The impact of targeted nursing intervention on postoperative medication adherence, quality of life, and psychological flexibility of thyroid cancer patients.

IF 1.4 4区 医学 Q4 ONCOLOGY
Xiaohong Xu, Li Zhou, Wen Qiu, Yifang Su
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引用次数: 0

Abstract

Objective: To explore the effect of targeted nursing intervention on postoperative medication adherence, quality of life, and psychological flexibility of patients with thyroid cancer (TC).

Methods: A total of 330 patients were randomly divided into a Control group and an Intervention group (cases in the Intervention group were given targeted nursing interventions and cases in the Control group were given routine health education), with 165 cases in each group. In the Intervention group, targeted dietary and psychological nursing interventions were conducted on TC patients, and the effects of targeted nursing interventions on the quality of life, medication adherence, and psychological flexibility were compared through the SF-36 Short Form Health Survey, Morisky Medication Adherence Scale and Psychological Resilience Scale with the Control group. Univariate analysis and multiple stepwise regression analysis were performed to analyze the influencing factors of psychological flexibility in patients after nursing intervention.

Results: The Intervention group patients, after nursing intervention, in terms of life quality, scores of social function, physical function, and mental function were all higher than those of the Control group. Note that, 160 patients in the Intervention group (96.97%) had better treatment scores, which was significantly higher than that in the Control group (84.24%). The scores of mental resilience in the Intervention group reached 67.82 ± 13.85, and the two items of resilience, control, and optimism were significantly improved compared with the Control group (p < 0.05). Factors that had greater impacts on the psychological flexibility of TC patients were: age, education, per capita monthly income, and family residence.

Conclusion: Targeted nursing intervention had positive promoting effects on postoperative medication adherence, quality of life, and psychological flexibility of TC patients.

Abstract Image

针对性护理干预对甲状腺癌患者术后服药依从性、生活质量及心理灵活性的影响
目的:探讨针对性护理干预对甲状腺癌(TC)患者术后服药依从性、生活质量及心理灵活性的影响。方法:330例患者随机分为对照组和干预组(干预组给予针对性护理干预,对照组给予常规健康教育),每组165例。干预组对TC患者进行针对性饮食和心理护理干预,并通过SF-36健康问卷、Morisky药物依从性量表和心理弹性量表与对照组比较针对性护理干预对TC患者生活质量、药物依从性和心理弹性的影响。采用单因素分析和多元逐步回归分析对护理干预后患者心理灵活性的影响因素进行分析。结果:干预组患者在护理干预后的生活质量、社会功能、身体功能、心理功能得分均高于对照组。值得注意的是,干预组有160例患者(96.97%)的治疗评分较好,显著高于对照组(84.24%)。干预组心理弹性得分为67.82±13.85分,与对照组相比,心理弹性、控制、乐观两项得分均显著提高(p)。结论:针对性护理干预对TC患者术后药物依从性、生活质量、心理弹性均有积极促进作用。
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来源期刊
CiteScore
3.40
自引率
0.00%
发文量
175
审稿时长
6-12 weeks
期刊介绍: Asia–Pacific Journal of Clinical Oncology is a multidisciplinary journal of oncology that aims to be a forum for facilitating collaboration and exchanging information on what is happening in different countries of the Asia–Pacific region in relation to cancer treatment and care. The Journal is ideally positioned to receive publications that deal with diversity in cancer behavior, management and outcome related to ethnic, cultural, economic and other differences between populations. In addition to original articles, the Journal publishes reviews, editorials, letters to the Editor and short communications. Case reports are generally not considered for publication, only exceptional papers in which Editors find extraordinary oncological value may be considered for review. The Journal encourages clinical studies, particularly prospectively designed clinical trials.
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