e化行动护理对食管癌手术患者术后自护能力、心理应激的影响  

Influence of E-action Nursing on Postoperative Self-care Ability and Psychological Stress of Patients with Esophageal Cancer

作　　者：李晶晶 张洁 冯丹 LI Jing-jing;ZHANG Jie;FENG Dan(Department of Cardiothoracic Surgery,Anyang District Hospital,Puyang City,Puyang,China,455000)

机构地区：[1]濮阳市安阳地区医院心胸外科,河南濮阳455000

出　　处：《食管疾病》2022年第2期152-156,共5页Journal of Esophageal Diseases

基　　金：河南省医学科技攻关计划联合共建项目(2018020852)。

摘　　要：目的探究e化行动护理对食管癌手术患者术后自护能力、心理应激的影响。方法选取我院104例食管癌患者为研究对象,按照简单随机分组法分为观察组和对照组,对照组51例给予常规护理干预,观察组53例在对照组的基础上加以e化行动护理,比较两组患者心理应激水平[焦虑自评量表(SAS)、抑郁评分量表(SDS)心理弹性量表(CD-RISC)]、健康知识掌握程度、自护能力[自我护理能力测量表(ESCA)]及护理满意度[感知护理服务质量量表(PNSQ)]。结果干预后两组SAS、SDS评分均显著降低(P<0.05),CD-RISC评分均显著提高(P<0.05),观察组干预后SAS、SDS评分显著低于对照组,CD-RISC评分显著高于对照组(P<0.05);干预后两组患者健康知识掌握程度、ESCA、PNSQ评分均显著提高(P<0.05),观察组干预后上述指标评分显著高于对照组(P<0.05)。结论e化行动护理可明显降低患者的心理应激状况,提高患者自护能力,护理满意度较高,值得推荐。Objective To explore the influence of e-action nursing on postoperative self-care ability and psychological stress of patients with esophageal cancer.Methods 104 patients with esophageal cancer in our hospital were selected,and divided into observation group and control group randomly.The control group(n=51)was given routine nursing intervention,and the observation group(n=53)was additionally given e-action nursing on the basis of the control group.The psychological stress level[self-rating anxiety scale(SAS),self-rating depression scale(SDS),connor-davidson resilience scale(CD-RISC)],health knowledge mastery,self-care ability[exercise of self-care agency scale(ESCA)]and nursing satisfaction[perceived nursing service quality scale(PNSQ)]were compared between the two groups of patients.Results After intervention,the scores of SAS and SDS in the two groups were significantly reduced(P<0.05),the CD-RISC score was significantly improved(P<0.05);the scores of SAS and SDS in observation group were significantly lower than those in control group,while the CD-RISC score was significantly higher than that in control group(P<0.05).The scores of health knowledge mastery,ESCA and PNSQ were significantly improved in the two groups of patients(P<0.05),and the above scores in observation group were significantly higher compared with those in control group(P<0.05).Conclusion e-action nursing can significantly reduce patients’psychological stress,improve their self-care ability,and have high nursing satisfaction,which is worthy of recommendation.

关 键 词：e化行动 食管癌 心理应激 自护能力 护理满意度 

分 类 号：R473[医药卫生—护理学]