延续性护理对食管癌化疗患者生活质量及自我效能感的作用  

Effect of continuous nursing on quality of life and self-efficacy in patients with esophageal cancer treated with chemotherapy

作　　者：徐国英[1] 熊中奎[1] 赵雅琴 XU Guoying;XIONG Zhongkui;ZHAO Yaqin(Department of Oncology Radiotherapy,Shaoxing Second Hospital,Shaoxing,Zhejiang 312000,China)

机构地区：[1]绍兴第二医院肿瘤放疗科

出　　处：《重庆医学》2019年第22期3794-3797,共4页Chongqing medicine

基　　金：2019年浙江省医药卫生科技计划项目(2019KY730)

摘　　要：目的探讨延续性护理对食管癌化疗患者生活质量和自我效能感的作用。方法选取该院2016年12月至2018年2月收治的化疗食管癌患者78例,分为观察组与对照组,各39例。对照组予以常规护理,观察组在对照组患者的基础上予以延续性护理,两组均连续护理3个月。比较两组护理前后的生活质量、自我效能感和社会支持情况。结果与护理前比较,护理后观察组各项功能评分和整体生活质量评分较护理前升高(P<0.01),疼痛评分较护理前显著降低(P<0.01),而对照组仅各项功能评分较护理前升高(P<0.01);与对照组比较,护理后观察组各项功能评分和整体生活质量的评分显著高于对照组(P<0.01),疼痛评分显著低于对照组(P<0.05)。护理后对照组癌症自我管理效能感量表(SUPPH)和社会支持评定量表(SSRS)中各项评分与护理前比较差异无统计学意义(P>0.05),而观察组护理后上述各项评分均高于护理前(P<0.01),且显著高于对照组(P<0.05或P<0.01)。结论延续性护理可提高食管癌化疗患者的生活质量、自我效能感,改善患者的社会支持情况。Objective To investigate the effect of continuous nursing on the quality of life and self-efficacy in the patients with esophageal cancer treated with chemotherapy.Methods A total of 78 patients with esophageal cancer treated with chemotherapy in this hospital from December 2016 to February 2018 were selected and randomly divided into the observation group and control group,39 cases in each group.The control group was given the routine nursing,while the observation group was given the continuous nursing on the basis of the control group.The 2 groups were nursed for continuous 3 months.The quality of life,self-efficacy and social support situation in the two groups were compared between before and after nursing.Results Compared with before nursing,the scores of various functions and general quality of life after nursing in the observation group were increased(P<0.01)and the pain scores were significantly decreased(P<0.01),while the scores of various functions after nursing in the control group were increased(P<0.01);compared with the control group,the scores of various functions and overall quality of life after the nursing were significantly higher than those in the control group,the pain scores of functions increased in control group after the nursing(P<0.01).Compared with control group,the scores of every function and general quality of life after the nursing in the observation group were significantly higher than those in the controlg roup(P<0.01),while the pain scores were significantly lower than those in the control group(P<0.05).The scores of strategies used by people to promote health(SUPPH)and social support revalued scale(SSRS)after nursing in the control group showed no statistically significant differences between before and after nursing(P>0.05),while which after the nursing in the observation group were significantly higher than those before nursing(P<0.01),moreover significantly higher than those in the control group(P<0.05 or P<0.01).Conclusion The continuous nursing can increase the quality of li

关 键 词：食管癌 延续性护理 生活质量 自我效能感 社会支持 

分 类 号：R735.1[医药卫生—肿瘤]