内科2024,Vol.19Issue(6):619-626,8.DOI:10.16121/j.cnki.cn45-1347/r.2024.06.08
互联网+信息-动机-行为技巧模型在鼻咽癌放疗患者全程照护中的应用
Application of Internet+Information-Motivation-Behavioral Skills model in the whole-process care of patients undergoing radiotherapy for nasopharyngeal carcinoma
摘要
Abstract
Objective To investigate the application effect of the Internet+Information-Motivation-Behavioral Skills(IMB)model in the whole-process care of patients undergoing radiotherapy for nasopharyngeal carcinoma.Methods A total of 100 patients undergoing radiotherapy for nasopharyngeal carcinoma were selected as the research subjects and randomly divided into a control group or an observation group,with 50 cases in each group;after excluding those who lost to follow-up,49 patients were included in the control group and 48 patients in the observation group in the end.The control group received a routine nursing intervention,based on which the observation group received Internet+IMB model-based whole-process care,and both groups were intervened from the time in which the doctor issued the hospitalization certificate to 6 months after discharge.The self-care ability and severity of toxic and side effects of radiotherapy before radiotherapy,after 30 radiotherapy treatments,3 months after discharge,and 6 months after discharge were compared between the two groups.Results Before radiotherapy,there was no statistically significant difference in each dimension score or the total score of the Exercise of Self-care Agency Scale(ESCAS),as well as the severity of dry mouth,nasal obstruction,or mouth opening difficulty,between the two groups(all P>0.05).Each dimension score and the total score of ESCAS in the observation group were higher than those in the control group after 30 radiotherapy treatments,3 months after discharge,and 6 months after discharge(all P<0.05);the severity of dry mouth and nasal obstruction in the observation group after 30 radiotherapy treatments,3 months after discharge,and 6 months after discharge,as well as the severity of mouth opening difficulty in the observation group 6 months after discharge,were milder than those in the control group(all P<0.05).Conclusion The application of the Internet+IMB model in the whole-process care of patients undergoing radiotherapy for nasopharyngeal carcinoma is conducive to improving self-care ability and reducing the severity of toxic and side effects of radiotherapy.关键词
鼻咽癌/互联网/信息-动机-行为技巧模型/放疗/全程照护Key words
Nasopharyngeal carcinoma/Internet+Information-Motivation-Behavioral Skills Model/Radiotherapy/Whole-process care分类
医药卫生引用本文复制引用
郭明娟,王俊燕,杨丽,张妍欣..互联网+信息-动机-行为技巧模型在鼻咽癌放疗患者全程照护中的应用[J].内科,2024,19(6):619-626,8.基金项目
广西高校中青年教师科研基础能力提升项目(2023KY1417) (2023KY1417)