Snyder希望理论干预在腹腔镜根治性肾切除术患者中的应用效果  

Application effect of Snyder effect of Snyder’s hope theory intervention in patients undergoing s laparoscopic radical nephrectomy

作　　者：吴婷 潘家琪 李运芳 白宜萌 肖瑶 王利辉[1] WU Ting;PAN Jiaqi;LI Yunfang;BAI Yimeng;XIAO Yao;WANG Lihui(First Ward,Department of Urology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院泌尿外科一病区,郑州450000

出　　处：《癌症进展》2024年第12期1349-1352,共4页Oncology Progress

基　　金：河南省医学科技攻关计划(联合共建)项目(LHGJ20190054)。

摘　　要：目的探讨Snyder希望理论干预在腹腔镜根治性肾切除术(LRN)患者中的应用效果。方法将76例LRN患者根据干预方式的不同分为对照组(n=35)和希望组(n=41),对照组患者围手术期给予常规干预,希望组患者围手术期在对照组的基础上给予Snyder希望理论干预。比较两组患者希望水平[Herth希望量表(HHI)]、自我效能感[癌症患者应对癌症自我效能量表(CPSE)]、生活质量[生活质量综合评定问卷-74(GQOLI-74)]及并发症发生情况。结果干预后,两组患者HHI、CPSE、GQOLI-74各维度评分均高于本组干预前,希望组患者HHI、CPSE、GQOLI-74各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。希望组患者的并发症总发生率低于对照组,差异有统计学意义(P﹤0.05)。结论Snyder希望理论干预能有效提高LRN患者的希望水平,增强自我效能感,提高患者生活质量,并且减少并发症的发生情况。Objective To investigate the application effect of Snyder’s hope theory intervention in patients undergo-ing laparoscopic radical nephrectomy(LRN).Method A total of 76 LRN patients were divided into control group(n=35)and hope group(n=41)according to different intervention methods.The control group received routine intervention during perioperative period,and the hope group received Snyder’s hope theory intervention on the basis of the control group during perioperative period.The hope level[Herth hope index(HHI)],self-efficacy[assess cancer patients’self-ef-ficacy with managing cancer experience(CPSE)],quality of life[generic quality of life inventory-74(GQOLI-74)]and the incidence of complications were compared between the two groups.Result After intervention,the dimensional scores of HHI,CPSE,GQOLI-74 in two groups were higher than those before intervention,the dimensional scores of HHI,CPSE,GQOLI-74 in the hope group were higher than those in the control group,and the differences were statistical-ly significant(P<0.05).The total incidence of complications in the hope group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Snyder’s hope theory intervention can effectively improve the hope level of LRN patients,enhance self-efficacy,improve quality of life,and reduce the incidence of com-plications.

关 键 词：Snyder希望理论干预 肾细胞癌 腹腔镜根治性肾切除术 应用效果 

分 类 号：R737.11[医药卫生—肿瘤]