以KTH模式为基础的全媒体健康教育对胃癌患者姑息性化疗期间生活质量的影响OA
Effect of All Media Health Education Based on KTH Model on Quality of Life of Gastric Cancer Patients during Palliative Chemotherapy
目的:探讨在胃癌患者姑息性化疗期间实施以 KTH 模式为基础的全媒体健康教育对患者的焦虑、抑郁情绪,希望水平和自我护理能力的影响.方法:将 2024 年 1-3 月收住于甘肃省武威肿瘤医院化疗科接受姑息性化疗的 50 例胃癌患者设为对照组,采用常规的健康教育模式;将 2024 年 4-6 月收住于本院化疗科接受姑息性化疗的 47 例胃癌患者设为观察组,采用以 KTH 模式为基础的全媒体健康教育模式.干预 6 个月后,比较两组患者SAS、SDS、Herth 希望量表(HHI)、自我护理能力量表(ESCA)、生活质量(SF-36)评分.结果:干预6个月后,观察组患者SAS、SDS评分明显低于对照组,HHI的3个维度评分、ESCA 的 4 个维度评分、SF-36 的 8 个维度评分明显高于对照组(P<0.05).结论:胃癌患者姑息性化疗期间实施以 KTH 模式为基础的全媒体健康教育可以改善患者的焦虑、抑郁情绪,提高希望水平和自我护理能力,最终提高生活质量.
Objective:To explore the impact of the all media health education based on the KTH model on the anxiety and depression,hope level and self-care ability of patients with gastric cancer during palliative chemotherapy.Method:Fifty gastric cancer patients who were admitted to the Chemotherapy Department of Gansu Wuwei Tumor Hospital for palliative chemotherapy from January to March 2024 were set as the control group and received the conventional health education model.From April to June 2024,47 gastric cancer patients who were admitted to the Chemotherapy Department of our hospital for palliative chemotherapy were set as the observation group and adopted the all media health education based on the KTH model.After 6 months of intervention,the scores of SAS,SDS,Herth hope index(HHI),exercise of self-care agency scale(ESCA),and quality of life(SF-36)of the two groups of patients were compared.Result:After 6 months of intervention,the SAS and SDS scores of the observation group were significantly lower than those of the control group,the scores of the three dimensions of HHI,the scores of the four dimensions of ESCA,the scores of the 8 dimensions of SF-36 were significantly higher than those of the control group(P<0.05).Conclusion:The implementation of the all media health education based on the KTH model during palliative chemotherapy for patients with gastric cancer can improve their anxiety and depression,enhance their hope level and self-care ability,and ultimately improve their quality of life.
宋亚平;张振帅;郭玉梅
甘肃省武威肿瘤医院护理部 甘肃 武威 733000甘肃省武威肿瘤医院护理部 甘肃 武威 733000甘肃省武威肿瘤医院护理部 甘肃 武威 733000
医药卫生
KTH模式全媒体健康教育焦虑、抑郁希望水平自我护理能力生活质量
KTH modelAll media health educationAnxiety and depressionHope levelSelf care abilityQuality of life
《中国医学创新》 2026 (14)
69-73,5
甘肃省自然科学基金项目(24JRRH005)武威市科技计划项目(WW2002084)
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