摘要
目的 探讨基于二元应对理论的老年肺癌患者出院准备服务方案的实施效果。方法 将肿瘤科收治的71例老年肺癌患者随机分为对照组35例和观察组36例。对照组给予常规护理,观察组实施基于二元疾病管理理论的出院准备服务方案。使用出院准备度量表、二元应对量表及癌症照顾者综合需求量表评价干预效果。结果 干预后观察组患者出院准备度、患者及其照顾者支持应对评分显著高于对照组,照顾者综合需求评分显著低于对照组(均P<0.05)。结论 对老年肺癌患者及照顾者实施基于二元疾病管理理论的出院准备服务方案,有助于提高患者出院准备度及支持应对水平,满足照顾者综合需求。
Objective To explore the effect of a discharge preparation programme for elderly lung cancer patients based on the theory of dyadic illness management.Methods A total of 71 elderly lung cancer patients in department of oncology were selected,then they were randomized into a control group(n=35) and an intervention group(n=36).The control group was given routine nursing,while the intervention group received a discharge preparation programme based on the theory of dyadic illness management.The Readiness for Hospital Discharge Scale(RHDS),the Dyadic Coping Inventory(DCI) and the Comprehensive Needs Assessment Tool in Cancer for Caregivers(CNAT-C) were used to evaluate the intervention effect.Results After the intervention,the total score of RHDS in the patients and the total score of DCI in the patients and caregivers of the intervention group were significantly higher than those of the control group,while its total score of CNAT-C in the caregivers was significantly lower than that in the control group(P<0.05 for all).Conclusion Implementing the discharge preparation programme based on the theory of dyadic illness management for elderly lung cancer patients and their caregivers,is conducive to improving patients′ discharge readiness and support coping level,and meeting the comprehensive needs of caregivers.
作者
聂奕轩
宋娟
谢砚辞
金学勤
Nie Yixuan;Song Juan;Xie Yanci;Jin Xueqin
出处
《护理学杂志》
CSCD
北大核心
2022年第18期20-24,共5页
Journal of Nursing Science
基金
昆山市第一人民医院院级课题(XGF202010)。
关键词
老年人
肺癌
照顾者
二元应对
出院准备度
支持应对
疾病管理
the elderly
lung cancer
caregiver
dyadic coping
discharge readiness
support coping
illness management
作者简介
聂奕轩:男,硕士在读,学生;通信作者:金学勤,jinxueqin01@yeah.net。
