Journal of Nursing Education, 2022, 19(12): 1124-1129.

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