基于纽曼系统理论的三级预防在肺癌放疗患者中的应用效果研究

目的探究基于纽曼系统模式的三级预防在肺癌放疗患者中的应用。方法选取2019年1月—2019年12月我院收治的肺癌放疗患者112例,随机分为对照组和观察组,各56例,对照组给予常规护理,观察组采用基于纽曼系统理论的三级预防。比较两组患者抑郁、焦虑评分、QLQ-CCC评分、自我护理能力评分。结果观察组抑郁评分(51.43±4.21)、焦虑评分(57.02±5.94)低于对照组抑郁(59.27±5.14)、焦虑(59.82±4.79)评分(t=8.830,2.746,P<0.05);观察组总体感觉(59.34±4.21)、心理(25.47±1.81)、社会(16.75±1.29)、躯体(37.17±3.71)评分均高于对照组总体感觉(51.71±5.78)、心理(22.55±1.66)、社会(13.46±1.84)、躯体(32.44±3.14)评分(t=7.985,2.746,10.956,7.282,P<0.05);观察组自我效能(29.14±4.52)、自我照护责任感(28.41±4.21)、自我概念(28.11±3.14)、健康知识掌握情况(29.14±3.14)评分均高于对照组自我效能(25.41±3.16)、自我照护责任感(24.71±3.38)、自我概念(24.27±3.84)、健康知识掌握情况(27.88±3.41)评分(t=5.061,5.129,5.815,14.132,P<0.05)。结论基于纽曼系统理论的三级预防可以有效地降低肺癌放疗患者焦虑、抑郁情绪,提高其自我护理能力,改善患者生活质量,临床上可推广应用。

Application effect of three-level prevention based on Newman system theory in patients with lung cancer undergoing radiotherapy

Objective To explore the application of three-level prevention based on Newman system model in patients with lung cancer undergoing radiotherapy. Methods A total of 112 patients with lung cancer treated by radiotherapy in our hospital from January 2019 to December 2019 were selected and randomly divided into a control group and an observation group, with 56 cases in each group. The control group was given the routine nursing, and the observation group was given the three-level prevention based on Newman system theory. The scores of depression, anxiety, QLQ-CCC, and self-care ability were compared between the two groups. Results The average depression score of the observation group was (51.43±4.21), and anxiety score was (57.02±5.94), which was lower than that of the control group: (59.27±5.14), and (59.82±4.79) respectively (t=8.830, 2.746, P<0.05); the average score of overall feeling of the observation group was (59.34±4.21), psychological score was (25.47±1.81), social score was (16.75±1.29), and body score was (37.17±3.71), which were higher than those of the control group: (51.71±5.78), (22.55±1.66), (13.46±1.84), and (32.44±3.14) respectively (t=7. 985, 8.897, 10.956, 7.282, all P ＜ 0.05); the average score of the self-efficacy of the observation group was (29.14±4.52), self-care responsibility score was (28.41±4.21), self-concept score was (28.11±3.14), and health knowledge score was (29.14±3.14), which were higher than those of the control group: (25.41±3.16), (24.71±3.38), (24.27±3.84), and (27.88±3.41) respectively (t=5.061, 5.129, 5.815, 14.132, all P<0.05). Conclusion The three-level prevention based on Newman system theory can effectively reduce the anxiety and depression of lung cancer patients with radiotherapy, improve their self-care ability, and the quality of life of patients, which can be widely used in clinic.