基于自我效能护理干预对于胸肺肿瘤术后患者生存质量的影响  

The effect of self-efficacy-oriented nursing intervention on postoperative quality of life of lung tumor patients

作　　者：杨杰[1] 谷寅煜 李淑霞[1] 黄跃燕 张利静[2] 邢志军[1] 

机构地区：[1]承德医学院附属医院胸外科,河北省067000 [2]承德市中心医院,河北省067000

出　　处：《实用医学杂志》2014年第18期2997-3000,共4页The Journal of Practical Medicine

基　　金：承德市科技局项目(编号:20132053)

摘　　要：目的:基于自我效能护理干预方式应用于胸肺肿瘤术后护理对患者生存质量的影响进行研究,证实护理干预的临床价值。方法:以我院2010年3月至2012年3月采用手术治疗的胸肺肿瘤患者96例为研究对象,对其护理方式进行回顾性分析。采用随机数字表法将研究对象分为两组,每组48例。一组研究对象按常规护理方式进行护理,为对照组;一组研究对象在常规护理的基础上,使用基于自我效能护理干预方式进行护理,为观察组。护理3个月后,采用自我效能评价量表(GSES)、生活质量核心问卷、抑郁自评量表(SDS)和焦虑自评量表(SAS)对两组研究对象的生活质量及心理状态进行评价,比较及统计学分析。结果观察组研究对象抑郁自评量表和焦虑自评量表评分的比较中均高于对照组,且差异具有显著性(P<0.05);在自我效能评分、生存质量核心问卷评分的比较中,观察组研究对象高于对照组,且差异具有显著性(P<0.05)。结论:基于自我效能护理干预方式应用于胸肺肿瘤术后的护理,能够显著改善患者术后症状及心理状态,提升自我效能,对其生存质量有显著的改善,应用于临床具有重要的价值。Objective To investigate the effects of self-efficacy-oriented nursing intervention on postoperative quality of life of lung tumor patients. Methods Ninety patients with lung tumors undergoing chest surgery in our hospital from March 2010 to March 2012, involved in the study. The nursing data were retrospectively analyzed for investigation of the nursing strategies. The patients were randomized into two group with random digits table in equal number： The control group received routine nursing and the intervention group with self-efficacy-oriented nursing intervention beside routine nursing care. 3 months after nursing intervention, the two groups were compared by Self-rating Depression Scale （SDS） and Self-rating Anxiety Scale （SAS） in terms of quality of life and psychological state. Results The scores of the intervention group by SDS and SAS were both significantly higher than those of the control group （P 〈 0.05）. The scores of the intervention group on self efficacy and quality of life were significantly higher than those of the control （P 〈 0.05）. Conclusion The self-efficacy-oriented nursing intervention applied in the postoperative nursing care to lung cancer patients can significantly improve the postoperative symptoms and psychological status. It can also improve their self efficacy and then enhance their quality of life.

关 键 词：自我效能 护理干预 胸肺肿瘤 心理状态 生活质量 

分 类 号：R473.73[医药卫生—护理学]