个案管理模式对肺癌化疗患者生活质量及自我感受负担的影响
Effects of case management model on quality of life and self-perceived burden in lung cancer patients with chemotherapy

目的:探讨个案管理模式对肺癌化疗患者生活质量及自我感受负担的影响情况。方法:选择某肿瘤医院肺癌化疗患者230例,分为干预组114例和对照组116例。干预组实施个案管理,对照组进行肺癌化疗常规护理,分别于干预前后评价2组患者自我感受负担水平及生活质量变化。结果:个案管理模式干预后3个月,2组患者干预前后生活质量得分差值比较显示,除情绪功能、疲乏、疼痛、失眠和经济困难外,干预组生活质量总分及其他维度水平均优于对照组(P<0.05); 干预组在身体、情感两方面的自我感受负担低于对照组(P<0.05)。结论:个案管理模式可有效改善肺癌化疗患者的生活质量,降低患者自我感受负担水平。
Aim: To explore the effects of case management model on the quality of life and self-perceived burden in lung cancer patients with chemotherapy.Methods: A total of 230 patients with lung cancer accepting chemotherapy were selected and divided into intervention group(n=114)and control group(n=116). The intervention group attended case management program, and control group received routine care and follow-up. The quality of life and self-perceived burden of the patients were evaluated.Results: After the intervention of case management model, the overall health status and other dimensions of the intervention group were higher than those of control group except emotion function, fatigue, pain, insomnia, and economic difficulties(P<0.05). Moreover, the physical, emotional aspects of the self-perceived burden in the intervention group were lower than those of control group after intervention of case management model(P<0.05).Conclusion: Case management model could effectively improve the quality of life of patients with lung cancer during chemotherapy, and reduce the level of self-perception burden of patients