Research On The Effect Of Nursing Model Based On TTM Theory On The Brain Neoplasm Patients' Life Qualities With The Treatments By Cyber Knife

Objective: To explore the feasibility and effectiveness of TTM nursing model in the treatment of brain neoplasm patients with a Cyber Knife.Based on the evaluation of the patients' behavior,the matched behavior intervention is given to reduce the incidence of adverse reactions.It aims to improve the daily activities and self-managements on diseases,and to achieve high quality of life with good healthy behaviors and less complications.Methods: 70 patients with brain neoplasm underwent Cyber Knife treatment,at Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine,were selected as the research subjects from January to November in 2019.Patients were divided into observation group and control group according to the random number table methods.The control group received conventional care after the Cyber Knife treatment while the observation group was established the TTM nursing model based on the control group.During the treatment with the Cyber Knife and after discharge,the observation group formulated nursing intervention measures according to the characteristics of the disease and its actual situation.It took the related measures according to the different stages,such as: establish personal health files,develop personal intervention plans,change bad ideas,enhance motivation,improve self-management awareness,and maintain good behavior habits.Before and after 3 months' intervention,the Universal Quality of Life Core Scale(EORTC QLQ-C30 V3.0),Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),and Fear of Progression Questionnaire(Fo P-Q-SF)were analyzed in this two groups.It also analyzed the changes in behavioral stage distributions and questionnaires the patients.SPSS22.0 was used for statistical analysis of the data,?2 test and rank sum test were used for counting data;t test and rank sum test were used for measurement data,P<0.05 indicates that the difference is statistically significant.Results:(1)The two groups compared the patients' general information (age,gender,marriage,work,education,stage of disease,stage of TTM,disease type).It is worth comparing with the no statistical significant difference between the two groups(P>0.05).(2)Comparison between the two-group patients' life quality: After intervention,the two groups of patients in the QLQ-C30 physical field,overall health level and symptom field of fatigue,nausea and vomiting,loss of appetite 9 items in the observation group was higher than that of the control group,the statistical significant difference was(P<0.05),the scores of the remaining 6 items were not statistically different(P>0.05);compared with the observation group before and after self-intervention,the scores in the ten areas of the fatigue,nausea,vomiting,pain and loss of appetite in the body area,total health level and symptom area in QLQ-C30 were not statistically significant the no significant difference was(P>0.05),and the remaining 5 scores' statistically difference was(P<0.05).Compared with the control group,the pain area was improved,and the statistically significant difference was(P<0.05),the other areas' was(P>0.05).(3)Comparison between the two-group patients' anxiety and depression levels: The distribution of anxiety and depression in the observation group after intervention was significantly different from that in the control group(P<0.05);the comparison of the anxiety and depression in the observation group before and after intervention The difference was statistically significant(P<0.05);the comparison of the control group before and after self-intervention,the distribution of anxiety and depression,the difference was not statistically significant(P>0.05).(4)Comparison of Fo P-Q-SF scale between the two-group patients: the average score of the two groups(n=62)before the intervention(31.58±5.58),of which the score of the physical health dimension was slightly higher than that of the family society;after the intervention,the scores of fear level,physical health dimension and family social dimension of the observation group were all lower than those of the control group,and the statistically significant difference was(P<0.05).Compared with the observation group before and after self-intervention,the scores of fear level,physical health dimension and family social dimension all decreased.The statistically significant difference was(P<0.05);compared with before and after the intervention of the control group,scores of fear level,physical health dimension,and family social dimension were all reduced,but the no statistically significant difference was(P>0.05).(5)Comparison between the two groups with behavior change stages: The statistically significant difference was(P<0.05);the behavior change stages was also(P<0.05).Conclusions:(1)TTM-based nursing model can improve the symptoms of the functional field and total health field of the quality of life of patients with brain neoplasms treated by the Cyber Knife.The quality of life of the patients has been significantly improved,but improved in other fields Further research and discussion are needed.(2)Through the TTM-based nursing model,it can help improve the anxiety,depression,and negative fear of disease in patients with brain neoplasms treated by Cyber Knife,Reduce the patient's anxiety,depression and fear psychology,accept the disease and actively cooperate with the treatment with peace of mind.(3)Through the TTM-based nursing model,the behavioral phase distribution of the treatment of patients with brain neoplasms by Cyber Knife has been improved.Help patients establish awareness of controlling bad behaviors,establish good behavior habits and healthy lifestyles,and improve patients' compliance with consolidation efficacy and rehabilitation.