基于危机护理理论的干预模式对非小细胞肺癌患者进行干预对自我效能感和预后影响

叶佳乐　　施雪霏

[關键词] 非小细胞肺癌;危机护理理论;自我效能感;预后

[中图分类号] R473.7          [文献标识码] B          [文章编号] 1673-9701（2021）21-0173-04

Effect of intervention model based on crisis nursing theory on self-efficacy and prognosis in patients with non-small cell lung cancer

YE Jiale   SHI Xuefei

Respiratory and Intensive Care Unit-RICU， Huzhou Central Hospital in Zhejiang Province， Huzhou Hospital Affiliated to Medical College of Zhejiang University， Huzhou   313000，China

[Abstract] Objective To explore the effect of intervention based on crisis nursing theory on self-efficacy and prognosis in patients with non-small cell lung cancer. Methods Sixty patients with non-small cell lung cancer who were admitted to our hospital from January 2019 to January 2020 were selected. Patients were randomly grouped using the number table extraction method and were treated with routine nursing intervention model （control group， n=30） and intervention model base on crisis nursing theory （observation group， n=30）. The rate of adverse events， psychological status score， self-efficacy score， social support score and short cancer-related fatigue score were compared between the two groups. Results The treatment compliance rate of the observation group was assessed as 100.00%， and that of the control group was assessed as 80.00%，with statistically significant difference（P<0.05）. The psychological status scores， self-efficacy scores， social support scores， and short cancer-related fatigue scale scores were not different between the two groups before intervention （P>0.05）. The psychological status scores and the cancer-related fatigue scores were reduced， and the self-efficacy scores and social support scores were increased in both groups after intervention. The changes of the scores of the observation group were more obvious than those of the control group，with statistically significant differences（P<0.05）. The rate of adverse events，such as pressure sores and skin damage， in the observation group was evaluated to be lower than that in the control group， with statistically significant difference（P<0.05）. Conclusion The intervention model based on crisis nursing theory can improve the treatment compliance rate， psychological status， self-efficacy and social support， and reduce cancer-related fatigue and complication rate in patients with non-small cell lung cancer. It has significant value of application.