摘要
目的:探讨基于健康行为过程取向模型(HAPA)在宫颈癌术后化疗中的宣教效果.方法:选择我院 2020年 9月至 2023年 9月收治的 80例宫颈癌术后化疗患者,随机均分为观察组(41例)和对照组(39例).观察组实施 HAPA 为基础的健康教育,对照组采用常规护理.比较两组的健康知识掌握、不良事件、负性情绪及生活质量.结果:观察组健康知识掌握更优(P<0.05),不良事件发生率更低(9.76%vs20.51%,P<0.05),SAS、SDS评分及生活质量均更优(P<0.05).结论:基于HAPA模型的健康教育能提升宫颈癌化疗患者的认知,减少不良事件,改善生活,值得推广.
Abstract
Objective To investigate the effectiveness of educational interventions based on the Health Action Process Approach(HAPA)model in post-surgical chemotherapy for cervical cancer.Methods From September 2020 to September 2023,80 cervical cancer patients undergoing postsurgical chemotherapy at our hospital were randomly assigned to an observation cohort(n=41)and a control cohort(n=39).The observation cohort was subjected to HAPA-driven health education,whereas the control cohort received conventional care.A comparative analysis was conducted to assess their respective proficiencies in health knowledge acquisition,adverse event rates,negative affective states,and overall quality of life.Results The observation group demonstrated superior mastery of health knowledge(P<0.05),a lower incidence of adverse events(9.76%vs.20.51%,P<0.05),and better outcomes in terms of SAS,SDS scores,and quality of life(P<0.05).Conclusion HAPA-based health education can enhance the cognition of patients undergoing chemotherapy for cervical cancer,reduce adverse events,and improve quality of life,making it worthy of wider implementation.