结构式心理干预对肺癌患者术前自我效能感的影响  

Effect of structured psychological intervention on lung cancer patients’ preoperative self-efficacy

作　　者：杨杰[1] 谷寅煜 宋秀岩 李树霞[4] 邢志军[1] 黄跃雁[5] 

机构地区：[1]承德医学院附属医院胸外科,067000 [2]河北省承德市中心医院普外科,067000 [3]河北省承德隆化县第二医院内科,068150 [4]承德医学院附属医院甲状腺外科,067000 [5]承德医学院附属医院耳鼻喉科,067000

出　　处：《中华现代护理杂志》2014年第20期2518-2520,共3页Chinese Journal of Modern Nursing

摘　　要：目的：探讨结构式心理干预对肺癌患者术前自我效能的影响。方法将60例肺癌患者随机分为研究组和对照组，对照组给予常规护理，研究组在对照组基础上增加结构式心理干预措施，加强应激处理和应对技巧针对性护理研究。在干预前和干预后5d评价两组患者的自我效能，并进行统计学比较。结果研究组患者干预前、干预后5 d GSES评分为（26．25±4．05），（36．23±4．54）分，对照组患者分别为（26．18±6．21），（30．05±5．05）分。结构式心理干预可明显提高肺癌患者术前自我效能水平，与对照组比较差异有统计学意义（t＝4．98，P＜0．05）。结论结构式心理干预能增强肺癌患者术前的自我效能，有效帮助患者积极应对疾病和手术。Objective To explore structured psychological intervention in improving lung cancer patients’ preoperative self-efficacy.Methods Totals of 60 patients with lung cancer were randomly divided into the study group and the control group .The control group was given conventional nursing care .The study group was given structured psychological nursing intervention , including psychological support , health education , stress treatment and coping technique .Before and after 5 days of the intervention , patients ’ self-efficacy was compared.Results The General Self Efficacy Scale （ GSES） scores before and 5 days after intervention were （26.25 ±4.05） and （36.23 ±4.54） in the study group, and （26.18 ±6.21） and （30.05 ±5.05） in the control group .And the structured psychological intervention can significantly improve the preoperative self -efficacy level of patients with lung cancer （t=4.98,P〈0.05）.Conclusions The structured psychological intervention can enhance preoperative patients ’ self-efficacy, and can effectively help patients cope with disease and surgery.

关 键 词：肺肿瘤 结构式心理干预 自我效能 

分 类 号：R473.73[医药卫生—护理学]