Application of evidence-based management intervention in patients with advanced colon cancer
10.3760/cma.j.cn115682-20200316-01831
- VernacularTitle:基于循证管理的干预在晚期结肠癌患者中的应用
- Author:
Qian XU
1
;
Yuxia GUAN
;
Yue ZHANG
Author Information
1. 中国医学科学院 北京协和医院国际医疗部 100730
- Keywords:
Colonic neoplasms;
Evidence-based management intervention;
Self-efficacy;
Quality of life;
Mental state
- From:
Chinese Journal of Modern Nursing
2020;26(35):4960-4964
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of evidence-based management intervention on the self-management efficacy, quality of life and psychological status of patients with advanced colon cancer.Methods:From May 2017 to May 2019, convenience sampling was used to select 176 patients with advanced colon cancer admitted to the International Medical Department of Peking Union Medical College Hospital as the research object. According to the order of admission, the first 90 patients were included in the observation group, and the last 86 patients were included in the control group. Observation group carried out evidence-based management intervention, and control group implemented routine intervention. We compared the scores of the Strategies Used by People to Promote Health (SUPPH) , World Health Organization Quality of Life-BREF (WHOQOL-BREF) , Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) between two groups before and after intervention to evaluate the effect of evidence-based management intervention on self-management efficacy, quality of life and psychological status of patients.Results:Before intervention, there was no statistically significant difference in the scores of each dimension of the SUPPH between two groups ( P>0.05) . After intervention, the dimension scores of positive attitude, self-decompression, and self-decision in the SUPPH scale of observation group were higher than those of control group, and the differences were statistically significant ( t=4.423, 3.196, 3.148; P<0.01) . Before intervention, there was no statistically significant difference in scores of each field in WHOQOL-BREF between two groups ( P>0.05) . After intervention, the scores of physical, psychological, social relations and environmental fields of observation group were higher than those of control group, and the differences were statistically significant ( t=5.450, 6.458, 4.286, 2.104; P<0.05) . Before intervention, there was no statistically significant difference in the scores of HAMA and HAMD between two groups ( P>0.05) . After intervention, the HAMA and HAMD scores of observation group were lower than those of control group, and the differences were statistically significant ( t=10.171, 7.903; P<0.01) . Conclusions:The evidence-based management intervention can improve the self-efficacy of patients with advanced colon cancer, improve the quality of life of patients, and the psychological status of patients.
