认知-信念-行为导向性护理对子宫颈癌根治术患者认知水平及术后康复的影响  

Effects of Cognitive-belief-behavior Oriented Nursing on Cognitive Level and Postoperative Rehabilitation of Patients Undergoing Radical Resection of Cervical Cancer

作　　者：谢妙玲 XIE Miaoling(Department of Gynaecology,the Second Affiliated Hospital of Xiamen Medical College,Xiamen 361000,China)

机构地区：[1]厦门医学院附属第二医院妇科,福建厦门361000

出　　处：《中国医学创新》2024年第35期83-87,共5页Medical Innovation of China

摘　　要：目的:探讨认知-信念-行为导向性护理对子宫颈癌根治术患者认知水平及术后康复的影响。方法:将厦门医学院附属第二医院2022年7月—2024年7月收治的84例子宫颈癌根治术患者按随机数字表法分为对照组(给予常规护理)与观察组(给予认知-信念-行为导向性护理),每组42例,两组均持续干预2周,比较两组的认知水平、自我管理效能、康复时间及盆底功能障碍情况。结果:干预后,两组认知水平各项评分、癌症自我管理效能量表(SUPPH)各维度评分和总分均高于干预前,且观察组均高于对照组,差异均有统计学意义(P<0.05);观察组肛门排气时间、下床活动时间均早于对照组,留置尿管时间短于对照组,差异均有统计学意义(P<0.05);干预后,两组的盆底功能障碍简表(PFDI-20)各维度评分均较干预前升高,但观察组均低于对照组,差异均有统计学意义(P<0.05)。结论:认知-信念-行为导向性护理能够提高子宫颈癌根治术患者认知水平,增强患者自我管理效能,加快患者术后康复,减轻患者术后盆底功能障碍。Objective:To explore the effects of cognitive-belief-behavior oriented nursing on the cognitive level and postoperative rehabilitation of patients undergoing radical resection of cervical cancer.Method:A total of 84 cervical cancer radical resection patients admitted to the Second Affiliated Hospital of Xiamen Medical College from July 2022 to July 2024 were divided into control group(given routine nursing)and observation group(given cognitive-belief-behavior oriented nursing)according to random number table method,with 42 cases in each group.The intervention lasted for 2 weeks in both groups.The cognitive level,self-management efficacy,rehabilitation time and pelvic floor dysfunction were compared between the two groups.Result:After intervention,the scores of cognitive level,all dimensions scores and total scores of strategies used by people to promote health(SUPPH)of both groups were higher than those before intervention,and those of the observation group were higher than those of the control group,with statistical significance(P<0.05).The time of anal exhaust,the time of getting out of bed in the observation group were earlier than those in control group,the time of catheter indentation was shorter than that in the control group,the differences were statistically significant(P<0.05).After intervention,all dimensions scores of pelvic floor distress inventory-short form(PFDI-20)in both groups were higher than those before intervention,but those of the observation group were lower than those of the control group,with statistical significance(P<0.05).Conclusion:Cognitive-belief-behavior oriented nursing can improve the cognitive level of patients undergoing radical resection of cervical cancer,enhance their self-management efficiency,accelerate postoperative recovery,and alleviate postoperative pelvic floor dysfunction.

关 键 词：认知-信念-行为导向性护理 子宫颈癌根治术 认知水平 自我管理效能 盆底功能 

分 类 号：R473.73[医药卫生—护理学]