CAJ | 학술논문

目的：探讨以家庭为中心支持模式对肝癌化疗间歇期患者生存质量的影响。方法：将82例化疗间歇期肝癌患者随机分为干预组和对照组，每组41例，干预组接受以家庭为中心的支持模式，对照组实施常规的护理，比较两组在干预前后生活质量、自我效能及中断化疗发生率情况。结果：干预后，干预组患者的生活质量评分、自我效能得分均高于干预前水平和对照组同期水平（P＜0.05），干预组化疗间歇期并发症及中断化疗发生率明显低于对照组（P＜0.05）。结论：以家庭为中心的健康管理模式是一种有效的管理模式，可改善肝癌化疗间歇期患者的生存质量，提升患者的自我效能，并降低患者中断化疗的发生率。
목적：탐토이가정위중심지지모식대간암화료간헐기환자생존질량적영향。방법：장82례화료간헐기간암환자수궤분위간예조화대조조，매조41례，간예조접수이가정위중심적지지모식，대조조실시상규적호리，비교량조재간예전후생활질량、자아효능급중단화료발생솔정황。결과：간예후，간예조환자적생활질량평분、자아효능득분균고우간예전수평화대조조동기수평（P＜0.05），간예조화료간헐기병발증급중단화료발생솔명현저우대조조（P＜0.05）。결론：이가정위중심적건강관리모식시일충유효적관리모식，가개선간암화료간헐기환자적생존질량，제승환자적자아효능，병강저환자중단화료적발생솔。
Objective To study the impact of family-oriented nursing model on the QOL( quality of life)in community patients with liver cancer. Method 82 cases of liver cancer were randomly divided into the intervention group and the control group,each group of 41 cases,the intervention group underwent family-oriented nursing management,the control group underwent routine nursing management. Life quality,self-efficacy and the rate of chemotherapy cessation were compared. Results The life quality and self-efficacy score were significantly higher than before the intervention level and the level of the control group over the same period. intermittent chemotherapy complications and the in-cidence of interrupt chemotherapy were significantly lower in the intervention group than that of the control group ( P < 0. 05 ) . Conclusion Family-oriented nursing management is feasible for the improvement of QOL,self-efficacy and the reduction of chemotherapy cessation rate.