分阶段健康教育对早期食管癌患者疾病认知及生存质量的影响  

Impact of phased health education on disease cognition and quality of life in patients with early esophageal cancer

作　　者：肖博[1] 柴蕴珠[1] 王睿[1] 杨瑾[1] XIAO Bo;CHAI Yun-zhu;WANG Rui;YANG Jin(Department of Gastroenterology,the First Affiliated Hospital of Zhengzhou University,Zhengdong 450000,Henan,CHINA)

机构地区：[1]郑州大学第一附属医院郑东院区消化内科,河南郑州450000

出　　处：《海南医学》2023年第22期3317-3321,共5页Hainan Medical Journal

基　　金：河南省重点研发与推广专项(科技攻关)项目(编号:212102310131)。

摘　　要：目的观察分阶段健康教育应用于早期食管癌患者的效果。方法选取2021年3月至2022年10月郑州大学第一附属医院郑东院区消化内科收治的96例早期食管癌患者纳入研究,按随机数表法分为对照组和观察组,每组48例。术前至术后放化疗期间,对照组患者实施常规健康教育,观察组患者实施分阶段健康教育。比较两组干预前、放化疗结束后的疾病认知度、健康状态、自我管理效能感、应对策略和生存质量。结果放化疗结束后,观察组患者的疾病知识、围手术期知识和放化疗知识评分分别为(14.38±3.52)分、(34.22±3.39)分、(32.89±4.41)分,明显高于对照组的(12.06±2.74)分、(31.18±2.75)分、(29.10±3.80)分,差异均有统计学意义(P<0.05);放化疗结束后,观察组患者的健康状态优良率为95.83%,明显高于对照组的79.17%,差异有统计学意义(P<0.05);放化疗结束后,观察组患者的健康促进策略量表(SUPPH)评分为(118.46±8.51)分,明显高于对照组的(114.37±7.23)分,差异有统计学意义(P<0.05);放化疗结束后,观察组患者的回避评分、屈服评分分别为(12.56±2.47)分、(8.45±2.60)分,明显低于对照组的(15.30±3.11)分、(11.07±3.16)分,面对评分为(24.19±3.54)分,明显高于对照组的(21.25±2.87)分,差异均有统计学意义(P<0.05);放化疗结束后,观察组患者的癌症患者生活质量测定量表(QOL-C30)评分为(81.35±5.20)分,明显低于对照组的(86.04±6.82)分,差异有统计学意义(P<0.05)。结论早期食管癌患者实施分阶段健康教育,一方面能提升患者疾病认知和健康状态,增强患者自我管理效能感,同时能改善患者应对策略,提升其生存质量。Objective To observe the effect of phased health education in patients with early esophageal cancer.Methods Ninety-six patients with early esophageal cancer admitted to the Department of Gastroenterology,the First Affiliated Hospital of Zhengzhou University(Zhengdong Campus)from March 2021 to October 2022 were selected for the study.They were randomly divided into the control group and the observation group,with 48 cases in each group.During the preoperative to postoperative radiotherapy and chemotherapy period,patients in the control group received routine health education,while those in the observation group received phased health education.Disease awareness,health status,self-management efficacy,coping strategies,and quality of life were compared between the two groups before intervention and after radiotherapy and chemotherapy.Results After radiotherapy and chemotherapy,the disease knowledge score,perioperative knowledge score,and the radiotherapy and chemotherapy knowledge score in the observation group were(14.38±3.52)points,(34.22±3.39)points,and(32.89±4.41)points,significantly higher than(12.06±2.74)points,(31.18±2.75)points,and(29.10±3.80)points in the control group(P<0.05).The excellent and good rate of health status was 95.83%in the observation group,significantly higher than 79.17%in the control group(P<0.05).After radiotherapy and chemotherapy,the Strategies Used by People to Promote Health(SUPPH)score was(118.46±8.51)points in the observation group,which was significantly higher than(114.37±7.23)points in the control group(P<0.05).After radiotherapy and chemotherapy,the avoidance score and yield score of the observation group were(12.56±2.47)points and(8.45±2.60)points,both significantly lower than(15.30±3.11)points and(11.07±3.16)points in the control group;the score of facing was(24.19±3.54)points,significantly higher than(21.25±2.87)points in the control group(P<0.05).After radiotherapy and chemotherapy,the QOL-C30 score of cancer patients in the observation group was(81.35±5.20)po

关 键 词：食管癌 分阶段健康教育 疾病认知度 生存质量 围手术期护理 

分 类 号：R473.73[医药卫生—护理学]