[1]张建英,李琳瑛,雷金花.知识-信念-行为模式在颅内肿瘤患者护理持续质量改进中的应用[J].国外医学医学地理杂志,2019,(02):182-185.[doi:10.3969/j.issn.1001-8883.2019.02.024]
 ZHANG Jianying,LI Linying,LEI Jinhua.Application of knowledge and belief behavior patterns in continuousquality improvement of patients with intracranial tumor[J].Foreign Medical Sciences (Section of Medgeography),2019,(02):182-185.[doi:10.3969/j.issn.1001-8883.2019.02.024]
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知识-信念-行为模式在颅内肿瘤患者护理持续质量改进中的应用()
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国外医学医学地理杂志[ISSN:1001-8883/CN:61-1102/R]

卷:
期数:
2019年02期
页码:
182-185
栏目:
护理园地
出版日期:
2019-07-02

文章信息/Info

Title:
Application of knowledge and belief behavior patterns in continuousquality improvement of patients with intracranial tumor
作者:
张建英1李琳瑛2雷金花3
(武威市人民医院:1.神经外科; 2.手术室; 3.肿瘤内科,甘肃武威 733000)
Author(s):
ZHANG Jianying1LI Linying2LEI Jinhua3
(1.Department of Neurosurgery; 2.Operating Room; 3.Department of Oncology,Wuwei People’s Hospital,Wuwei 733000,China)
关键词:
知识-信念-行为模式 颅内肿瘤 护理持续质量改进 依从性
Keywords:
knowledge and belief behavior patterns intracranial tumor continuous quality of care compliance
分类号:
R587.1
DOI:
10.3969/j.issn.1001-8883.2019.02.024
文献标志码:
A
摘要:
目的 探讨知识-信念-行为模式在颅内肿瘤患者护理持续质量改进中的应用价值。方法 选取2017年1月—2018年9月在本院就诊的中晚期颅内肿瘤患者114例,根据护理方法的不同分为观察组60例与对照组54例,两组的放化疗方案一致,持续治疗观察3个月。对照组在治疗期间给予常规护理持续质量改进,观察组在对照组护理的基础上给予知识-信念-行为模式干预,记录两组预后。结果 护理期间观察组的依从性100.0%,显著高于对照组的87.0%(P<0.05)。护理后观察组的总有效率为86.7%,显著高于对照组的55.6%(P<0.05)。护理后两组的自护责任感与自护技能评分都显著升高,且观察组也显著高于对照组(P<0.05)。两组腹泻、恶心呕吐、血细胞减少等不良反应对比差异无统计学意义(P>0.05),观察组的脱发、肝功能损伤等不良反应显著少于对照组(P<0.05)。结论知识-信念-行为模式在颅内肿瘤患者护理持续质量改进中的应用能提高肿瘤患者的依从性与自我护理能力,从而改善患者的预后,减少不良反应的发生。
Abstract:
Objective To explore the application values of Knowledge and Belief Behavior Patterns in continuous quality improvement of patients with intracranial tumor.Methods 114 patients with advanced intracranial tumors who were treated in our hospital from Jan.2017 to Sep.2018 were selected.According to the different nursing methods,60 patients in the observation group and 54 patients in the control group were selected.The radiotherapy and chemotherapy regimens of the two groups were consistent,and the treatment was observed for 3 months.The control group were received continuous quality improvement of routine nursing during the treatment period,and the observation group were given Knowledge and Belief Behavior Patterns intervention on the basis of the control group,and recorded the prognosis of the two groups.Results The compliance of the observation group during the nursing period were significantly higher than that of the control group(100.0% vs. 87.0%,P<0.05).The total effective rates of the observation group after treatment were significantly higher than that of the control group(86.7% vs. 55.6%,P<0.05).After treatment,the self-care responsibility and self-care skills scores of the two groups were significantly higher,and the observation group was also significantly higher than the control group(P<0.05).There were no significant difference in toxic side effects such as diarrhea,nausea and vomiting,and cytopenia compared between the two groups(P>0.05).The toxic side effects such as alopecia and liver function damage in the observation group were significantly lower than those in the control group(P<0.05).Conclusion The application of Knowledge and Belief Behavior Patterns in the continuous quality improvement of patients with intracranial tumor can improve the compliance and self-care ability of patients with cancer,thereby improve the prognosis of patients and reduce the occurrence of side effects.

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备注/Memo

备注/Memo:
收稿日期:2018-12-25 修回日期:2019-02-23
作者简介:张建英(1978-),女(汉族),大学本科,主管护理师.研究方向:神经外科护理.
更新日期/Last Update: 2019-07-02