基于危機(jī)護(hù)理理論的干預(yù)模式對(duì)非小細(xì)胞肺癌患者進(jìn)行干預(yù)對(duì)自我效能感和預(yù)后影響

葉佳樂(lè)　　施雪霏

[關(guān)鍵詞] 非小細(xì)胞肺癌;危機(jī)護(hù)理理論;自我效能感;預(yù)后

[中圖分類號(hào)] R473.7? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] B? ? ? ? ? [文章編號(hào)] 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.