病友支持模式对鼻咽肿瘤患者情绪、自我效能感及生活质量的影响  

Effect of patient support model on the mood, self-efficacy and quality of life of nasopharyngeal carcinoma patients

作　　者：张俊娟[1] 刘雪融[1] 姜晓松 

机构地区：[1]哈尔滨医科大学附属第一医院肿瘤一科,哈尔滨150001

出　　处：《中华现代护理杂志》2017年第35期4490-4493,共4页Chinese Journal of Modern Nursing

摘　　要：目的 探讨病友支持模式对鼻咽肿瘤患者情绪及自我效能感水平的影响,以总结出更为适合鼻咽肿瘤患者的护理模式,提高其生活质量.方法 应用方便抽样法选取2013年10月—2016年10月收治的86例鼻咽肿瘤初次住院患者作为研究对象,再应用随机数字表,将其分为观察组（n=43）及对照组（n=43）,对照组按照鼻咽肿瘤常规护理方式进行护理,观察组同时予以病友支持模式进行护理,干预前及干预后2个月,比较两组患者情绪、自我效能感、自我管理能力和生活质量.结果 干预后,两组SAS、SDS评分较护理前明显改善,且观察组得分低于对照组得分,差异均有统计学意义（t值分别为13.648、25.306;P〈0.001）;护理后,两组患者自我效能感评分、自我管理能力评分高于护理前,且观察组评分高于对照组,差异均有统计学意义（t值分别为7.698、6.838;P〈0.001）;两组SF-36得分高于护理前,且观察组评分高于对照组,差异有统计学意义（t=10.456,P〈0.001）.结论 病友支持模式可有效提高初次住院鼻咽肿瘤患者的自我效能感水平,改善患者负面情绪,提高患者生活质量.Objective To explore the effect of patient support model on the emotion and self-efficacy of patients with nasopharyngeal carcinoma （NPC）, so as to summarize the nursing model for NPC patients and improve their quality of life. Methods A sample of 86 NPC patients who admitted from October 2013 to October 2016 for the first time were selected by convenience sampling method and divided into observation group （n=43） and control group （n=43） randomly using the random number table. Both of the groups were given routine nursing care, at the same time, the patients in the observation group were given patient support mode nursing. Patients＇ mood, self-efficacy, self-management ability and quality of life were compared after two months＇ intervention. Results After the intervention, the SAS and SDS scores of the two groups were significantly improved than before, and the scores were lower in the observation group than those in the control group, with statistical differences （t=13.648, 25.306; P〈0.001）. The level of patients＇ self-efficacy and self-management ability were improved after the intervention, and the scores of the observation group were higher than those of the control group （t=7.698, 6.838; P〈0.001）. SF-36 scores of both groups were better than those before the intervention, and SF-36 score of the observation group was higher than that of the control group （t=10.456, P〈0.001）. Conclusions The patient support model can effectively improve the self-efficacy level of NPC patients for the first hospitalization, improve the negative emotions and improve the quality of life of patients.

关 键 词：鼻咽肿瘤 情绪 病友支持模式 自我效能感 

分 类 号：R473.73[医药卫生—护理学]