首页|全程健康教育对改善宫颈癌手术患者自我效能及疾病认知水平的护理研究

全程健康教育对改善宫颈癌手术患者自我效能及疾病认知水平的护理研究

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目的:观察全程健康教育对改善宫颈癌手术患者的自我效能、疾病认知水平的影响.方法:选取2021年5月—2022年5月在商丘市第一人民医院接受手术治疗的124例宫颈癌患者作为研究对象,采用随机数表法将其分为对照组和观察组,每组各62例.对照组患者予以常规护理,观察组患者予以全程健康教育.比较两组患者护理前后的疾病认知水平,护理前及护理1 d、7 d、14 d后的自我效能感评分.对所有患者开展为期6个月的短期随访,比较两组患者的术后生理、心理状态康复情况及术后并发症发生率.结果:护理前,两组患者的一般自我效能感量表(GSES)评分比较,差异无统计学意义(P>0.05);护理后,观察组患者发病机制、治疗现状、围手术期注意事项、术后并发症防治维度评分高于对照组,差异有统计学意义(t=3.262、3.943、3.523、3.926,P<0.05).护理1 d、7 d、14 d后,观察组患者GSES评分均高于对照组,差异有统计学意义(t=3.616、3.165、3.436,P<0.05).随访期间,观察组患者各症状消失时间、肿瘤标志物指标(TM)恢复时间短于对照组,焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分低于对照组,差异有统计学意义(t=6.324、3.478、3.390、3.327,P<0.05).观察组患者术后并发症发生率(6.45%)低于对照组(16.13%),差异有统计学意义(χ2=4.678,P<0.05).结论:全程健康教育可有效提升宫颈癌手术患者的疾病认知水平及自我效能感,对促进患者术后生理、心理状态恢复并降低并发症发生风险有积极作用.
Nursing Study on the Improvement of Self-efficacy and Disease Cognition Level of Cervical Cancer Surgery Patients by Full Health Education
Objective:To observe the effect of whole health education on improving self-efficacy and disease perception level of cervical cancer surgery patients.Methods:124 cases of cervical cancer patients who underwent surgical treatment in the hospital from May 2021 to May 2022 were selected as the study subjects,and were divided into control group and observation group with computerized random number table method,with 62 cases in each group.The patients in the control group were given routine nursing care,and the patients in the observation group were given health education throughout the process.The disease cognitive level before and after nursing care and the self-efficacy scores before nursing care,1 d,7 d and 14 d after nursing care were compared between the two groups.A short-term follow-up of 6 months was carried out for all patients and postoperative recovery of physical and psychological status and the incidence of postoperative complications were compared between the two groups.Results:Before care,the difference between the General Self-Efficacy Scale(GSES)scores of patients in the two groups was not statistically significant(P>0.05).After care,the morbidity mechanism,treatment status,perioperative precautions,and postoperative complications prevention and control dimension score of patients in the observation group were higher than those of the control group,and the difference was statistically significant(t=3.262,3.943,3.523,3.926;P<0.05).After 1 d,7 d,and 14 d of care,the GSES scores of the patients in the observation group were higher than those of the control group,and the differences were statistically significant(t=3.616,3.165,3.436;P<0.05).During the follow-up period,the patients in the observation group had a shorter time for the disappearance of each symptom,a shorter time for the recovery of tumor marker index(TM)than that of the control group,and lower scores on the Self-Assessment Scale for Anxiety(SAS)and the Self-Depression Scale for Depression(SDS)than that of the control group,and the differences were statistically significant(t=6.324,3.478,3.390,3.327;P<0.05).The postoperative complication rate of patients in the observation group was 6.45%,which was lower than 16.13%of the control group,and the difference was statistically significant(χ2=4.678,P<0.05).Conclusion:Full health education can effectively improve the disease cognition level and self-efficacy of patients undergoing cervical cancer surgery,and has a positive effect on promoting the recovery of patients'postoperative physiological and psychological status and reducing the risk of complications.

Cervical cancer surgeryFull health educationDisease perceptionSelf-efficacyPostoperative rehabilitation

李瑾、王佳

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商丘市第一人民医院妇科二病区,河南 商丘 476000

宫颈癌手术 全程健康教育 疾病认知 自我效能感 术后康复

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(12)
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