Effects of All-round Nursing Care based on Symptom Dynamic Model Theory on Patients with Nasopharyngeal Carcinoma Undergoing Chemo-therapy

Wang Xiaobin; Jiang Yanqing; Zhou Ting

doi:10.3969/j.issn.1006-7256.2024.22.005

Abstract：Objective:To explore the effects of all-round nursing care based on symptom dynamic model theory on adverse reactions and self-care ability in patients with nasopharyngeal carcinoma undergoing chemotherapy.Methods:A total of 80 patients with nasopharyngeal carcinoma treated with chemotherapy from June 1 to October 31,2022 were selected as the research objects.According to the random num-ber table method,they were divided into the intervention group and the control group with 40 cases in each group.The control group re-ceived routine nursing care,while the intervention group received all-round nursing intervention based on symptom dynamic model theory.The intervention period in both groups was 6 months.The self-care ability using Exercise of Self-care Agency Scale(ESCA),mental state using Chinese version of Connor-Davidson Resilience Scale(CD-RISC),Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA),cancer-related fatigue using Brief Fatigue Inventory(BFI)and hope level using Herth Hope Index(HHI),quality of life using Short Form Health Survey(SF-36)before and after intervention,compliance after intervention and the occurrence of adverse reactions dur-ing intervention were compared between the two groups.Results:After intervention,the scores of ESCA、CD-RISC、HHI and SF-36 scores in the two groups were higher than those before intervention(P<0.05),and those in the intervention group were higher than the control group(P<0.01).The scores of HAMA,HAMD and BFI in the two groups were lower after intervention than those before intervention(P<0.05),and those in the intervention group were lower than those in the control group(P<0.01).During the intervention,the incidence of adverse events in the intervention group was lower than that in the control group(P<0.05).The total compliance rate in the intervention group was higher than that in the control group(P<0.05).Conclusion:The all-round nursing care based on symptom dynamic model theory can improve the psychological state and cancer-related fatigue of patients with nasopharyngeal carcinoma undergoing chemotherapy,improve self-care ability and hope level,reduce the occurrence of adverse reactions,and improve compliance and quality of life of the patients.