首页|症状管理理论对胶质瘤患者自我效能、希望水平及生活质量的影响

症状管理理论对胶质瘤患者自我效能、希望水平及生活质量的影响

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目的 探讨症状管理理论(SMT)对胶质瘤患者自我效能、希望水平及生活质量的影响.方法 将96例胶质瘤患者按干预方案的不同分为对照组和干预组,每组48例.对照组患者采用常规护理干预,干预组患者采用基于SMT理论的护理干预.比较干预前后两组患者的自我效能[慢性病自我效能量表(CDSES)]、希望水平(Herth希望量表)及生活质量[健康调查简表(SF-36)].结果 干预后,两组患者情绪控制、合理休息、疼痛及不适的控制、自我保健、遵医用药管理和健康问题评分均较干预前升高,且干预组患者情绪控制、合理休息、疼痛及不适的控制、自我保健、遵医用药管理和健康问题评分均高于对照组,差异均有统计学意义(P<0.05).干预后,两组患者对现实及未来的积极态度、采取积极行动、与他人保持亲密关系评分及总分均较干预前升高,且干预组患者对现实及未来的积极态度、采取积极行动、与他人保持亲密关系评分及总分均高于对照组,差异均有统计学意义(P<0.05).干预后,两组患者生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康评分均较干预前升高,且干预组患者生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康评分均高于对照组,差异均有统计学意义(P<0.05).结论 以SMT理论为基础构建护理干预方案应用于胶质瘤患者,能够改善患者的自我效能与希望水平,提高生活质量,值得进一步推广及应用.
Effect of symptom management theory on self-efficacy,hope level and quality of life in patients with glioma
Objective To explore the effect of symptom management theory(SMT)on self-efficacy,hope level and quality of life in patients with glioma.Method A total of 96 patients with glioma were divided into control group and in-tervention group according to different intervention programs,with 48 cases in each group.Patients in control group were treated with routine nursing intervention,and patients in intervention group were treated with nursing intervention based on SMT theory.The self-efficacy[chronic disease self-efficacy scale(CDSES)],hope level(Herth hope scale)and quality of life[the MOS 36-item short form health survey(SF-36)]were compared between the two groups before and after inter-vention.Result After intervention,the scores of emotional control,reasonable rest,pain and discomfort control,self-care,medical compliance management and health problems in both groups were higher than those before intervention,and scores of emotional control,reasonable rest,pain and discomfort control,self-care,medical compliance management and health problems in the intervention group were higher than those in the control group,the differences were statistical-ly significant(P<0.05).After intervention,the scores of positive attitude towards reality and future,taking positive ac-tions and maintaining close relationships with others and total scores in both groups were higher than those before inter-vention,the scores of above items and total score in the intervention group were higher than those in the control group,the differences were statistically significant(P<0.05).After intervention,the scores of physiological function,physiologi-cal role,bodily pain,general health,vitality,social function,emotional function and mental health of the two groups were higher than those before intervention,and the scores of physiological function,physiological role,bodily pain,general health,vitality,social function,emotional function and mental health of the intervention group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion The nursing intervention program based on SMT theory can improve the self-efficacy,hope level and quality of life of patients with glioma,which is worthy of further promotion and application.

symptom management theorygliomaself-efficacyhope levelquality of life

丁艮晓、梅洁、步星耀、迁荣军、许健、冯英璞、孟晓静

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河南省人民医院/郑州大学人民医院神经外科,郑州 450000

河南省人民医院/郑州大学人民医院脑血管病科,郑州 450000

症状管理理论 胶质瘤 自我效能 希望水平 生活质量

河南省科技研发专项中华护理学会立项科研课题(2022)

192102310126ZHKY202206

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(3)