目的:宫颈癌患者术后化疗经历焦虑,抑郁症,和癌症相关的疲劳,导致他们的生活质量下降,并对患者的康复构成挑战。因此,有必要探索有效的护理方法。本研究旨在探讨基于网络的积极心理护理模式对负性情绪的影响,癌症相关的疲劳,自我管理效能感,治疗依从性,宫颈癌术后化疗患者的生活质量。
方法:这项回顾性研究包括2019年1月至2023年12月在我院接受手术干预的101例宫颈癌患者。接受常规护理模式的患者被纳入对照组(n=48),而那些接受基于网络的积极心理护理模式的人被纳入研究组(n=53)。对于所有研究对象,评估了各种评估指标,包括基线特征,治疗依从性,和汉密尔顿焦虑量表(HAMA),汉密尔顿抑郁量表(HAMD),修改Piper疲劳量表(RPFS)患者促进健康策略的中文版(C-SUPPH),和欧洲癌症研究和治疗组织的生活质量问卷-核心30(EORTCQLQ-C30)。此外,焦虑/抑郁,癌症相关的疲劳,自我管理效能感,治疗依从性,比较两组患者的生活质量。
结果:干预后,HAMA得分,HAMD得分,与干预前相比,两组的RPFS评分均显着降低(p<0.05)。然而,C-SUPPH评分较干预前显著升高(p<0.05)。我们观察到HAMA,HAMD,干预后研究组RPFS评分明显低于对照组(p<0.05)。相比之下,C-SUPPH评分明显增高(p<0.05)。干预之后,研究组治疗依从性明显优于对照组.此外,EORTCQLQ-C30评分明显高于对照组(p<0.05)。
结论:基于网络的积极心理护理模式可有效缓解宫颈癌术后化疗患者的负性情绪和癌因性疲乏。从而提高他们的生活质量。此外,这种模式提高了患者的自我管理效果和治疗依从性。这些发现为宫颈癌术后化疗患者的护理提供了新的见解。强调其临床意义。
OBJECTIVE: Cervical cancer patients with post-operative chemotherapy experience anxiety, depression, and cancer-related fatigue, leading to a decline in their quality of life and posing challenges to the rehabilitation of patients. Therefore, it is necessary to explore effective nursing methods. This study aimed to investigate the effects of a web-based positive psychological nursing model on negative emotions, cancer-related fatigue, self-management efficacy, treatment compliance, and quality of life among cervical cancer patients with post-operative chemotherapy.
METHODS: This retrospective study included 101 cervical cancer patients who underwent surgical intervention at our hospital between January 2019 and December 2023. Patients who received the usual mode of care were included in the control group (n = 48), while those who received the web-based positive psychological care mode were included in the study group (n = 53). For all study subjects, various assessment indices were evaluated, including baseline characteristics, treatment adherence, and the Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), Revised Piper Fatigue Scale (RPFS), the Chinese version of the Strategies Used by Patients to Promote Health (C-SUPPH), and European Organization for Research and Treatment of Cancer Quality of Life questionnaire -Core 30 (EORTC QLQ-C30). Additionally, anxiety/depression, cancer-related fatigue, self-management efficacy, treatment compliance, and quality of life were compared between the two groups.
RESULTS: After the intervention, the HAMA score, HAMD score, and RPFS score were significantly decreased for both groups compared to before intervention (p < 0.05). However, the C-SUPPH score was significantly increased than before intervention (p < 0.05). We observed that HAMA, HAMD, and RPFS scores were substantially lower in the study group than those in the control group after intervention (p < 0.05). In contrast, C-SUPPH scores were significantly higher (p < 0.05). After the intervention, treatment compliance was significantly better in the study group compared to the control group. Furthermore, the EORTC QLQ-C30 score was substantially higher than that of the control group (p < 0.05).
CONCLUSIONS: The network-based positive psychological nursing model can effectively alleviate negative emotions and cancer-related fatigue in cervical cancer patients who have undergone post-operative chemotherapy, thereby improving their quality of life. Additionally, this model improves patients\' self-management effectiveness and treatment compliance. These findings provide novel insights into the nursing of cervical cancer patients with post-operative chemotherapy, underscoring its clinical significance.