健康信念模式下的居家式自我护理对结直肠癌手术患者行为改变的影响  

Effects of home-style self-care based on health belief mode on the behavior change of patients with colorectal cancer after surgery

作　　者：高丽[1] Gao Li(Department of Gneral Surgery,Luhe Hospital Affiliated to Capital Medical University,Beijing 101100,China)

机构地区：[1]首都医科大学附属北京潞河医院普外二科,北京市101100

出　　处：《河北医药》2020年第16期2554-2556,2560,共4页Hebei Medical Journal

摘　　要：目的分析健康信念模式下开展居家式自我护理对结直肠癌手术患者行为改变影响。方法选取2018年10月至2019年10月收治接受手术结肠癌患者共106例,随机抽签分为2组,每组53例。对照组给予常规干预护理模式,干预组于患者出院后进行追踪随访,基于健康信念模式下开展居家式自我护理,通过SRAHP健康行为量表及ESCA自护能力量表评估患者健康行为改善情况,并用过Champion健康信念模式量表完成患者问卷调查。结果试验组自护能力、健康行为各个维度评分均优于对照组,差异有统计学意义(=24.865~39.061,均P<0.01),且2组患者生活质量评分均有提升,试验组患者生活质量更高(=20.871~31.451,均P<0.01)。结论基于健康信念模式下开展居家式自我护理可有效帮助结直肠癌手术患者改善其健康行为,形成有效自护能力,促进其生活质量提升。Objective To investigate the effects of home-style self-care based on health belief mode on the behavior change of patients with colorectal cancer after surgery.Methods A total of 106 patients with colon cancer who were admitted and treated in our hospital from October 2018 to October 2019 were enrolled in the study,who were randomly divided into observation group and control group,with 53 cases in each group.The patients in control group were given conventional nursing intervention,however,the patients in observation group were treated by home-style self-care based on health belief mode.The improvement status of health behavior of patients was evaluated by means of SRAHP health behavior scale and ESCA self-care ability scale,moreover.the questionnaire survey was performed by means of Champion health belief model scale.Results The scores of self-care ability and health behavior in all dimensions in observation group were significantly higher than those in control group(P<0.01).The scores of life quality in both groups were significantly improved,moreover,which in observation group were superior to those in control group(P<0.01).Conclusion Home-based self-care based on health belief mode can effectively help the patients with colorectal cancer after surgery to improve their health behavior,form effective self-care ability,and promote the life quality of patients.

关 键 词：健康信念模式 居家式自我护理 结直肠癌 

分 类 号：R473.73[医药卫生—护理学]