基于赋能理论的自我管理方案在肝癌行靶向联合免疫治疗患者中的应用

doi:10.3969/j.issn.2095-9400.2024.03.008

科研成果详情

题名	基于赋能理论的自我管理方案在肝癌行靶向联合免疫治疗患者中的应用
其他题名	Application of self management scheme based on empowerment theory in targeted combined immunotherapy for liver cancer patients
作者	林海清 1; 肖艳玲1; 谢少华1; 王状双1; 林一吟 1; 陈燕燕 2
发表日期	2024-03-25
发表期刊	温州医科大学学报影响因子和分区
语种	中文
原始文献类型	学术期刊
关键词	赋能肝癌靶向联合免疫治疗自我管理生活质量
其他关键词	empowerment ; liver cancer ; targeted combination immunotherapy ; self-management ; quality of life
摘要	目的：探讨基于赋能理论的自我管理方案在肝癌行靶向联合免疫治疗患者中临床应用效果。方法：前瞻性选取2022年4月至7月温州医科大学附属第一医院行靶向治疗联合免疫治疗肝癌患者60例作为研究对象，采用信封法分成对照组和观察组，每组30例。对照组采用常规的护理方案；观察组在其基础上实施基于赋能理论的自我管理方案干预，进行个性化赋能。比较2组患者出院后1个月的自我管理效能感以及生活质量得分情况。结果：干预后观察组自我效能感及各维度得分有明显提高，均高于对照组（P<0.05）；观察组在整体生活质量、躯体功能、角色功能、认知功能、情绪功能、社会功能及疲倦、恶心呕吐、呼吸困难、失眠、腹泻、食欲丧失症状方面较对照组明显改善（P<0.05）。结论：运用赋能理论的自我管理干预方案，可以有效增强靶向联合免疫治疗肝癌患者的自我管理效能感，提高其战胜疾病的自信心和自我管理能力，能够改善患者的生活质量。
其他摘要	Objective:To explore the clinical application effect of self management schemes based on empowerment theory in targeted combined immunotherapy for liver cancer patients.Methods:From April to July 2022,60 patients with liver cancer who received targeted therapy combined with immunotherapy in the First Affiliated Hospital of Wenzhou Medical University were prospectively selected as the research subjects.According to the envelope method,they were divided as the control group and the observation group,with 30 cases in each.The control group received routine nursing care,while the observation group was supplemented by the self-management scheme based on the empowerment theory.The self-management efficacy and quality of life scores of the two groups were compared one month after discharge.Results:After intervention,the self-efficacy and scores of all dimensions in the observation group were significantly higher than those in the control group(P<0.05).The overall life quality,physical function,role function,cognitive function,emotional function,social function and symptoms like fatigue,nausea and vomiting,dyspnea,insomnia,diarrhea and loss of appetite were significantly improved in the observation group,compared with the control group(P<0.05).Conclusion:The self-management intervention scheme using the empowerment theory can effectively enhance the self-management efficacy of targeted combination immunotherapy patients with liver cancer,improve their self-confidence and self-management ability to overcome the disease,and improve their quality of life.
资助项目	温州市基础性科研项目（Y20220695）;
ISSN	2095-9400
卷号	54 期号:03 页码:222-227+232
DOI	10.3969/j.issn.2095-9400.2024.03.008
页数	7
收录类别	CNKI ; 万方 ; 维普
URL	查看原文
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/211235
专题	温州医科大学眼视光学院（生物医学工程学院）、附属眼视光医院_护理部
通讯作者	陈燕燕
作者单位	1.温州医科大学附属第一医院肝胆胰外科; 2.温州医科大学附属眼视光医院护理部
第一作者单位	温州医科大学
第一作者的第一单位	温州医科大学
推荐引用方式 GB/T 7714	林海清,肖艳玲,谢少华,等. 基于赋能理论的自我管理方案在肝癌行靶向联合免疫治疗患者中的应用[J]. 温州医科大学学报,2024,54(03):222-227+232.
APA	林海清, 肖艳玲, 谢少华, 王状双, 林一吟, & 陈燕燕. (2024). 基于赋能理论的自我管理方案在肝癌行靶向联合免疫治疗患者中的应用. 温州医科大学学报, 54(03), 222-227+232.
MLA	林海清,et al."基于赋能理论的自我管理方案在肝癌行靶向联合免疫治疗患者中的应用".温州医科大学学报 54.03(2024):222-227+232.