自我效能干预对早期肝癌手术患者希望水平和遵医行为的影响  

Influence of self-efficacy intervention on the hope level and compliance behavior in early liver cancer patients undergoing surgery

作　　者：侯仕莺 肖博[1] 谢彬 HOU Shiying;XIAO Bo;XIE Bin(Department of Gastroenterology,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消化内科,郑州4500000

出　　处：《癌症进展》2024年第19期2119-2122,共4页Oncology Progress

摘　　要：目的探讨自我效能干预对早期肝癌手术患者希望水平和遵医行为的影响。方法依据干预方式的不同将105例早期肝癌手术患者分为对照组(n=53)和观察组(n=52),对照组患者接受常规干预,观察组患者接受自我效能干预。比较两组患者希望水平[Herth希望量表(HHI)]、遵医行为(遵医行为量表)、自我效能感[中文版癌症患者自我管理效能感量表(C-SUPPH)]、满意度[纽卡斯尔护理满意度量表(NSNS)]。结果干预4周后,两组患者HHI、C-SUPPH评分均高于本组干预前,观察组患者HHI、C-SUPPH评分均高于对照组,差异均有统计学意义(P<0.05)。干预后,观察组患者饮食控制、药物服用、日常运动、定期复查评分均明显高于对照组,差异均有统计学意义(P<0.01)。观察组患者的总满意度为96.15%,明显高于对照组患者的77.36%,差异有统计学意义(P<0.01)。结论自我效能干预可有效改善早期肝癌手术患者的希望水平,提高遵医行为水平,增强自我效能感,进而提高干预满意度。Objective To investigate the influence of self-efficacy intervention on the hope level and compliance behavior in early liver cancer patients undergoing surgery.Method A total of 105 early liver cancer patients who underwent surgery were divided into control group(n=53)and observation group(n=52)based on different intervention meth-ods.Patients in the control group received routine intervention,while patients in the observation group received self-efficacy intervention.The hope level[Herth hope index(HHI)],compliance behavior(compliance behavior scale),self-efficacy[Chinese-strategies used by people to promote health(C-SUPPH)],and satisfaction[Newcastle satisfaction with nursing scale(NSNS)]were compared between the two groups.Result After 4 weeks of intervention,the HHI,C-SUPPH scores of both groups were higher than those before intervention,the HHI,C-SUPPH scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the diet control,daily exercise,daily exercise,and regular follow-up scores of the observation group were significantly higher than those of the control group,and the differences were statistically significant(P<0.01).The overall satisfaction rate of the observation group was 96.15%,which was significantly higher than 77.36%of the control group,and the difference was statistically significant(P<0.01).Conclusion Self-efficacy intervention can effectively improve the hope level of early liver cancer surgery patients,enhance their compliance behavior level,strengthen their self-efficacy,and ultimately improve their satisfaction with the intervention.

关 键 词：自我效能干预 肝癌 希望水平 遵医行为 满意度 自我效能感 

分 类 号：R735.7[医药卫生—肿瘤]