以家庭为中心的授权模式对全膀胱切除尿流改道术患者疾病认知和生活质量的影响  

Effect of family-centered empowerment mode on disease cognition and quality of life in patients with total cystectomy and urinary diversion

作　　者：易红美 任洪艳[1] 肖明朝[1] 赵庆华[2] YI Hongmei;REN Hongyan;XIAO Mingzhao;ZHAO Qinghua(Department of Urological Surgery,First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Department of Nursing,First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院泌尿外科,400016 [2]重庆医科大学附属第一医院护理部,400016

出　　处：《重庆医学》2021年第16期2817-2821,共5页Chongqing medicine

基　　金：面向西部地区的智能化康复辅具系统研发和标准化应用示范项目(2020YFC2005900);重庆英才名家名师项目(CQYC2020020318)。

摘　　要：目的分析以家庭为中心的授权模式(FCEM)对全膀胱切除尿流改道术患者疾病认知和生活质量的影响。方法选择2020年3月至2021年3月行全膀胱切除尿流改道术患者162例作为研究对象,采用随机数字表法将患者分成对照组与观察组,各81例。对照组行泌尿外科常规护理,观察组在此基础上开展FCEM干预,应用疾病认知问卷、心理社会适应问卷及健康调查简表(SF-36)评价干预效果。结果干预后,观察组患者无助评分低于对照组,接纳、感知益处评分均高于对照组,焦虑/抑郁、态度、自尊、归属感、自我控制与自我效能、心理社会适应的评分均高于对照组,SF-36各维度(躯体功能、情绪角色功能等)评分高于对照组,差异均有统计学意义(P<0.05)。结论在全膀胱切除尿流改道术患者护理工作中实施FCEM干预,能提升患者心理适应能力,进一步提高其对疾病的认知程度,对改善患者远期生活质量有着十分重要的意义。Objective To analyze the effect of family-centered empowerment mode(FCEM)on disease cognition and quality of life of patients with total cystectomy and urinary diversion.Methods A total of 162 patients undergoing total cystectomy and urinary diversion from March 2020 to March 2021 were selected as the research subjects.The patients were divided into the control group and observation group by adopting the random number table method,81 cases in each group.The control group underwent the routine urological surgery nursing,and the observation group carried out the FCEM intervention on the basis of the control group.The disease cognition questionnaire,psychosocial adaptation questionnaire and medical outcomes study short form-36(SF-36)were used to evaluate the effect of intervention.Results After the intervention,the helplessness score in the observation group was lower than that in the control group;the acceptance and perceived benefit scores were higher than those in the control group;the scores of anxiety/depression,attitude,self-esteem,sense of belonging,self control,self efficiency and psychosocial adaptation were higher than those in the control group;the scores of all dimensions of SF-36(such as physical function,mood function,etc.)were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The implementation of FCEM intervention in the nursing care of patients undergoing total cystectomy and urinary diversion can improve the psychological adaptability of patients,further improve their cognition degree on the disease,which is of great significance to improve the long-term quality of life of patients.

关 键 词：膀胱癌 尿流改道术 以家庭为中心的护理 授权模式干预 疾病认知 生活质量 

分 类 号：R473.6[医药卫生—护理学]