基于知信行理论模式的姑息护理关怀管理对晚期结直肠癌化疗患者的影响

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Abstract Objective To investigate the effect of palliative care based on the theory of Knowledge-attitude-practic on the improvement of pain degree and negative emotion in patients with colorectal cancer during chemotherapy. Methods Ninety-six patients with advanced colorectal cancer receiving chemotherapy from the First Affiliated Hospital of Wenzhou Medical University from March 2017 to March 2019 were selected for inclusion in the study. According to the random number table method, they were divided into the intervention group and control group, with 48 cases in each group. The patients in the control group were received routine care during chemotherapy, Patients in the intervention group were given palliative care care management based on the theoretical model of Knowledge-attitude-practic. The pain level, negative mood and nutrition level of patients in the two groups during chemotherapy were compared. Results After nursing for 30 d, visual analogue scale score and digital grading scale score of the two groups of patients were significantly reduced, and the intervention group was lower than the control group (P ＜ 0.05). After 30 d of nursing care, the anxiety self-rating scale and depression self-rating scale scores of patients in the two groups were decreased, and the intervention group was lower than the control group (P ＜ 0.05). After nursing for 30 d, the contents of total serum protein, albumin and transferrin in the two groups increased, and the contents in the intervention group were higher than those in the control group (P ＜ 0.05). Conclusion Palliative care based on the theory of Knowledge-attitude-practic can alleviate the pain of colorectal cancer patients during chemotherapy, improve the patients′ negative mood and nutrition level, and improve the quality of life of patients, which is worthy of promotion.

Key words： Theoretical model of knowledge, Trust and action Palliative care Colorectal cancer Chemotherapy period Pain degree

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	DAI Minzhi XIA Limin ZUO Zhigui WU Xiangbin YE Qiongyao

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DAI Minzhi XIA Limin ZUO Zhigui WU Xiangbin YE Qiongyao. Effect of palliative care management based on the theory of Knowledge-attitude-practic in the treatment of patients with advanced colorectal cancer chemotherapy[J]. 中国医药导报, 2020, 17(1): 179-182.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I1/179

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