首页|基于跨理论模型健康教育联合全程系统康复训练对鼻咽癌放疗患者自我效能及张口困难程度的影响

基于跨理论模型健康教育联合全程系统康复训练对鼻咽癌放疗患者自我效能及张口困难程度的影响

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目的 探讨基于跨理论模型健康教育联合全程系统康复训练对鼻咽癌(NPC)放疗患者自我效能及张口困难程度的影响.方法 选择 2021 年 9 月—2023 年 5 月临沂市肿瘤医院收治的 96 例NPC放疗患者为研究对象,按随机数字表法分为对照组及观察组,每组48 例.对照组采用常规护理,观察组在此基础上采用基于跨理论模型健康教育联合全程系统康复训练干预.比较两组患者的自我效能感、张口困难程度、训练依从性及生活质量.结果 干预后,观察组的一般自我效能感量表评分为(31.36±3.65)分,高于对照组的(25.54±3.28)分,差异有统计学意义(P<0.05).干预后,观察组的张口困难程度改善情况优于对照组,差异有统计学意义(P<0.05).干预后,观察组的生活质量综合评定问卷中躯体功能、心理功能、社会功能、物质生活功能评分均高于对照组,组间差异有统计学意义(P<0.05).观察组的训练依从性为 95.83%,高于对照组的 83.33%,差异有统计学意义(P<0.05).结论 将基于跨理论模型健康教育结合全程系统康复训练应用于NPC放疗患者中,可提高其自我效能感及训练依从性,改善张口困难程度,提高生活质量.
Effects of Health Education Based on Cross-Theoretical Model Combined with Whole-Course Systematic Rehabilitation Training on Self-Efficacy and Mouth Opening Difficulty in Nasopharyngeal Carcinoma Radiotherapy Patients
Objective To explore the effects of health education based on cross-theoretical model combined with whole-course systematic rehabilitation training on self-efficacy and mouth opening difficulty in patients with nasopharyngeal carcinoma(NPC)treated with radiotherapy.Methods 96 NPC radiotherapy patients treated in Linyi Cancer Hospital from September 2021 to May 2023 were selected as the study objects and were divided into a control group and an observation group according to random number table method,with 48 cases in each group.The control group was treated with routine nursing,and the observation group was treated with health education based on cross-theoretical model combined with whole-course systematic rehabilitation training on this basis.The self-efficacy,mouth opening difficulty,training compliance and quality of life were compared between the two groups.Results After intervention,the General Self-Efficacy Scale score of the observation group was(31.36±3.65)points,higher than(25.54±3.28)points of the control group,the difference was statistically significant(P<0.05).After intervention,the improvement of mouth opening difficulty in the observation group was better than that in the control group,the difference was statistically significant(P<0.05).After intervention,the scores of physical function,psychological function,social function and material life function in the Generic Quality of Life Inventory-74 of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).The training compliance of the observation group was 95.83%,higher than 83.33%of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of health education based on cross-theoretical model combined with whole-course systematic rehabilitation training in NPC radiotherapy patients can improve their self-efficacy,training compliance,mouth opening difficulty and quality of life.

Nasopharyngeal cancerRadiotherapyCross-Theoretical modelsHealth educationWhole-Course systematic rehabilitation trainingSelf-EfficacyMouth opening difficulty

刘京丽

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临沂市肿瘤医院肿瘤外科,山东临沂 276001

鼻咽癌 放疗 跨理论模型 健康教育 全程系统康复训练 自我效能 张口困难程度

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(4)
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