自我效能干预联合自我护理干预模式对喉癌患者术后生活质量和营养状况的影响  

The Effect of Self-efficacy Intervention Combined with Self-care Intervention Mode on Postoperative Quality of Life and Nutritional Status of Patients with Laryngeal Cancer

作　　者：刘丽莎 陈立娥[3] LIU Lisha;CHEN Lie(Binzhou Medical College,Yantai,Shandong Province,264000 China;Supply Insurance Center,Jinan Central Hospital,Jinan,Shandong Province,250014 China;Department of Otorhinolaryngology Head and Neck Surgery,Affiliated Hospital of Binzhou Medical College,Binzhou,Shandong Province,256600 China)

机构地区：[1]滨州医学院,山东烟台264000 [2]济南市中心医院供保中心,山东济南250014 [3]滨州医学院附属医院耳鼻咽喉头颈外科,山东滨州256600

出　　处：《中外医疗》2021年第14期159-162,共4页China & Foreign Medical Treatment

基　　金：山东省医药卫生科技发展计划项目(2017WSB30057)。

摘　　要：目的分析并探讨自我效能干预联合自我护理干预模式对喉癌患者术后生活质量及营养状况的影响。方法方便选择该院2018年7月—2019年1月收治的住院手术的喉癌患者作为对照组(n=33),2019年2—8月收治的喉癌患者作为观察组(n=33)。对照组采用常规护理,观察组在常规护理的基础上,采用自我效能干预联合自我护理干预模式。比较两组患者术后2周生活质量评分(QLICP-HN)、营养指标水平[血红蛋白(Hb)、白蛋白(ALB)、前白蛋白(PA)]。结果观察组的喉癌患者躯体功能为(65.50±9.50)分、心理功能(60.05±9.05)分、社会功能(68.80±10.05)分、共性症状及不良反应为(88.05±10.05)分、特异模块(81.10±9.50)分及生活质量(73.50±9.60)分高于对照组,差异有统计学意义(t=7.076、2.791、6.135、4.358、7.675、7.813,P<0.05);观察组的营养指标Hb为(130.50±11.20)g/L、ALB(43.60±5.60)g/L、PA(236.02±30.03)mg/L均高于对照组,差异有统计学意义(t=7.184、8.382、5.427,P<0.05)。结论自我效能干预联合自我护理干预模式能够有效的改善喉癌患者术后的生活质量和营养状况。Objective To analyze and explore the effect of self-efficacy intervention combined with self-care intervention mode on postoperative quality of life and nutritional status of patients with laryngeal cancer.Methods Patients with laryngeal cancer admitted to the hospital from July 2018 to January 2019 were conveniently selected as the control group(n=33),and patients with laryngeal cancer admitted from February to August 2019 were selected as the observation group(n=33).The control group adopts routine nursing care,and the observation group adopts self-efficacy intervention combined with self-care intervention model on the basis of routine nursing.The quality of life score(QLICP-HN)and nutritional index levels[(hemoglobin Hb),albumin(ALB),prealbumin(PA)]were compared between the two groups of patients after two weeks.Results The observation group of patients with laryngeal cancer had physical function(65.50±9.50)points,psychological function(60.05±9.05)points,social function(68.80±10.05)points,common symptoms and adverse reactions(88.05±10.05)points,specific modules(81.10±9.50)points and quality of life(73.50±9.60)points scores were higher than those of the control group,the difference was statistically significant(t=7.076,2.791,6.135,4.358,7.675,7.813,P<0.05);the nutrition index Hb group was(130.50±11.20)g/L,ALB(43.60±5.60)g/L,and PA(236.02±30.03)mg/L of the observation were higher than those of the control group,the difference was statistically significant(t=7.184,8.382,5.427,P<0.05).Conclusion Self-efficacy intervention combined with self-care intervention model can effectively improve the quality of life and nutritional status of patients with laryngeal cancer after surgery.

关 键 词：自我效能干预 自我护理 喉癌 生活质量 营养状况 护理效果 

分 类 号：R473[医药卫生—护理学]