基于互联网的医院-社区-家庭联动护理对非小细胞肺癌化疗患者的干预效果

沈燕萍; 徐国英; 章小华

doi:10.16766/j.cnki.issn.1674-4152.003940

基于互联网的医院-社区-家庭联动护理对非小细胞肺癌化疗患者的干预效果

doi: 10.16766/j.cnki.issn.1674-4152.003940

1.
绍兴第二医院医共体总院肿瘤放疗科，浙江绍兴 312000
2.
绍兴第二医院医共体总院神经内科，浙江绍兴 312000

基金项目:

2023年浙江省医共体建设发展齐鲁研究项目 2023ZHA-QL216

详细信息

通讯作者:
徐国英，E-mail：792949794@qq.com

中图分类号: R473.73 R734.2
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- 文章访问数: 7
- HTML全文浏览量: 3
- PDF下载量: 1
- 被引次数: 0
出版历程
- 收稿日期: 2024-07-09
- 网络出版日期: 2025-05-14

Effectiveness of internet-based hospital-community-family linkage nursing on non-small cell lung cancer patients undergoing chemotherapy

1.
Department of Radiotherapy, Shaoxing Second Hospital, Shaoxing, Zhejiang 312000, China

摘要

摘要: 目的构建基于互联网的医院-社区-家庭的三方联动护理干预模式，分析其对非小细胞肺癌化疗患者癌痛、心理状态及生活质量的影响，为肺癌化疗患者提供新的护理思路。方法方便选取2022年1月—2023年6月绍兴第二医院收治的156例非小细胞肺癌化疗患者，依据其病情结合其自愿接受程度进行分组，67例实施常规护理(对照组)，另外89例实施基于互联网的医院-社区-家庭联动护理(观察组)。比较2组患者在护理干预前(入院后接受治疗前)、干预后(治疗完成后随访第2个月末)的癌痛分级、心理状态及生活质量。结果干预后，观察组患者癌痛分级低于对照组，且观察组癌痛评分低于对照组[(3.67±0.56)分vs. (5.34±0.87)分，P < 0.05]。干预后，观察组SDS与SAS评分分别为(48.74±2.77)分、(47.28±2.85)分，均低于对照组的(52.60±1.13)分、(51.05±1.11)分(P < 0.05)；干预后，观察组健康调查简表各维度得分均高于对照组(P < 0.05)。结论对非小细胞肺癌化疗患者实施基于互联网的医院-社区-家庭联动护理可有效缓解患者的癌痛程度，改善患者的焦虑、抑郁等不良心理状态，提高患者的生活质量，这一护理模式值得在临床上推广。
- 非小细胞肺癌 /
- 化疗 /
- 互联网 /
- 医院-社区-家庭联动 /
- 癌痛
Abstract: Objective To develop an internet-based tripartite linkage nursing intervention model involving hospital, community, and family, and to analyze its impacts on cancer pain, mental state, and quality of life in non-small cell lung cancer patients undergoing chemotherapy. This study aims to provide new nursing ideas for lung cancer patients undergoing chemotherapy. Methods A total of 156 non-small cell lung cancer chemotherapy patients admitted at Shaoxing Second Hospital from January 2022 to June 2023 were conveniently selected and divided into two groups according to their condition and willingness to participate. A total of 67 cases were given routine care (control group), while another 89 cases were given internet-based care integration nursing intervention (observation group). The cancer pain grading, psychological distress, and quality of life were compared between two groups of patients before the nursing intervention (before admission and treatment) and after the intervention (at the end of the second month of follow-up after treatment). Results After the intervention, the cancer pain grade of the observation group was lower than that of the control group. The cancer pain score of the observation group was (3.67±0.56) points, which was significantly lower than that of the control group (5.34±0.87) points, P < 0.05. After intervention, the SDS and SAS scores of the observation group were (48.74±2.77) points and (47.28±2.85) points, respectively, which were lower than those of the control group (52.60±1.13) points and (51.05±1.11) points (P < 0.05). After intervention, all dimensions of the MOS item short from health survey (SF-36) scale in the observation group were higher than those in the control group (P < 0.05). Conclusion Internet-based hospital community family linkage nursing for non-small cell lung cancer patients undergoing chemotherapy can effectively alleviate the degree of cancer pain, reduce anxiety and depression, and improve quality of life. This nursing model is worthy of clinical promotion.
- Non-small cell lung cancer /
- Chemotherapy /
- Internet /
- Hospital-community-family linkage /
- Cancer pain

