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预防医学  2019, Vol. 31 Issue (2): 140-143    DOI: 10.19485/j.cnki.issn2096-5087.2019.02.008
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肺癌患者“放疗助手”APP健康教育效果评价
冯惠春, 郑香琴, 王黎红, 周秋萍
杭州市肿瘤医院护理部,浙江 杭州 310002
Efficacy evaluation of“radiotherapy assistant”application on lung cancer patients
FENG Hui-chun, ZHENG Xiang-qin, WANG Li-hong, ZHOU Qiu-ping
Department of Nursing,Hangzhou Cancer Hospital,Hangzhou,Zhejiang 310002,China
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摘要 目的 评价“放疗助手”APP 对肺癌放疗患者的健康教育效果。方法 选取杭州市肿瘤医院2017年3—9月收治的120例肺癌放疗患者为研究对象,随机纳入试验组和对照组,对照组进行常规的健康教育,试验组实施以“放疗助手”APP互动指导为重点的健康教育,对两组患者干预前后的治疗依从性和自我管理效能感进行评估。结果 干预后,试验组放疗计划、健康行为、定期复查、适量运动、用药行为和饮食遵医的依从性得分分别为(2.77±0.43)、(2.67±0.51)、(2.68±0.50)、(2.45±0.75)、(2.77±0.43)和(2.65±0.55)分;对照组分别为(2.62±0.49)、(2.42±0.59)、(2.55±0.50)、(2.37±0.64)、(2.67±0.48)和(2.37±0.69)分;两组患者得分较干预前均有所提高,但组别和时间的交互作用均无统计学意义(P>0.05)。试验组正性态度、自我减压、自我决策得分和自我管理效能感总分分别为(52.48±7.69)、(10.51±3.31)、(36.88±6.15)和(97.62±12.87)分;对照组分别为(37.38±10.44)、(5.70±1.51)、(27.58±9.41)和(92.17±11.19)分;两组患者得分较干预前均有所提高,且试验组得分提高幅度大于对照组(P<0.05)。结论 “放疗助手”APP指导可以提升肺癌放疗患者的自我管理效能感和治疗依从性,但其长期干预效果需要进一步验证。
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冯惠春
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周秋萍
关键词 肺癌放疗助手依从性自我管理效能感    
AbstractObjective To explore the effects of“radiotherapy assistant”application on lung cancer patients who receive radiotherapy. Methods A total of 120 patients with lung cancer who received radiotherapy in Hangzhou Cancer Hospital from March to September 2017 were recruited and randomly divided into a control group and an experimental group. The patients in the control group received the routine health education,while the ones in the experimental group performed the“radiotherapy assistant”application focused on interactive guidance. Before and after the intervention,the scores of treatment-nursing compliance and self-management efficacy between the two groups were compared. Results After the intervention,the compliance scores of radiotherapy treatment,health behaviors,regular review,moderate exercise,medication and diets in the experimental group were 2.77±0.43,2.67±0.51,2.68±0.50,2.45±0.75,2.77±0.43 and 2.65±0.55;the ones in the control group were 2.62±0.49,2.42±0.59,2.55±0.50,2.37±0.64,2.67±0.48 and 2.37±0.69. The scores of the six items of compliance in the two groups were all improved compared to the ones before the intervention,but the interaction between the groups and intervention time was not statistically significant(P>0.05). The scores of positive attitude,self-decompression,self-decision and total self- management efficacy in the experimental group were 52.48±7.69,10.51±3.31,36.88±6.15 and 97.62±12.87,respectively;the ones in the control group were 37.38±10.44,5.70±1.51,27.58±9.41,and 92.17±11.19. The scores of the two groups were all improved compared to the ones before the intervention,and the ranges of the scores improved in the experimental group were wider than those in the control group. Conclusion The“radiotherapy assistant”application can significantly improve the self-management efficacy of patients who receive the lung cancer radiotherapy,but its effect on the improvement of treatment compliance requires long-term intervention to verify.
Key wordsLung cancer    Radiotherapy assistant application    Compliance    Self-management efficacy
收稿日期: 2018-05-30      出版日期: 2019-01-18
ZTFLH:  R193.3  
  R734.2  
基金资助:杭州市卫生科技(一般)项目(2017A33)
通信作者: 周秋萍,E-mail:zqp8745@163.com   
作者简介: 冯惠春,本科,副主任护师,主要从事护理管理工作
引用本文:   
冯惠春, 郑香琴, 王黎红, 周秋萍. 肺癌患者“放疗助手”APP健康教育效果评价[J]. 预防医学, 2019, 31(2): 140-143.
FENG Hui-chun, ZHENG Xiang-qin, WANG Li-hong, ZHOU Qiu-ping. Efficacy evaluation of“radiotherapy assistant”application on lung cancer patients. Preventive Medicine, 2019, 31(2): 140-143.
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