认知行为干预对永久性泌尿造口患者健康素养的影响  

Effect of cognitive behavioral therapy on health literacy of patients with permanent urinary stoma

作　　者：赵丽娜 王晓春[1] 黄求进[1] Zhao Li'na;Wang Xiaochun;Huang Qiujin(Nursing Department,the First Affiliated Hospital of Harbin Medical University,Harbin 150001,China)

机构地区：[1]哈尔滨医科大学附属第一医院护理部,哈尔滨150001

出　　处：《中华现代护理杂志》2019年第23期3008-3011,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨认知行为干预对提高膀胱癌行膀胱全切和输尿管皮肤造口术患者健康素养的影响。方法选择哈尔滨市某三甲医院2016年12月—2018年6月收治的膀胱全切和输尿管皮肤造口术患者80例,随机分为对照组和试验组,每组40例。对照组给予常规护理,试验组实施常规护理和认知行为干预。分别于干预前和干预1个月使用健康素养自评量表比较两组干预效果。结果干预1个月后,试验组的健康素养总得分为(101.82±9.43)分,对照组为(87.87±10.96)分,差异有统计学意义(t=6.102,P<0.05)。结论认知行为干预可以提高行膀胱癌行膀胱全切和输尿管皮肤造口术患者术后的健康素养水平。Objective To explore the effect of cognitive behavioral intervention on improving the health literacy of patients with bladder cancer undergoing total cystectomy and ureterodermatostomy.Methods Totally eighty patients with bladder cancer after radical cystectomy and ureterodermatostomy from December 2016 to June 2018 in a ClassⅢGrade A hospital in Harbin were selected and randomly divided into the control group(n=40)and experimental group(n=40).The patients in the control group received routine nursing care whereas the experimental group were treated with cognitive behavioral therapy on the basis of routine nursing care.The effects of intervention in the two groups was compared by the use of Health Literacy Self-rating Scale before and 1 month after intervention.Results One month after intervention,the total score of health literacy in the experimental group was(101.82±9.43)and that in the control group was(87.87±10.96).The difference was statistically significant(t=6.102,P<0.05).Conclusions The cognitive behavioral therapy is an effective way to improve the health literacy of patients with bladder cancer after radical cystectomy and ureterodermatostomy.

关 键 词：膀胱肿瘤 膀胱造口术 输尿管早口术 健康素养 认知行为干预 

分 类 号：R47[医药卫生—护理学]