探究知信行模式干预下自护行为对胃癌根治术后恢复的影响  

Exploring the Impact of Self-Care Behavior on Postoperative Recovery of Gastric Cancer After Radical Surgery Under the Intervention of Knowledge, Belief and Practice Model

作　　者：饶谢华 陈红玲 魏瑶 RAO Xiehua;CHEN Hongling;WEI Yao(Department of Gastrointestinal Surgery,The First Hospital of Nanping City,Nanping 353000,China)

机构地区：[1]南平市第一医院胃肠外科一区,南平353000

出　　处：《中国医药指南》2024年第3期28-31,共4页Guide of China Medicine

摘　　要：目的 探究知信行模式干预下自护行为对胃癌根治术后恢复的影响。方法 将我院于2021年5月至2023年5月接受的89例患者纳入研究之中,利用统计学软件将患者进行随机编号并分为对照组(44例)、观察组(45例)。对照组采取常规护理,观察组在知信行模式基础上指导患者采取自护行为。护理完成后,对比两组患者的自护能力、自我效能、睡眠质量、生活情况。结果 观察组自护能力测量量表(ESCA)中的各项评分均高于对照组(P <0.05);观察组健康促进策略量表(SUPPH)中自我减压、自我决策、积极态度评分均高于对照组(P <0.05);观察组睡眠质量量表(PSQI)中的各项评分均低于对照组(P <0.05);观察组生活质量量表(EORTC QLQ-STO22)中的各项评分均高于对照组(P <0.05)。结论 在胃癌根治术患者的术后恢复进程中,基于知信行模式干预下指导患者实施自护行为,有助于患者改善生活自理的能力,提高其治疗信心,并使睡眠质量稳步上升。Objective To explore the effect of self-care behavior on recovery after radical gastrectomy of gastric cancer under the intervention of knowledge,belief and practice model.Methods A total of 89 patients admitted to our hospital from May 2021 to May 2023 were included in the study.The patients were randomly numbered by statistical software and divided into control group(44 cases)and observation group(45 cases).The control group took routine nursing,and the observation group guided the patients to take self-care behavior based on the knowledge,belief and practice model.After the completion of nursing,the self-care ability,self-efficacy,sleep quality and life condition of the two groups were compared.Results The scores of the Exercise of Self-Care Agency(ESCA)in the observation group were higher than those in the control group(P<0.05);The scores of self-stress reduction,self-decision making and positive attitude in the Strategies Used by People to Promote Health(SUPPH)in the observation group were higher than those in the control group(P<0.05);The scores of sleep quality scale(PSQI)in the observation group were lower than those in the control group(P<0.05).The scores of EORTC QLQ-STO22 in the observation group were higher than those in the control group(P<0.05).Conclusions In the postoperative recovery process of patients with radical gastrectomy,guiding patients to implement self-care behavior the intervention mode of knowledge,belief and practice model can help improve patients'self-care ability and self-efficacy,and improve patients'sleep and quality of life.

关 键 词：知信行模式 自护行为 胃癌根治术 自我护理能力 自我效能 睡眠质量 生活质量 

分 类 号：R735.2[医药卫生—肿瘤]