基于赋能理论的认知行为路径干预在宫颈癌手术患者中的应用  

Application of cognitive-behavioral pathway intervention model based on empowerment theory in patients with cervical cancer surgery

作　　者：乔文娟 赵璐[1] 施晓莺 Qiao Wenjuan;Zhao Lu;Shi Xiaoying(Department of Gynecology Tumor,Fuyang Cancer Hospital,Fuyang 236000,China)

机构地区：[1]阜阳市肿瘤医院肿瘤妇科,阜阳236000

出　　处：《中华现代护理杂志》2022年第29期4076-4081,共6页Chinese Journal of Modern Nursing

基　　金：安徽省科技攻关计划项目(1604a0802091)。

摘　　要：目的:探讨以赋能理论为基础的认知行为路径干预在宫颈癌手术患者中的应用效果。方法:采用便利抽样法,选取2019年1月—2021年12月在阜阳市肿瘤医院实施手术治疗的70例宫颈癌患者为研究对象,根据入院时间将其分为对照组和试验组,各35例。对照组实施常规护理干预,试验组在对照组基础上给予基于赋能理论的认知行为路径干预。比较干预前、干预4周后两组患者自我护理能力测定量表(ESCA)评分、贝克焦虑量表(BAI)评分、贝克抑郁量表第2版(BDI-Ⅱ)评分及生活质量评分。结果:干预4周后,试验组ESCA总分及健康知识、自我概念、自我责任感、自我护理技能各维度评分高于对照组[(93.62±18.19)vs.(83.87±18.30)分、(34.26±6.23)vs.(31.26±5.61)分、(18.25±5.34)vs.(15.34±4.26)分、(18.24±4.28)vs.(16.04±3.78)分、(22.87±2.34)vs.(21.23±4.65)分,P均<0.05];试验组BAI评分、BDI-Ⅱ评分低于对照组[(42.29±3.59)vs.(45.26±4.65)分、(12.67±3.48)vs.(14.26±4.15)分,P均<0.05];试验组生活质量量表中对疾病顾虑、活动受限、心情与精力、生活失控、自我关注及性功能评分均高于对照组[(19.94±4.89)vs.(17.34±4.22)分、(30.11±5.13)vs.(27.49±4.22)分、(28.49±5.16)vs.(25.48±4.87)分、(17.74±4.88)vs.(16.34±4.25)分、(11.65±3.95)vs.(10.34±3.45)分、(7.69±3.15)vs.(5.68±2.89)分,P均<0.05]。结论:给予宫颈癌手术患者基于赋能理论的认知行为路径干预,可提升患者自我护理能力,减轻焦虑、抑郁情绪及创伤应激症状,促进康复和提升生活质量。Objective To explore the application effect of cognitive-behavioral pathway intervention based on empowerment theory in patients with cervical cancer surgery.Methods Using the convenient sampling method,a total of 70 patients with cervical cancer who underwent surgical treatment in Fuyang Cancer Hospital from January 2019 to December 2021 were selected as the research objects.According to the time of admission,they were divided into the control group and the experimental group,with 35 cases in each group.The control group was given routine nursing intervention,while the experimental group was given cognitive-behavioral pathway intervention based on empowerment theory on the basis of the control group.The scores of Self-care Ability Assessment(ESCA),Baker Anxiety Inventory(BAI),Baker Depression InventoryⅡ(BDI-Ⅱ)and Quality of Life were compared between the two groups before the intervention and after 4 weeks of intervention.Results After 4 weeks of intervention,the total score of ESCA and scores of health knowledge,self-concept,self-responsibility and self-care skills in the experimental group were higher than those in the control group[(93.62±18.19)vs.(83.87±18.30),(34.26±6.23)vs.(31.26±5.61),(18.25±5.34)vs.(15.34±4.26),(18.24±4.28)vs.(16.04±3.78),(22.87±2.34)vs.(21.23±4.65)points,all P<0.05].The BAI score and BDI-Ⅱscore of the experimental group were lower than those of the control group[(42.29±3.59)vs.(45.26±4.65),(12.67±3.48)vs.(14.26±4.15)points,all P<0.05].In the Quality of Life scale of the experimental group,the scores of disease concerns,activity limitation,mood and energy,life out of control,self-focus and sexual function were all higher than those of the control group[(19.94±4.89)vs.(17.34±4.22),(30.11±5.13)vs.(27.49±4.22),(28.49±5.16)vs.(25.48±4.87),(17.74±4.88)vs.(16.34±4.25),(11.65±3.95)vs.(10.34±3.45),(7.69±3.15)vs.(5.68±2.89)points,all P<0.05].Conclusions The cognitive-behavioral pathway intervention based on the empowerment theory for patients with cervical cancer s

关 键 词：宫颈肿瘤 赋能理论 认知行为路径 自我护理 负性情绪 生活质量 

分 类 号：R473.73[医药卫生—护理学]