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表 1 2组非小细胞肺癌患者基线资料比较

Table 1. Comparison of baseline data between the two groups of patients with non-small cell lung cancer

组别	例数	性别(例)		年龄(x±s，岁)	文化程度(例)		临床分期(例)
组别	例数	男性	女性	年龄(x±s，岁)	高中及以下	大专及以上	Ⅲb	Ⅳ
观察组	89	51	38	53.29±6.37	60	29	55	34
对照组	67	36	31	54.20±6.21	47	20	41	26
统计量		0.198^a		0.893^b	0.133^a		0.006^a
P值		0.657		0.373	0.716		0.939
注：^a为χ²值，^b为t值。

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表 2 2组非小细胞肺癌患者癌痛分级及癌痛评分比较

Table 2. Comparison of cancer pain grading and cancer pain scores between the two groups of patients with non-small cell lung cancer

组别	例数	干预前癌痛分级[例(%)]		干预后癌痛分级[例(%)]		癌痛评分(x±s, 分)
组别	例数	< Ⅲ级	≥Ⅲ级	< Ⅲ级	≥Ⅲ级	干预前	干预后
观察组	89	22(24.72)	67(75.28)	37(41.57)	52(58.43)	6.29±1.25	3.67±0.56^c
对照组	67	18(26.87)	49(73.13)	44(65.67)	23(34.33)	6.23±1.19	5.34±0.87^c
统计量		0.060^a		8.380^a		0.305^b	11.263^d
P值		0.813		0.004		0.760	＜0.001
注：^a为χ²值，^b为t值，^d为F值；与干预前比较，^cP < 0.05。

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表 3 2组非小细胞肺癌患者心理状态评分比较(x±s, 分)

Table 3. Comparison of psychological status scores between the two groups of patients with non-small cell lung cancer (x±s, points)

组别	例数	SDS评分		SAS评分
组别	例数	干预前	干预后	干预前	干预后
观察组	89	56.71±3.50	48.74±2.77	55.98±3.26	47.28±2.85
对照组	67	55.98±3.42	52.60±1.13	55.34±3.17	51.05±1.11
统计量		1.306^a	9.831^b	1.233^a	10.552^b
P值		0.191	＜0.001	0.218	＜0.001
注：^a为t值，^b为F值。

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表 4 2组非小细胞肺癌患者生活质量比较(x±s, 分)

Table 4. Comparison of quality of life between the two groups of patients with non-small cell lung cancer (x±s, points)

组别	例数	生理机能评分		生理职能评分		躯体疼痛评分		情感职能评分
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后
观察组	89	53.29±7.45	76.18±5.68	57.95±7.60	74.12±5.33	57.42±8.47	75.29±5.30	54.23±7.18	77.15±5.70
对照组	67	53.53±7.60	68.77±6.59	58.02±7.63	68.20±5.24	57.65±8.55	70.07±6.11	54.50±7.36	69.88±6.35
统计量		0.197^a	7.185^b	0.042^a	4.891^b	0.167^a	4.377^b	0.229^a	7.205^b
P值		0.844	＜0.001	0.966	＜0.001	0.867	＜0.001	0.819	＜0.001

组别	例数	精力评分		精神健康评分		社会功能评分		总体健康评分
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后
观察组	89	55.69±7.35	76.52±5.60	56.60±8.75	75.35±5.40	60.23±7.40	79.48±5.71	56.79±8.41	79.45±4.30
对照组	67	55.70±7.46	70.43±5.42	56.98±8.91	70.19±4.22	60.15±7.35	71.22±6.13	57.11±8.50	73.25±6.47
统计量		0.008^a	5.371^b	0.266^a	3.808^b	0.067^a	7.263^b	0.234^a	6.034^b
P值		0.993	＜0.001	0.790	0.001	0.947	＜0.001	0.815	＜0.001
注：^a为t值，^b为F值。

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