Influencing factors of holistic nursing intervention under a social medical model on the psychology and quality of life of patients with advanced gastric cancer.

Holistic nursing under a social medical model advanced gastric cancer influencing factors psychology quality of life

Journal

American journal of translational research
ISSN: 1943-8141
Titre abrégé: Am J Transl Res
Pays: United States
ID NLM: 101493030

Informations de publication

Date de publication:
2021
Historique:
received: 06 11 2020
accepted: 11 12 2020
entrez: 21 5 2021
pubmed: 22 5 2021
medline: 22 5 2021
Statut: epublish

Résumé

This research was designed to probe into the influencing factors of holistic nursing intervention under a social medical model on psychology and quality of life in advanced gastric cancer (GC) patients. Altogether 194 patients with advanced GC treated in our hospital from May 2017 to July 2018 were divided into two groups according to different nursing intervention methods. Where from, 86 were given routine nursing intervention and 108 were given holistic nursing intervention under a social medical model. The psychology, pain relief, sleep quality and self-nursing ability of patients were compared before and after intervention. The quality of life before and after intervention and the nursing satisfaction score after nursing were recorded. The factors affecting their quality of life were assessed by Logistic regression analysis. The SAS, SDS, NRS and PSQI scores in the intervention group (IG) were obviously lower than those in the control group (CG) after nursing. The ESCA and EORTC QLQ-C30 scores after nursing in the IG were markedly higher than those in the CG. The total nursing satisfaction of patients in the IG after nursing was obviously higher than that in the CG. Logistic regression analysis revealed that age, lymph node metastasis, TNM stage, unimproved negative emotion, lack of self-nursing ability and routine nursing intervention all increased the risk of reduced quality of life. The decline in the quality of life of patients with advanced GC results from a comprehensive action of various risk factors, and holistic nursing under a social medical model can improve the psychology of patients, improve their self-nursing ability and quality of life.

Identifiants

pubmed: 34017512
pmc: PMC8129223

Types de publication

Journal Article

Langues

eng

Pagination

3369-3379

Informations de copyright

AJTR Copyright © 2021.

Déclaration de conflit d'intérêts

None.

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Auteurs

Yao Wen (Y)

Minzu University of China (College of Ethnology and Sociology) Beijing 100089, China.
Huaiyin Institute of Technology (College of Humanities) Huai'an 223001, Jiangsu, China.

Jun Ma (J)

Department of Oncology, Huai'an Hospital of Chinese Medicine, Affiliated to Huai'an Hospital of Nanjing University of Chinese Medicine Huai'an 223001, Jiangsu Province, China.

Xuan Jiang (X)

Department of Oncology, Huai'an Second People's Hospital, Affiliated to Xuzhou Medical University Huai'an 223001, Jiangsu Province, China.

Guangyi Gao (G)

Department of Oncology, Huai'an Second People's Hospital, Affiliated to Xuzhou Medical University Huai'an 223001, Jiangsu Province, China.

Huaibing Xie (H)

Department of Oncology, Huai'an Second People's Hospital, Affiliated to Xuzhou Medical University Huai'an 223001, Jiangsu Province, China.

Peng Lu (P)

Department of Pharmacy, Huai'an Maternity and Child Healthcare Hospital Affiliated to Yangzhou University Medical Academy Huai'an 223001, Jiangsu Province, China.

Classifications MeSH