首页|基于赋能理论指导的健康教育结合家庭协同护理对黑色素瘤免疫治疗患者自护能力及生活质量的影响

基于赋能理论指导的健康教育结合家庭协同护理对黑色素瘤免疫治疗患者自护能力及生活质量的影响

Effects of health education based on empowerment theory combined with family collaborative nursing on self-care ability and quality of life of patients with melanoma immunotherapy

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目的 探讨基于赋能理论指导的健康教育结合家庭协同护理对黑色素瘤免疫治疗患者自护能力及生活质量的影响.方法 选取 2019 年 6月至 2021 年 10 月收治的 110 例黑色素瘤免疫治疗患者为研究对象,随机将其分为对照组与观察组,各 55例.对照组采用常规护理干预,观察组在对照组基础上采用基于赋能理论指导的健康教育结合家庭协同护理.比较两组的干预效果.结果 干预后,观察组的自我管理能力测定量表(ESCA)各维度评分均高于对照组(P<0.05).干预后,观察组的恐惧视觉模拟评分(FAVS)、焦虑自评量表(SAS)及抑郁自评量表(SDS)评分均低于对照组(P<0.05).干预后,观察组的功能、症状、生命质量及总体健康状况评分均高于对照组(P<0.05).结论 基于赋能理论指导的健康教育结合家庭协同护理能够有效提高患者的自护能力,减轻其疾病恐惧心理,使其积极配合治疗,进而提高生活质量.
Objective To explore the effects of health education based on empowerment theory combined with family collaborative nursing on self-care ability and quality of life of patients with melanoma immunotherapy.Methods A total of 110 patients with melanoma immunotherapy admitted from June 2019 to October 2021 were randomly divided into control group and observation group,with 55 cases in each group.The control group was given routine nursing intervention,while the observation group was given health education based on empowerment theory combined with family collaborative nursing on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of each dimension of Exercise of Self-Care Agency Scale(ESCA)in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of Fear Visual Analogue Scale(FAVS),Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of function,symptoms,quality of life and overall health status in the observation group were higher than those in the control group(P<0.05).Conclusion The health education based on empowerment theory combined with family collaborative nursing can effectively improve the self-care ability of patients,reduce their fear of disease,make them actively cooperate with treatment,and improve the quality of life.

empowerment theoryhealth educationfamily collaborative nursingmelanomaimmunotherapyself-care abilityquality of life

罗莉、毕红、李翠翠、齐梦岩、张承丽、孙妮、石琼

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空军军医大学第一附属医院西京医院皮肤科,陕西 西安,710032

赋能理论 健康教育 家庭协同护理 黑色素瘤 免疫治疗 自护能力 生活质量

国家自然科学基金

82273716

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(18)