IIFAR信息护理模式对肺癌患者心理反应的效果评价

Evaluation of IIFAR information nursing model on psychological response of patients with lung cancer

摘要:

目的：探讨 IIFAR（initial check，information exchange，final accuracy check，reaction）信息护理模式对肺癌患者心理痛苦、焦虑、抑郁的干预效果，为临床护理实践提供参考依据。方法：将132例肺癌住院患者随机均分为2组，试验组使用IIFAR信息护理模式与常规健康宣教，对照组进行常规健康宣教，比较2组患者心理痛苦、焦虑、抑郁得分及心理痛苦原因。结果：2组患者基线均衡（P＞0.05）。组间分析结果显示干预后试验组心理痛苦（1.81±1.16）、焦虑（1.26±1.41）、抑郁（2.74±2.53）得分均低于对照组（2.70±1.57、3.12±2.16、5.72±4.08）（t=3.521，P=0.001；t=5.519，P=0.000；t=-4.779，P=0.000）。组内分析结果显示，试验组干预后心理痛苦、焦虑、抑郁得分均低于干预前（3.33±1.67、3.82±2.19、6.21±4.01）（t=9.397，P=0.000；t=10.131，P=0.000；t=9.148，P=0.000）；对照组干预前后心理痛苦、焦虑、抑郁得分均无统计学差异（P＞0.05）。试验组干预后引起心理痛苦的原因（担忧、睡眠、恐惧、紧张、经济困扰）改善程度优于对照组（P＜0.05）。结论：IIFAR信息护理模式能缓解肺癌患者的心理痛苦、焦虑和抑郁情绪，通过系统、固定的步骤为患者提供信息支持。

Abstract:

Objective：To explore effectiveness of IIFAR（initial check，information exchange，final accuracy check，reaction） information care model on distress，anxiety and depression in lung cancer patients. Methods：Randomly 132 inpatients with lung cancer were enrolled and assigned to two groups. Patients in the intervention group received IIFAR information care model in addition to routine health education. And the control group received routine health education. The scores of distress thermometer（DT），hospital anxiety and depression Scale（HADS） and the causes of distress were compared between the two groups. Results：There was no significant difference between two groups before the intervention（P>0.05）. The results of inter-group analysis showed that the scores of DT，anxiety subscale and depression subscale in intervention group（1.81±1.16，1.26±1.41，2.74±2.53） was lower than those in control group（2.70±1.57，3.12±2.16，5.72±4.08） after intervention（t=3.521，P=0.001；t=5.519，P=0.000；t=-4.779，P=0.000）. The results of intra-group analysis showed that after intervention the scores of DT，anxiety subscale and depression subscale was lower than before in intervention group（3.33±1.67，3.82±2.19，6.21±4.01）（t=9.397，P=0.000；t=10.131，P=0.000；t=9.148，P=0.000），and no significant difference in control group（P>0.05）. Compared with control group，worry，sleeping，fear，tension and financial problems were alleviated in intervention group（P<0.05）. Conclusion：Information care can relieve distress，anxiety and depression in lung cancer patients.