基于健康信念模式的移动健康干预对卵巢癌术后患者自我效能和自我管理效果  

Effect of the self-efficacy and the self-management effect of mobile health intervention based on the health belief model for patients with ovarian cancer after operation

作　　者：刘莲婷 史珺[1] 钮金兰 祝萍 杨柏财 LIU Lianting;SHI Jun;NIU Jinlan;ZHU Ping;YANG Baicai(Jiaxing Maternal and Child Health Care Hospital,Jiaxing,Zhejiang Province,314050)

机构地区：[1]浙江省嘉兴市妇幼保健院,314050

出　　处：《中国计划生育学杂志》2024年第5期1086-1090,1096,共6页Chinese Journal of Family Planning

基　　金：嘉兴市科技计划项目(022AY30022)。

摘　　要：目的:探究基于健康信念模式的移动健康干预对卵巢癌(OC)术后患者的应用效果。方法:选取2020年5月-2023年5月本院OC术后患者156例,随机抽签法分为观察组与常规组各78例。两组均予以常规护理干预,观察组再予以基于健康信念模式的移动健康干预,均干预至术后3个月。比较两组自我效能[中文版癌症自我管理效能感量表(SUPPH)评分]、[自我护理能力测定量表(ESCA)评分]、不良情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]、依从性及并发症发生情况。结果:干预后观察组SUPPH、ESCA各维度评分均高于常规组,SDS(45.31±5.45分)、SAS(43.55±4.61分)评分低于常规组(50.41±6.38分、48.62±5.47分),依从性良好(66.7%)、中等(26.9%)高于常规组(47.7%、28.2%),并发症发生率(5.1%)低于常规组(15.4%)(均P<0.05)。结论:采用基于健康信念模式的移动健康干预可增强OC术后患者自我效能与自我管理能力,减轻不良情绪,提高治疗依从性,降低并发症发生率。Objective:To explore the application effect of the mobile health intervention based on the health belief model for patients with ovarian cancer(OC)after operation.Methods:156patients after OC operation were selected and were divided into experimental group and control group(78cases in each group)according to the random lottery method from May 2020to May 2023.The patients in the control group were given routine nursing intervention,and the patients in the experimental group were given mobile health intervention based on health belief model combined with the routine nursing intervention.The patients in both groups were intervened until 3months after operation.The self-efficacy score evaluated by strategies used by people to promote health(SUPPH),the self-management ability score evaluated by the exercise of self-care agency scale(ESCA),the negative emotions score evaluated by self-rating anxiety scale(SAS),and self-rating depression scale(SDS),and the situations of compliance and complications of the patients were compared between the two groups.Results:After intervention,the scores of the different dimensions of SUPPH and ESCA of the patients in the experimental group were significantly higher than those of the patients in the control group.The scores of SDS(45.31±5.45points)and SAS(43.55±4.61points)of the patients in the experimental group were significantly lower than those(50.41±6.38points and 48.62±5.47points)of the patients in the control group.The good rate(66.7%)and moderate rate(26.9%)of the compliance of the patients in the experimental group were significantly higher than those(47.7%and 28.2%)of the patients in the control group.The incidence of complications(5.1%)of the patients in the experimental group was significantly lower than that(15.4%)of the patients in the control group(all P<0.05).Conclusion:The mobile health intervention based on the health belief model for the patients after OC operation can enhance their self-efficacy and self-management ability,reduce their unhealthy mood,improve thei

关 键 词：卵巢癌手术 健康信念模式 移动健康干预 自我效能 自我管理 不良情绪 依从性 

分 类 号：R473.73[医药卫生—护理学]