首页|跟进式赋能教育在结直肠癌化疗患者中的应用效果

跟进式赋能教育在结直肠癌化疗患者中的应用效果

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目的 分析跟进式赋能教育对结直肠癌化疗患者健康信念、自护能力、生活质量的影响。方法 选取2021年1月至2023年1月在安阳市肿瘤医院肿瘤内科收治的80例结直肠癌化疗患者进行随机对照试验。按照入院顺序的不同将所有研究对象分成对照组(40例)与试验组(40例)。对照组男性20例、女性20例,年龄34~79(56。74±8。96)岁,予以常规健康教育;肿瘤TNM分期:Ⅱ期26例,Ⅲ期14例。试验组男性21例、女性19例,年龄32~81(56。15±8。84)岁,以赋能教育理念为支持实施跟进式健康教育;肿瘤TNM分期:Ⅱ期25例,Ⅲ期15例。比较两组患者干预前后的中文版Champion结直肠癌健康信念量表(CHBMS)、修正版自我护理能力量表(ASAS-R-C)、McGill生活质量量表(MQOL-C)评分。统计学方法采用t检验。结果 干预后,试验组中文版CHBMS评分与ASAS-R-C 评分均高于对照组[(146。15±20。48)分比(126。65±22。47)分、(60。45±10。33)分比(52。36± 8。77)分],差异均有统计学意义(t=4。06、3。78,均P<0。05)。干预后,试验组MQOL-C中生理、心理、个人存在感、社会支持评分均高于对照组[(24。15±3。06)分比(21。22±2。87)分、(41。26±3。74)分比(37。59± 3。58)分、(42。22±3。69)分比(38。48±3。97)分、(24。36±3。18)分比(22。55±2。87)分],差异均有统计学意义(t=4。42、4。48、4。36、2。67,均P<0。05)。结论 跟进式赋能教育可增强结直肠癌化疗患者健康信念,提高自护能力与生活质量。
Application of follow-up empowerment education in patients with colorectal cancer undergoing chemotherapy
Objective To analyze the impact of follow-up empowerment education on health belief,self-care ability,and quality of life of patients with colorectal cancer undergoing chemotherapy.Methods A total of 80 patients with colorectal cancer undergoing chemotherapy at Department of Oncology,Anyang Cancer Hospital from January 2021 to January 2023 were selected for the randomized controlled trial,and were divided into a control group(40 cases)and an experimental group(40 cases)according to the admission order.In the control group,there were 20 males and 20 females;they were 34-79(56.74±8.96)years old.In the experimental group,there were 21 males and 19 females;they were 32-81(56.15±8.84)years old.The control group took routine health education.The experimental group took follow-up health education with the support of the concept of empowerment education.The scores of the Chinese version of the Champion Colorectal Cancer Health Belief Scale(CHBMS),Revised Self Care Ability Scale(ASAS-R-C),and McGill Quality of Life Scale(MQOL-C)before and after the intervention were compared between two groups.t test was applied.Results After the intervention,the scores of Chinese version CHBMS and ASAS-R-C in the experimental group were higher than those in the control group[(146.15± 20.48)vs.(126.65±22.47)and(60.45±10.33)vs.(52.36±8.77)],with statistical differences(t=4.06 and 3.78;both P<0.05).After the intervention,the scores of physiology,psychology,personal presence,and social support of MQOL-C in the experimental group were higher than those in the control group[(24.15±3.06)vs.(21.22±2.87),(41.26±3.74)vs.(37.59±3.58),(42.22±3.69)vs.(38.48±3.97),and(24.36±3.18)vs.(22.55±2.87)],with statistical differences(t=4.42,4.48,4.36,and 2.67;all P<0.05).Conclusion Follow-up empowerment education can enhance the health belief of patients with colorectal cancer undergoing chemotherapy,and improve their self-care ability and quality of life.

Colorectal cancerFollow-up empowerment educationSelf-care abilityHealth beliefsQuality of life

周静、阮丽平、高梦、崔菲

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安阳市肿瘤医院肿瘤内科六病区,安阳 455000

安阳市肿瘤医院姑息治疗科,安阳 455000

安阳市肿瘤医院介入科,安阳 455000

结直肠癌 跟进式赋能教育 自护能力 健康信念 生活质量

河南省医学科技攻关计划联合共建项目

LHGJ20191293

2024

国际医药卫生导报
中华医学会,国际医药卫生导报社

国际医药卫生导报

影响因子:0.781
ISSN:1007-1245
年,卷(期):2024.30(5)
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