基于治疗性沟通系统的优化教育方案在治疗老年前列腺癌化疗患者中的临床应用  

Clinical application of optimized health education program based on therapeutic communication system in the treatment of elderly patients with prostate cancer undergoing chemotherapy

作　　者：王国平 王金桥 邓少玲 Wang Guoping;Wang Jinqiao;Deng Shaoling(Disinfection Supply Center,Central Hospital of Enshi Tujia and Miao Autonomous Prefecture,Enshi,Hubei,445000,P.R.China;Department of Gastroenterology,Central Hospital of Enshi Tujia and Miao Autonomous Prefecture,Enshi,Hubei,445000,P.R.China;Department of Urology Surgery,Central Hospital of Enshi Tujia and Miao Autonomous Prefecture,Enshi,Hubei,445000,P.R.China)

机构地区：[1]恩施土家族苗族自治州中心医院消毒供应中心,湖北恩施445000 [2]恩施土家族苗族自治州中心医院消化内科,湖北恩施445000 [3]恩施土家族苗族自治州中心医院泌尿外科,湖北恩施445000

出　　处：《老年医学与保健》2022年第6期1234-1238,共5页Geriatrics & Health Care

基　　金：湖北省自然科学基金计划项目(2020CFB299)。

摘　　要：目的 构建基于治疗性沟通系统(TCS)的老年前列腺癌化疗患者健康教育方案,旨在探究其对患者自我效能、生命质量、心理弹性的影响,方法 选取2020年3月—2022年4月于恩施土家族苗族自治州中心医院进行化疗的前列腺癌老年患者103例,采用随机数字表法分为对照组(n=51)与观察组(n=52)。在患者化疗期间,对照组行常规干预,观察组实施基于TCS的健康教育方案。观察并比较2组干预前后的自我效能感量表(GSES)、世界卫生组织生存治疗测定量表简表(WHOQOL-BREF)、心理弹性量表(CD-RISC)评分;比较2组干预后癌因性疲乏程度和化疗依从性。结果 干预后,2组GSES评分高于同组干预前,且观察组评分高于对照组,差异均有统计学意义(P<0.05)。干预后2组WHOQOL-BREF各领域评分高于同组干预前,且观察组评分高于对照组,差异均有统计学意义(P<0.05)。干预后2组CD-RISC各维度评分较干预前升高,且观察组评分高于对照组,差异均有统计学意义(P<0.05)。对照组无疲乏8例,观察组17例,观察组无疲乏率高于对照组(P<0.05);观察组癌因性疲乏程度低于对照组(P<0.05)。对照组不依从31例,观察组16例,观察组依从性优于对照组(P<0.05)。结论 基于TCS的健康教育方案能有效提高老年前列腺癌化疗患者自我效能与心理弹性,改善生存质量,提高患者的化疗依从性,为治疗该病症提供了有效的方法,具有一定临床意义。Objective To construct a health education program for elderly prostate cancer patients undergoing chemotherapy based on therapeutic communication system(TCS) and explore its influence on patients’ self-efficacy, quality of life and psychological resilience. Methods 103 elderly patients undergoing chemotherapy for prostate cancer in Central Hospital of Enshi Tujia and Miao Autonomous Prefecture from March 2020 to April 2022 were selected and divided into control group(n=51) andobservation group(n=52) according to the random number table methods. During chemotherapy, the control groupreceived routine intervention, while the observation group received health education based on TCS. The scores of General Self-Efficacy Scale(GSES), World Health Organization General Self-Efficacy Scale(GSES) and Connor-Davidson Resilience Scale(CD-RISC) before and after the intervention were observed and compared between the two groups. The degree of cancer-related fatigue and chemotherapy compliance were compared between the two groups after intervention. Results After intervention, the GSES score of the two groups was higher than that of the same group before intervention, and the score of the observation group was higher than that of the control group, and the differences were statistically significant(P<0.05);the scores of each domain of WHOQOL-BREF of the two groups were higher than those of the same group before intervention, and the scores of the observation group were higher than those of the control group, and the differences were statistically significant(P<0.05);the scores of each dimension of CD-RISC of the two groups were higher than those of the same group before intervention, and the scores of the observation group were higher than those of the control group, and the differences were statistically significant(P<0.05). There were 8 cases without cancer-related fatigue in the controlgroup, and 17 ones in the observation group. The free rate of cancer-related fatigue in the observation group was higher than in the control

关 键 词：老年 前列腺癌 化疗 治疗性沟通系统 健康教育 自我效能 生命质量 心理弹性 

分 类 号：R473.73[医药卫生—护理学]