授权赋能教育联合手术室人性化护理对胃癌手术患者心理复原力、癌因性疲乏及应对方式的影响  

Effect of empowerment education combined with humanized nursing in operating roomon psychological resilience,cancer-related fatigueand coping styles in patients undergoing gastric cancer surgery

作　　者：张丽[1] 张紫娟 李悦[1] ZHANG Li;ZHANG Zijuan;LI Yue(Operation Room,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院手术室,450000

出　　处：《中国健康心理学杂志》2024年第5期752-757,共6页China Journal of Health Psychology

基　　金：2021年度河南省医学科技攻关计划联合共建项目和软科学项目(编号:LHGJ20210317)。

摘　　要：目的:探讨权赋能教育联合手术室人性化护理对胃癌术后患者心理复原力、癌因性疲乏及应对方式的影响。方法:选取某医院2022年1月-2023年1月收治的203例胃癌患者为研究对象,按入院时间分为对照组(2022年1-6月入院,101例)、干预组(2022年7月-2023年1月入院,102例)。对照组采用常规护理联合手术室人性化护理,干预组在对照组基础上联合授权赋能教育,比较两组患者手术康复指标、中文版心理复原力量表(C-CDRISC)评分、中文版癌症疲乏量表(C-CFS)评分、中文版医学应对问卷(C-MCMQ)评分、一般自我效能感量表(GSES)评分、生活质量量表(SF-36)评分及并发症。结果:干预组首次排气时间、首次下床活动时间、经口进食时间和住院时间均较对照组明显短(P<0.05)。与干预前比较,干预后两组C-CDRISC评分中的坚韧性、自强性、乐观性评分、C-MCMQ中的面对评分及GSES评分、SF-36评分明显增高,且干预组均明显高于对照组(P<0.05);干预后两组C-CFS评分中的躯体疲乏、认知疲乏、情感疲乏评分及屈服及回避评分明显降低,且干预组均明显低于对照组(P<0.05)。干预组并发症总发生率较对照组明显低(P<0.05)。结论:授权赋能教育联合手术室人性化护理应用于胃癌术后患者中,可明显缩短患者手术康复时间、提高心理复原力、改善癌因性疲乏和应对方式、自我效能感及生活质量,有效减少并发症的发生。Objective:To investigate the effect of empowerment education combined with humanized nursing in operating room on psychological resilience,cancer-related fatigueand coping styles in patients undergoinggastric cancer surgery.Methods:A total of 203 patients who underwent gastric cancer surgery in the hospital from January 2022 to January 2023 were selected as the study subjects.They were divided into control group(101 patients admitted between January and June 2022)and observation group(102 patients admitted between July 2022 and January 2023)according to the time of admission.The control group received routine nursing combined with humanized nursing in operating room,while the observation group received empowerment education on the basis of control group.The two groups were compared on rehabilitation indicators,the Chinese version of Connor-Davidson Resilience Scale(C-CDRISC)score,the Chinese version of the Cancer Fatigue Scale(C-CFS)score,the Chinese version of Medical Coping Modes Questionnaire(C-MCMQ)score,the General Self-Efficacy Scale(GSES)score,the short form 36 health survey questionnaire(SF-36)scoreand complications.Results:The first exhaust time,first ambulatory time,oral feeding timeand length of hospital stay in the observation group were significantly shorter than those in the control group(P<0.05).After intervention,the scores for resilience,self-improvement and optimism in the C-CDRISC,the score for facingin the C-MCMQ,GSES scoresand SF-36 scores in both groupswere significantly increased,and above scores in the observation group were significantly higher(P<0.05).After intervention,the scores for physical fatigue,cognitive fatigue and emotional fatigue in the C-CFS,and the scores for surrender and avoidance in both groups were significantly reduced.Above scores of the observation group were significantly lower(P<0.05).The total incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:Applying empowerment education combined with hum

关 键 词：授权赋能教育 胃癌 手术室人性化护理 心理 癌因性疲乏 应对方式 

分 类 号：R395.5[哲学宗教—心理学] R749.92[医药卫生—医学心理学]