摘要
目的 探讨自我效能联合自我管理干预在喉癌术后患者中的应用效果.方法 根据干预方式的不同将105例喉癌手术患者分为对照组(n=52)和观察组(n=53),对照组患者术后接受常规干预,观察组患者在对照组的基础上接受自我效能联合自我管理干预.比较两组患者的自我效能感[中文版癌症自我管理效能感量表(C-SUPPH)]、营养指标[白蛋白(ALB)、前白蛋白(PAB)、转铁蛋白(TRF)]、负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]以及生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)].结果 干预后,两组患者C-SUPPH、EORTC QLQ-C30各维度评分均高于本组干预前,SDS、SAS评分及ALB、PAB、TRF水平均低于本组干预前,观察组患者C-SUPPH、EORTC QLQ-C30各维度评分及ALB、PAB、TRF水平均高于对照组,SDS、SAS评分均低于对照组,差异均有统计学意义(P﹤0.05).结论 自我效能联合自我管理干预应用于喉癌术后患者,能够提高患者的自我效能感,改善患者的营养状态、负性情绪及生活质量.
Abstract
Objective To investigate the application effect of self-efficacy combined with self-management interven-tion in patients with laryngeal cancer after surgery.Method A total of 105 patients with laryngeal cancer who under-went surgery were divided into control group(n=52)and observation group(n=53)according to different intervention methods.The control group received routine intervention,and the observation group received self-efficacy combined with self-management intervention on the basis of the control group.The self-efficacy[Chinese-version strategies used by peo-ple to promote health(C-SUPPH)],nutritional indexes[albumin(ALB),prealbumin(PAB),transferrin(TRF)],negative emotions[self-rating depression scale(SDS),self-rating anxiety scale(SAS)]and quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)]were compared between the two groups.Result After intervention,the dimensional scores of C-SUPPH and EORTC QLQ-C30 in two groups were higher than those before intervention,the scores of SDS,SAS and the levels of ALB,PAB,TRF were lower than those before intervention,the dimensional scores of C-SUPPH,EORTC QLQ-C30 and the levels of ALB,PAB and TRF in observation group were higher than those in control group,the scores of SDS and SAS were lower than those in control group,and the differences were statistically significant(P<0.05).Conclusion The application of self-efficacy combined with self-management intervention in patients with laryngeal cancer after surgery can improve patients'self-efficacy,nu-tritional indexes,negative emotions and quality of life.
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