| 王瑞,赵琼,刘硕旭.基于故事理论的护理模式对胃癌患者癌因性疲乏、焦虑抑郁情绪及生活质量的影响[J].四川精神卫生杂志,2022,35(1):42-46.Wang Rui,Zhao Qiong,Liu Shuoxu,Effects of nursing model based on story theory on cancer-related fatigue， anxiety， depression and quality of life in patients with gastric cancer[J].SICHUAN MENTAL HEALTH,2022,35(1):42-46 |
| 基于故事理论的护理模式对胃癌患者癌因性疲乏、焦虑抑郁情绪及生活质量的影响 |
| Effects of nursing model based on story theory on cancer-related fatigue， anxiety， depression and quality of life in patients with gastric cancer |
| 投稿时间：2021-05-08 |
| DOI：10.11886/scjsws20210508003 |
| 中文关键词: 故事理论 胃癌 疲乏感 焦虑 抑郁 |
| 英文关键词:Story theory Gastric cancer Cancer-related fatigue Anxiety Depression |
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| 目的 探讨基于故事理论的护理模式对胃癌患者癌因性疲乏感、焦虑抑郁情绪和生活质量的影响。方法 采用随机对照研究，选择于2017年1月-2018年1月在河南科技大学第一附属医院消化科就诊的胃癌患者120例为研究对象，按照随机数字表法分为观察组（n=61）和对照组（n=59）。两组均接受常规护理，观察组在此基础上接受基于故事理论的护理，两组干预周期均为3周。于干预前和干预3周后采用Piper疲乏修正量表（RPFS）、焦虑自评量表（SAS）、抑郁自评量表（SDS）和健康调查简表（SF-36）评定患者癌因性疲乏感、焦虑抑郁状态和生活质量。结果 干预后两组RPFS各维度评分均较干预前下降（t对照组=10.305~15.639，t观察组=18.821~32.589，P均<0.01），且干预后对照组RPFS各维度评分均高于观察组（t=10.863~16.992，P均<0.01）。干预后两组SAS和SDS评分均较干预前下降（t对照组=13.964、17.744，t观察组=14.199、9.361，P均<0.01），且干预后对照组SAS和SDS评分均高于观察组（t=6.505、8.460，P均<0.01）。干预后两组SF-36评分均较干预前高（t对照组=12.793，t观察组=28.141，P均<0.01），且对照组SF-36评分低于观察组（t=13.757，P<0.01）。结论 与常规护理相比，基于故事理论护理模式可能更有助于降低胃癌患者的癌因性疲乏感，改善焦虑、抑郁情绪，提高生活质量。 |
| 英文摘要: |
| Objective To discuss the effects of nursing model based on story theory on cancer-related fatigue， anxiety， depression and quality of life of gastric cancer patients.Methods A randomized controlled trial was conducted on 120 gastric cancer patients admitted to gastroenterology department of The First Affiliated Hospital Henan University of Science and Technology from January 2017 to January 2018. Patients were randomly classified into observation group （n=61） and control group （n=59）. All patients received routine nursing， based on this， patients in observation group received nursing model based on story theory. Interventions in both groups lasted for 3 weeks. Furthermore， all individuals were assessed using Revised Piper Fatigue Scale （RPFS）， Self-rating Anxiety Scale （SAS）， Self-rating Depression Scale （SDS） and the Short-form 36 Health Survey Scale （SF-36） at the baseline and 3 weeks after intervention.Results After intervention， there was a decrease in the each dimension score of RPFS in both groups （tcontrol group=10.305~15.639， tobservation group=18.821~32.589， P<0.01）， and the above scores of control group were significantly higher than those of observation group （t=10.863~16.992， P<0.01）. The scores of SAS and SDS were decreased in both groups after intervention （tcontrol group=13.964， 17.744， tobservation group=14.199， 9.361， P<0.01）， and the post-intervention scores of SAS and SDS were significantly higher in control group than those in observation group （t=6.505， 8.460， P<0.01）. After intervention， the score of SF-36 was elevated in both groups （tcontrol group=12.793， tobservation group=28.141， P<0.01）， and the post-intervention score of SF-36 was significantly lower in control group than those in observation group（t=13.757， P<0.01）.Conclusion Compared with routine nursing， nursing model based on story theory is of great significance in attenuating cancer-related fatigue， alleviating anxiety and depression， and improving quality of life of gastric cancer patients. |
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