摘要
目的:探讨自我效能干预对腹腔镜直肠癌根治术后患者自我护理能力和睡眠质量的影响.方法:选取2021年1月至2023年11月山东省荣成市人民医院内窥镜室收治的腹腔镜直肠癌根治术患者100例作为研究对象,随机分为对照组和观察组,每组50例.对照组实施常规护理,观察组实施自我效能干预,对2组患者的自我护理能力、PSQI评分、并发症发生率、生命质量、疼痛情况进行比较.结果:观察组的自我护理技能、自护责任感、自我概念和健康知识水平评分比对照组高(P＜0.05);观察组睡眠质量、睡眠效率、入睡时间、睡眠障碍的评分比对照组低(P＜0.05);观察组造口水肿、造口脱落、造口狭窄的发生率比对照组低(P＜0.05);观察组造口问题、排便问题、体质量减轻、胃肠道症状比对照组分值低(P＜0.05);观察组的疼痛情况分值比对照组低(P＜0.05).结论:与常规护理比较,自我效能干预的效果更为显著,可有效提升腹腔镜直肠癌根治术患者的自我护理能力,进而改善其睡眠质量和其他临床症状,应用效果显著.
Abstract
Objective:To investigate the effects of self-efficacy intervention on self-care ability and sleep quality of patients after laparoscopic radical resection for rectal cancer.Methods:A total of 100 patients undergoing laparoscopic radical resection of rec-tal cancer in our hospital(January 2021 to November 2023)were taken as an example.After grouping study,50 cases in each group were divided into a control group and an observation group,and routine nursing and self-efficacy intervention were given to the former group and the post-group,respectively.Subsequently,self-care ability,PSQI score,complication rate,quality of life,and pain status were taken as the research direction,and the data in the table of observation group and control group were analyzed.Results:The scores of self-care skills,self-care responsibility,self-concept and health knowledge in the observation group were higher than those in the control group,P＜0.05;The scores of sleep quality,sleep efficiency,falling asleep time and sleep disor-der in the observation group were lower than those in the control group,P＜0.05;The incidence of ostomy edema,ostomy detach-ment and ostomy stenosis in observation group was lower than that in control group(P＜0.05).The scores of ostomy problems,defecation problems,weight loss,and gastrointestinal symptoms in the observation group were lower than those in the control group(P＜0.05).The pain score of the observation group was lower than that of the control group(P＜0.05).Conclusion:Compared with conventional nursing,self-efficacy intervention has a more significant effect,which can effectively improve the self-care ability of patients undergoing laparoscopic radical resection of rectal cancer,and then improve their sleep quality and other clinical symp-toms.The application effect is remarkable.
维普
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