自我效能增强干预在宫颈环形电切术治疗宫颈上皮内瘤变患者中的应用  

Effectiveness of Self-efficacy Enhancement Intervention in Patients with Cervical Intraepithelial Neoplasia Treated by Cervical Loop Electrosurgery

作　　者：刘艳[1] 王文君 杨梦霞 翟娟[1] LIU Yan;WANG Wen-jun;YANG Meng-xia(Gynecology Clinic,The First Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan,450000,China)

机构地区：[1]郑州大学第一附属医院妇科门诊,河南郑州450000

出　　处：《黑龙江医学》2023年第12期1443-1445,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨自我效能增强干预在宫颈环形电切术(LEEP)治疗宫颈上皮内瘤变(CIN)患者中的应用效果。方法:选取2019年1月—2021年12月郑州大学第一附属医院妇科门诊行LEEP治疗的128例CIN患者病历资料,设为观察组。选取2018年1月—2020年12月相同经历128例CIN患者临床信息,设为对照组。对照组接受CIN常规护理和健康教育,观察组在对照组基础上使用自我效能增强干预,对比两组患者术后并发症发生情况、疾病复发情况以及自我效能水平。结果:观察组患者术后继发性出血、腹部坠痛、阴道感染与其他并发症发生率为6.25%,明显低于对照组的15.63%,差异有统计学意义(P<0.05);观察组患者术后3个月、6个月、12个月疾病复发率分别为0、1.56%、3.13%,均低于对照组的3.13%、6.26%、6.26%,差异有统计学意义(P<0.05);两组患者术后3个月、6个月、12个月自我效能评分均有所提升,且观察组健康促进策略量表(SUP-PH)评分均优于对照组,差异有统计学意义(P<0.05)。结论:自我效能增强干预应用于LEEP治疗CIN患者中,有利于提升自我效能水平,进而降低并发症与疾病复发率,改善患者与家庭生活质量。Objective:To investigate the effectiveness of a self-efficacy enhancement intervention in patients with cervical intraepithelial neoplasia(CIN)treated with cervical loop electrosurgery(LEEP).Methods:The basic data of 128 patients with CIN treated with LEEP in the hospital from January 2019 to December 2021 were selected and set as the observation group.Clinical information of 128 patients with the same experience of CIN from January 2018 to December 2020 was selected and set as a control group.The control group received routine care and health education for CIN,and the observation group used self-efficacy enhancement intervention based on the control group.The incidence of postoperative complications,disease recurrence,and self-efficacy levels were compared between the two groups.Results:The incidence of secondary bleeding,abdominal cramps,vaginal infection and other complications in the observation group was 6.25%,which was significantly lower than 15.63%of the control group,and the difference was statistically significant(P<0.05).The disease recurrence rates of patients in the observation group were 0,1.56%,and 3.13%at 3,6,and 12 months after surgery,which were lower than 3.13%,6.26%,and 6.26%of the control group,and the differences were statistically significant(P<0.05).The self-efficacy scores improved in both groups at 3,6,and 12 months after surgery,and the SUP-PH scores were better in the observation group than in the control group,with statistically significant differences(P<0.05).Conclusion:A self-efficacy enhancement intervention applied to patients with CIN treated with LEEP can help to improve self-efficacy levels,thereby reducing complications and disease recurrence rates and improving patient and family quality of life.

关 键 词：自我效能增强干预 宫颈环形电切术 宫颈上皮内瘤变 应用效果 

分 类 号：R737.33[医药卫生—肿瘤]