自我效能理论干预对胆管癌根治术患者术后恢复的影响  

Effect of self-efficacy theory intervention on postoperative recovery in patients with radical resection of cholangiocarcinoma

作　　者：关文慧 吕宁 高春艳 GUAN Wenhui;LYU Ning;GAO Chunyan(Department of Hepatobiliary Pancreatic Spleen Surgery,Zhumadian Central Hospital,Zhumadian 463000,He’nan,China)

机构地区：[1]驻马店市中心医院肝胆胰脾外科,河南驻马店4630000

出　　处：《癌症进展》2024年第20期2293-2296,共4页Oncology Progress

基　　金：吴阶平医学基金会临床科研专项资助基金(320.6750.2021-10-54)。

摘　　要：目的探讨自我效能理论干预对胆管癌根治术患者术后恢复的影响。方法根据干预方式不同将85例胆管癌根治术患者分为对照组(43例)和观察组(42例),对照组患者接受常规干预,观察组患者在对照组的基础上接受自我效能理论干预。比较两组患者术后恢复指标、负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、并发症发生情况及满意度。结果观察组患者首次排便时间、首次下床活动时间、首次排气时间及术后住院时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。出院时,两组患者SDS、SAS评分均低于本组干预前,观察组患者SDS、SAS评分均低于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的并发症总发生率低于对照组,总满意度高于对照组,差异均有统计学意义(P﹤0.05)。结论自我效能理论干预可以促进胆管癌根治术患者术后恢复,改善负性情绪,降低并发症发生率,并且患者的满意度高。Objective To investigate the effect of self-efficacy theory intervention on postoperative recovery of patients with radical resection of cholangiocarcinoma.Method According to different intervention methods,85 patients with radical resection of cholangiocarcinoma were divided into control group(43 cases)and observation group(42 cases).Patients in the control group received routine intervention,and patients in the observation group received self-efficacy theory intervention on the basis of the control group.The postoperative recovery indexes,negative emotions[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],incidence of complications and satisfaction were compared between the two groups.Result The first defecation time,first time of getting out of bed activity,first exhaust time and postoperative hospitalization time in observation group were significantly shorter than those in control group,and the differences were statistically significant(P<0.01).At discharge,the SDS and SAS scores in two groups were lower than those before intervention,and the SDS and SAS scores in observation group were lower than those in control group,the differences were statistically significant(P<0.05).The total incidence of complications in observation group was lower than that in control group,and the total satisfaction rate was higher than that in control group,and the differences were statistically significant(P<0.05).Conclusion The self-efficacy theory intervention can promote the postoperative recovery in patients with radical resection of cholangiocarcinoma,improve negative emotions,reduce the incidence of complications,and the patients’satisfaction is high.

关 键 词：胆管癌根治术 自我效能理论干预 术后恢复 

分 类 号：R735.8[医药卫生—肿瘤]