基于赋能理论的多维模式干预在面部皮肤癌根治术后患者中的应用效果  

Application effect of multidimensional model intervention based on empowerment theory in patients after radical resection for facial skin cancer

作　　者：白娟娟[1] 陈鞠红[1] 康宁[1] BAI Juanjuan;CHEN Juhong;KANG Ning(Department of Plastic Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,He’nan,China)

机构地区：[1]郑州大学第一附属医院整形外科,郑州450052

出　　处：《癌症进展》2022年第8期793-796,共4页Oncology Progress

摘　　要：目的探讨基于赋能理论的多维模式干预在面部皮肤癌根治术后患者中的应用效果。方法根据术后干预方法的不同将382例面部皮肤癌根治术患者分为研究组和基础组,每组191例,基础组患者术后进行常规治疗及干预,研究组患者在术后常规治疗及干预的基础上进行基于赋能理论的多维模式干预。比较两组患者的心理状态[焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分]、自我效能[中文版癌症自我管理效能感量表(CSUPPH)评分]、术后康复情况及对干预工作的满意率。结果干预后,两组患者的SAS、SDS评分均明显低于本组干预前,且研究组患者的SAS、SDS评分均明显低于基础组,差异均有统计学意义(P﹤0.01)。干预后,两组患者正性态度、缓解压力、自我决策评分均高于本组干预前,且研究组患者正性态度、缓解压力、自我决策评分均高于基础组,差异均有统计学意义(P﹤0.05)。研究组患者的住院时间明显短于基础组,并发症发生率明显低于基础组,差异均有统计学意义(P﹤0.01)。研究组患者的总满意率为95.29%,明显高于基础组的80.10%,差异有统计学意义(P﹤0.01)。结论基于赋能理论的多维模式干预可有效改善皮肤癌根治术后患者的心理状态,提高自我效能,促进患者术后恢复,值得推广应用。Objective To investigate the application effect of multidimensional model intervention based on empowerment theory in patients after radical resection for facial skin cancer.Method A total of 382 patients after radical resection for facial skin cancer were divided into the study group and the basic group according to different postoperative intervention methods,with 191 cases in each group.The patients in the basic group were given routine treatment and intervention after the surgery,while the patients in the study group were given multidimensional model intervention based on empowerment theory on the basis of routine treatment and intervention after the surgery.The psychological state[self-rating anxiety scale(SAS)score and self-rating depression scale(SDS)score],self-efficacy[Chinese-version strategies used by people to promote health(C-SUPPH)score],postoperative rehabilitation,and satisfaction rate with the intervention were compared between the two groups.Result After the intervention,the SAS and SDS scores of the two groups were significantly lower than those before the intervention,and the SAS and SDS scores of the study group were significantly lower than those of the basic group,and the differences were statistically significant(P<0.01).After the intervention,the scores of positive attitude,stress relief,and self decision making in the two groups were higher than those before the intervention,and the scores of the foregoing terms in the study group were higher than those in the basic group,and the differences were statistically significant(P<0.05).The hospitalization time of the patients in the study group was significantly shorter than that in the basic group,and the incidence of complications was significantly lower than that in the basic group,the differences were statistically significant(P<0.01).The overall satisfaction rate of patients in the study group was 95.29%,which was significantly higher than 80.10%in the basic group,and the difference was statistically significant(P<0.01).Conclusion Multidi

关 键 词：赋能理论 多维模式干预 面部皮肤癌根治术 术后康复 

分 类 号：R739.5[医药卫生—肿瘤]