首页|基于行为改变理论的出院计划方案对肺癌术后患者出院后自我效能及生活质量的影响分析

基于行为改变理论的出院计划方案对肺癌术后患者出院后自我效能及生活质量的影响分析

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目的 基于行为改变理论下的出院计划方案对肺癌术后患者出院后自我效能及生活质量的影响进行分析.方法 随机选取2023年6-12月如皋市人民医院收治的100例肺癌术后患者为研究对象,根据不同护理措施分为两组,各50例.对照组实施常规出院指导,观察组实施基于行为改变理论下的出院计划方案干预,对比两组患者的自我效能评分、癌症疲乏程度、生活质量与护理满意度评分.结果 护理前两组患者的自我效能水平结果相近,差异无统计学意义(P>0.05);护理后,两组患者的自我效能水平均较护理前提高,且观察组高于对照组,差异有统计学意义(P均<0.05).观察组的癌症疲乏程度各维度评分均低于对照组,差异有统计学意义(P均<0.05).护理后,两组患者的世界卫生组织生存质量测定量表各维度评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05).观察组的护理满意度为94.00%(47/50),高于对照组的80.00%(40/50),差异有统计学意义(χ2=4.332,P<0.05).结论 基于行为改变理论下的出院计划方案能够有效改善肺癌术后患者的自我效能及癌症疲乏程度,提高患者的生活质量和护理满意度.
Analysis of the Impact of Discharge Planning Programs Based on Behavior Change Theory on Self-efficacy and Quality of Life of Postoperative Lung Cancer Patients after Discharge
Objective To analyze the impact of discharge planning programs based on behavior change theory on self-efficacy and quality of life of postoperative lung cancer patients after discharge.Methods A total of 100 postoperative lung cancer patients admitted to the People's Hospital of Rugao from June to December 2023 were randomly selected as the research objects and divided into two groups according to different nursing measures,with 50 cases in each group.The control group received routine discharge guidance,and the observation group received discharge planning program intervention based on behavior change theory.The self-efficacy scores,cancer-related fatigue,quality of life and nursing satisfaction scores of the two groups were compared.Results Before intervention,the self-efficacy levels of the two groups were similar,the difference was not statistically significant(P>0.05).After intervention,the self-efficacy levels of both groups were higher than those before treatment,and the observation group was higher than the control group,the difference were statistically significant(all P<0.05).At the same time,the scores of all dimensions of cancer-related fatigue in the observation group were lower than those in the control group,the differences were sta-tistically significant(both P<0.05).After intervention,the scores of all dimensions of the World Health Organization Quality of Life-Brief of both groups were higher than those before intervention,and the observation group was higher than the control group,with statistically significant differences(both P<0.05).The nursing satisfaction of the observa-tion group was 94.00%(47/50),which was higher than that of the control group 80.00%(40/50),and the difference was statistically significant(χ²=4.332,P<0.05).Conclusion The discharge planning program based on behavior change theory can effectively improve the self-efficacy and cancer-related fatigue of postoperative lung cancer pa-tients,improve the quality of life of patients,and increase patient nursing satisfaction.

Behavior change theoryDischarge planning programLung cancerSelf-efficacyQuality of life

申小平、石海燕

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如皋市人民医院心胸外科,江苏 如皋 226500

行为改变理论 出院计划方案 肺癌 自我效能 生活质量

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(31)