首页|自我效能干预对股骨远端骨肉瘤患者术后关节功能、自我管理效能、心理状态的影响

自我效能干预对股骨远端骨肉瘤患者术后关节功能、自我管理效能、心理状态的影响

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目的 探讨自我效能干预对股骨远端骨肉瘤患者术后关节功能、自我管理效能、心理状态的影响.方法 依据干预方式的不同将86例股骨远端骨肉瘤患者分为对照组(n=43)和观察组(n=43),对照组患者给予常规干预,观察组患者给予自我效能干预.比较两组患者关节功能[Lysholm膝关节评分量表(LKSS)]、心理状态[抑郁自评量表(SDS)和焦虑自评量表(SAS)]、自我管理效能[中文版癌症患者自我管理效能感量表(C-SUPPH)]及并发症发生情况.结果 观察组患者的关节功能优良率为95.35%,高于对照组患者的76.74%,差异有统计学意义(P﹤0.05).干预后,两组患者正性态度、自我决策、自我减压评分均高于本组干预前,观察组患者正性态度、自我决策、自我减压评分均高于对照组,差异均有统计学意义(P﹤0.05).干预后,两组患者SDS、SAS评分均低于本组干预前,观察组患者SDS、SAS评分均低于对照组,差异均有统计学意义(P﹤0.05).观察组患者的并发症总发生率为9.30%,低于对照组患者的27.91%,差异有统计学意义(P﹤0.05).结论 自我效能干预可促进股骨远端骨肉瘤患者术后关节功能恢复,有效改善患者的自我效能和负性情绪,降低术后并发症发生率.
Effect of self-efficacy intervention on postoperative joint function,self-management efficacy,and psychological state of patients with distal femoral osteosarcoma
Objective To investigate the effect of self-efficacy intervention on postoperative joint function,self-man-agement efficacy,and psychological state of patients with distal femoral osteosarcoma.Method A total of 86 patients with distal femoral osteosarcoma were divided into control group(n=43)and observation group(n=43)based on different intervention methods.The patients in the control group were received routine intervention,while the patients in the obser-vation group were received self-efficacy intervention.The joint function[Lysholm knee score scale(LKSS)],psychologi-cal status[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],self-management efficacy[Chinese-strate-gies used by people to promote health(C-SUPPH)],and incidence of complications were compared between two groups.Result The excellent and good rate of joint function in the observation group was 95.35%,which was higher than 76.74%in the control group,the difference was statistically significant(P<0.05).After intervention,the positive attitude,self-determination,and self-decompression scores of the two groups were higher than those before the intervention,the positive attitude,self-determination,and self-decompression scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the SDS and SAS scores of the two groups were lower than those before the intervention,the SDS and SAS scores of the observation group were low-er than those of the control group,and the differences were statistically significant(P<0.05).The total incidence of com-plications in the observation group was 9.30%,which was lower than 27.91%in the control group,and the difference was statistically significant(P<0.05).Conclusion Self-efficacy intervention can promote postoperative joint function recov-ery in patients with distal femoral osteosarcoma,effectively improve self-management efficacy and negative emotions,and reduce the incidence of postoperative complications.

distal femoral osteosarcomajoint functionself-efficacy interventionnegative emotion

石玉君、王送、魏琳琳

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河南省直第三人民医院骨科,郑州 450000

股骨远端骨肉瘤 关节功能 自我效能干预 心理状态

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(1)
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