基于Watson关怀理论的干预方案在接受免疫检查点抑制剂治疗的肺癌患者中的应用效果OA
Application Effect of Intervention Program Based on Watson Theory of Care in Lung Cancer Patients Undergoing Immune Checkpoint Inhibitors Therapy
目的 分析基于Watson关怀理论的干预方案在接受免疫检查点抑制剂(ICIs)治疗的肺癌患者中的应用效果.方法 选取2025年1-4月启东市人民医院肿瘤科收治的接受ICIs治疗的肺癌患者74例为研究对象.根据干预方法将患者分为Watson组与常规组,各37例.常规组患者接受常规干预方案,Watson组患者接受基于Watson关怀理论的干预方案,两组均干预6个月.比较两组干预前及干预后3、6个月Piper疲乏自我评估修订量表(PFS-R)、中文版多维度疲乏症状量表-简表(MFSI-SF)、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、癌症康复评价系统简表(CARES-SF)中文版评分.结果 Watson组干预后3、6个月PFS-R、中文版MFSI-SF评分低于常规组(P＜0.05);常规组、Watson组干预后3、6个月PFS-R、中文版MFSI-SF评分分别高于本组干预前,干预后6个月PFS-R、中文版MFSI-SF评分分别低于本组干预后3个月(P＜0.05).Watson组干预后3、6个月HAMD、HAMA评分低于常规组(P＜0.05);常规组、Watson组干预后3、6个月HAMD、HAMA评分分别低于本组干预前,干预后6个月HAMD、HAMA评分分别低于本组干预后3个月(P＜0.05).Watson组干预后3、6个月CARES-SF中文版各维度得分及其总分低于常规组(P＜0.05);常规组、Watson组干预后3、6个月CARES-SF中文版各维度得分及其总分分别低于本组干预前,干预后6个月CARES-SF中文版各维度得分及其总分分别低于本组干预后3个月(P＜0.05).结论 基于Watson关怀理论的干预方案可有效减轻接受ICIs治疗的肺癌患者的癌因性疲乏、抑郁及焦虑程度,提高患者生活质量.
Objective To investigate the application effect of intervention program based on Watson theory of care in lung cancer patients undergoing immune checkpoint inhibitors(ICIs)therapy.Methods A total of 74 lung cancer patients who received ICIs treatment and were admitted to the Oncology Department,Qidong People's Hospital from January to April 2025 were selected as the study subjects.Based on the intervention method,patients were divided into the Watson group and the regular group,with 37 cases in each group.Patients in the regular group received conventional intervention program,while those in the Watson group received intervention program based on Watson theory of care,for a total intervention period of 6 months.The scores of Revised Piper Fatigue Scale(PFS-R),Chinese version of Multidimensional Fatigue Symptom Inventory-Short Form(MFSI-SF),Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA),and Chinese version of Cancer Rehabilitation Evaluation System-Short Form(CARES-SF)before intervention and at 3 and 6 months after intervention were compared between the two groups.Results The PFS-R and Chinese version of MFSI-SF scores of the Watson group were lower than those of the regular group at 3 and 6 months after intervention(P<0.05).In the regular group and Watson group,the PFS-R and Chinese version of MFSI-SF scores at 3 and 6 months after intervention were higher than those before intervention,and the PFS-R and Chinese version of MFSI-SF scores at 6 months after intervention were lower than those at 3 months after intervention,respectively(P<0.05).The HAMD and HAMA scores of the Watson group were lower than those of the regular group at 3 and 6 months after intervention(P<0.05).In the regular group and Watson group,the HAMD and HAMA scores at 3 and 6 months after intervention were lower than those before intervention,and the HAMD and HAMA scores at 6 months after intervention were lower than those at 3 months after intervention,respectively(P<0.05).The scores of each dimension and the total score of the Chinese version of CARES-SF at 3 and 6 months after intervention in the Watson group were lower than those in the regular group(P<0.05).In the regular group and Watson group,the scores of each dimension and the total score of the Chinese version of CARES-SF at 3 and 6 months after intervention were lower than those before intervention,the scores of each dimension and the total score of the Chinese version of CARES-SF at 6 months after intervention were lower than those at 3 months after intervention,respectively(P<0.05).Conclusion The intervention program based on Watson theory of care can effectively alleviate cancer-related fatigue,depression,and anxiety in lung cancer patients undergoing ICIs treatment,thereby improving their quality of life.
顾佳华;任一美;龚建红;陆佳莹;卞银花
226200 江苏省启东市人民医院 启东肝癌防治研究所 南通大学附属启东医院肿瘤科226200 江苏省启东市人民医院 启东肝癌防治研究所 南通大学附属启东医院肿瘤科226200 江苏省启东市人民医院 启东肝癌防治研究所 南通大学附属启东医院肿瘤科226200 江苏省启东市人民医院 启东肝癌防治研究所 南通大学附属启东医院肿瘤科226200 江苏省启东市人民医院 启东肝癌防治研究所 南通大学附属启东医院肿瘤科
医药卫生
肺肿瘤免疫检查点抑制剂Watson关怀理论
Lung neoplasmsImmune checkpoint inhibitorsWatson theory of care
《实用心脑肺血管病杂志》 2026 (3)
20-24,5
南通市卫生健康委员会科研课题(MSZ2024109)
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