自我管理教育对胃癌患者化疗期间健康状况的影响

目的 探讨胃癌患者化疗期间自我管理教育的方法.方法 将60例胃癌化疗患者随机分为实验组和对照组各30例,2组均进行完整周期的化疗和一般的健康教育,实验组在此基础上实施自我管理教育,包括集体教育活动、小组讨论和个别指导等多种形式,由高级责任护士对2组患者的治疗效果进行随访评估和比较.结果 实验组化疗后近期疗效总有效率(CR+PR)为76.7%,对照组总有效率为50.0%,实验组生活质量分级情况及生活质量优于对照组(P<0.05),差异有统计学意义.结论 以患者为中心的自我管理教育可提高胃癌患者化疗期间的健康状况.

Influence of self-management education on the health status of patients with gastric carcinoma during chemotherapy

Objective To analyze the method of self-management education on the health status of patients with gastric carcinoma during chemotherapy. Methods Patients with gastric carcinoma (60 cases) were divided into the test group and the control group with 30 cases in each group. The two groups both received chemotherapy of complete cycle and general health education. The test group adopted self-management education based upon the above treatment, including collective education, group discussion and individual instruction. The treatment effect was appraised and compared by senior primary nurses. Results The recent total effective rate of chemotherapy in the test group was 76.7%, which was higher than that of the control group (50.0%). The level of life quality of the test group was also better than that of the control group (P<0.05). Conclusion Patients-centered self-management education could improve the health status of patients with gastric carcinoma during chemotherapy.