强化院外健康信念对老年结肠癌患者健康认知、行为改善的效果  

Effects of strengthening out-of-hospital health beliefs on perceived well-being and behavioral change in elderly patients with colon cancer

作　　者：孙晓林[1] 郑丽娜[1] 钱国武[1] 史娟 孙万日[1] 刘驰[1] 刘延娟 宋展[1] Sun Xiaolin;Zheng Li'na;Qian Guowu;Shi Juan;Sun Wanri;Liu Chi;Liu Yanjuan;Song Zhan(Department of General Surgery,Nanyang City Center Hospital,Nanyang 473000,China)

机构地区：[1]郑州大学附属南阳医院/南阳市中心医院普外科,南阳473000

出　　处：《中华现代护理杂志》2018年第34期4134-4138,共5页Chinese Journal of Modern Nursing

基　　金：河南省科技发展计划项目(182102311210).

摘　　要：目的探讨强化院外健康信念对老年结肠癌患者健康认知、行为改善的效果。方法采用方便抽样法,纳入2015年8月—2017年8月郑州大学附属南阳医院收治的112例老年结肠癌患者为研究对象,按照入院时间顺序分为两组,每组各56例,其中对照组予以常规护理干预,观察组实施院外健康信念干预,均持续干预6个月。分别于干预前及干预结束时采用癌症患者知识需求量表、健康促进生活方式量表(HPLPⅡ)评估两组患者健康认知及健康行为评分。采用t检验比较干预前后两组患者得分情况。结果观察组干预后心理需求、技术需求、用药需求、康复需求评分及癌症患者知识需求量表总分均高于干预前及对照组干预后,观察组干预后自我实现、运动、健康责任、营养、压力应对、人际支持评分及健康促进生活方式量表总分均高于干预前及对照组干预后,差异均有统计学意义(P<0.05)。结论强化院外健康信念能有效提高老年结肠癌患者健康认知水平,促进其养成良好的健康行为。Objective To explore the effects of strengthening out-of-hospital health beliefs on perceived well-being and behavioral change in elderly patients with colon cancer. Methods Totally 112 elderly patients with colon cancer admitted in Nanyang City Center Hospital from August 2015 to August 2017 were selected by convenient sampling and divided into two groups (n=56) based on the time of admission. Patients in the control group received conventional nursing care, while patients in the observation group received out-of-hospital health beliefs. Both interventions lasted for 6 months. The knowledge needs scale for cancer patients and the Health Promoting Lifestyle Profile-Ⅱ (HPLPⅡ) were used to evaluate the perceived well-being and healthy behaviors in the two groups before and after intervention. Results The scores of psychological needs, technical needs, medication needs and rehabilitation needs and the total score of the knowledge needs scale for cancer patients in the observation group were higher than those before intervention and those of the control group after intervention. The scores of self-fulfillments, exercise, health responsibility, nutrition, pressure handling and interpersonal support and the total score of HPLP Ⅱ of the observation group were higher than those before intervention and those of the control group after intervention (P<0.05) . Conclusions Strengthening out-of-hospital health beliefs can effectively improve the perceived well-being of elderly patients with colon cancer and enable them to develop healthy behaviors.

关 键 词：结肠肿瘤 老年人 健康信念 健康认知 健康行为 

分 类 号：R473.73[医药卫生—护理学]