| 凌琴,杨泽福,伍楚蓉,凌敏.O2O管理模式在肾细胞癌患者化疗过程中的应用效果分析[J].实用中西医结合临床,2022,22(9): |
| O2O管理模式在肾细胞癌患者化疗过程中的应用效果分析 |
| Effect of O2O Management Mode on Self-management Ability and Treatment Compliance of Patients Undergoing Chemotherapy for Renal Cell Carcinoma |
| 投稿时间：2022-05-19 修订日期：2022-05-30 |
| DOI： |
| 中文关键词: 依从性 O2O管理模式 自我管理 肾细胞癌 癌因性疲乏 |
| 英文关键词: Compliance O2O management mode Self-management Renal cell carcinoma Cancer-related fatigue |
| 基金项目: |
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| 摘要点击次数: 410 |
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| 中文摘要: |
| 目的：探究O2O(online?to?offline)管理模式对肾细胞癌化疗病人自我管理能力及治疗依从性的效果。方法：选取2019年3月~2021年2月我院收治的120例肾细胞癌化疗病人作为研究对象，随机将病人分为观察组（n=65）和对照组（n=55）。对照组采用常规健康管理模式，观察组采用O2O管理模式。对病人进行术后6个月随访，记录病人应对方式比较、癌因性疲乏评分、生活质量评分、自我管理效能感量评分以及自我感受负担。结果：干预前两组病人的屈服、面对和回避的评分对比并无差异（P>0.05）。干预后，两组病人面对评分均上升，回避和屈服评分均下降（P<0.05）。观察组面对评分（22.49±1.23）分明显高于对照组（19.36±1.51）分（P<0.05），屈服和回避评分分别为（13.52±1.95）分、（7.32±0.71）分明显低于对照组（14.36±1.98）分、（8.44±0.97）分（P<0.05）。 两组干预前的癌因性疲乏评分无明显区别（P>0.05），评分分别为（113.39±8.32）分、（112.14±7.92）分，干预后两组评分均明显下降（P<0.05），观察组下降至（77.58±10.54）分，对照组下降至（104.72±7.99）分，观察组干预后评分明显低于对照组（P<0.05）。观察组干预1、3、6个月的生活质量评分分别为（59.39±4.36）分、（72.58±4.88）分、（81.06±5.18）分，对照组干预1、3、6个月的生活质量评分分别为（56.14±4.84）分、（68.72±5.34）分、（73.47±5.89）分，观察组生活质量明显高于对照组（P<0.05），且在6个月内均呈上升趋势（P<0.05）。观察组干预1、3、6个月的自我管理效能感量评分分别为（31.45±3.51）分、（35.59±2.66）分、（38.48±2.29）分，对照组干预1、3、6个月的自我管理效能感量评分分别为（28.47±4.74）分、（31.92±4.37）分、（34.76±4.81）分，观察组自我管理效能明显高于对照组（P<0.05），且在6个月内均呈上升趋势（P<0.05）。两组在干预前的经济、情感和身体负担评分均无明显差异（P>0.05）。干预后，对照组各评分无明显变化，总分下降（P<0.05）。观察组经济、情感和身体负担评分均明显下降，分别为（3.62±0.79）分、（13.03±1.66）分、（14.12±2.00）分，对照组评分无明显变化，分别为（3.92±0.84）分、（15.26±1.79）分、（16.37±3.68）分，总分下降，观察组自我感受负担总分（31.72±2.51）分明显低于对照组（35.30±3.94）分（P<0.05）。结论：O2O管理模式能够使肾细胞癌化疗病人更加积极主动面对疾病治疗，畅通医患之间的交流，改善其生活质量，减轻病人的心理压力与自我感受负担，提升其自我管理效能和依从性，促进疾病的治疗。 |
| 英文摘要: |
| Objective:To investigate the effect of O2O (online?to?offline) management mode on self-management ability and treatment compliance of patients undergoing chemotherapy for renal cell carcinoma. Methods:A total of 120 patients undergoing chemotherapy for renal cell carcinoma admitted to our hospital from March 2019 to February 2021 were selected, and randomly divided into two groups. Control group (n=55) received routine health management, while observation group (n=65) applied O2O management mode. Patients were followed up for 6 months postoperatively, then the coping styles, cancer-related fatigue score, quality of life score, self-management efficacy score and self-perceived burden score were recorded. Results:The scores of confrontation, avoidance and resignation coping styles showed no significant difference between two groups at the baseline (P>0.05). After intervention, an increase in confrontation score along with a decrease in avoidance and resignation scores were found in both groups (P<0.05). The confrontation score was (22.49±1.23) in observation group, which was significantly higher than (19.36±1.51) in control group, with statistical difference (P<0.05). The avoidance and resignation scores were (13.52±1.95) and (7.32±0.71) in observation group, which were significantly lower than (14.36±1.98) and (8.44±0.97) in control group, with statistical difference (P<0.05). The cancer-related fatigue score was (113.39±8.32) in observation group and (112.14±7.92) in control group before intervention, with no difference (P>0.05). After intervention, the cancer-related fatigue score was decreased in both groups, and the score was (77.58±10.54) in observation group, which was obvious lower than control group(104.72±7.99) (P<0.05). The scores of quality of life at 1, 3, and 6 months of intervention were (59.39±4.36), (72.58±4.88) and (81.06±5.18) in observation group, which were significantly higher than (56.14±4.84), (68.72±5.34) and (73.47±5.89) in control group, with statistical difference (P<0.05). There was an overall increasing trend in quality of life score in both groups within 6 months of interventions (P<0.05). The scores of self-management efficacy scale at 1, 3, and 6 months of intervention were (31.45±3.51), (35.59±2.66) and (38.48±2.29) in observation group, which were significantly higher than (28.47±4.74), (31.92±4.37) and (34.76±4.81) in control group (P<0.05). The overall self-management efficacy score showed an increasing trend within 6 months of intervention (P<0.05). The scores of economic, emotional and physical burdens yielded no statistical difference between two groups before intervention (P>0.05). After intervention, the scores of economic, emotional and physical burdens were (3.62±0.79), (13.03±1.66) and (14.12±2.00) in observation group, which were significantly lower than (3.92±0.84), (15.26±1.79) and (16.37±3.68) in control group (P<0.05). The overall self-perceived burden score was (31.72±2.51) in observation group, which was obvious lower than control group(35.30±3.94) (P<0.05). Conclusion:Application of O2O management mode for patients undergoing chemotherapy for renal cell carcinoma can effectively ameliorate the coping styles, enhance doctor-patient communications, improve the quality of life, alleviate mental stress and self-perceived burden of patients, and improve the self-management ability and treatment compliance, thus improving the treatment outcomes. |
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