跨理论模型指导下的时效性激励干预在宫颈癌患者术后的应用  

Application of Timeliness Incentives Intervention Guided by Cross Theoretical Models in Postoperative Patients with Cervical Cancer

作　　者：毕志伟[1] 游庆光 程夏戈 秦巧红[1] BI Zhiwei;YOU Qingguang;CHENG Xiage;QIN Qiaohong(Operation Room,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第三附属医院手术室,河南郑州450000

出　　处：《河南医学研究》2025年第1期177-181,共5页Henan Medical Research

基　　金：2021年度河南省医学科技攻关计划省部共建项目(SBGJ202103092)。

摘　　要：目的探讨对宫颈癌术后患者应用跨理论模型指导下的时效性激励干预的效果。方法采用前瞻性研究,选取2019年9月至2022年9月于郑州大学第三附属医院行腹腔镜下根治性子宫切除术治疗的86例宫颈癌患者为研究对象,采用随机数字表法分为干预组与对照组,各43例。对照组接受时效性激励干预,干预组接受跨理论模型指导下的时效性激励干预,均干预至患者出院。对比两组干预前、干预后心理弹性及自我效能感变化情况,并观察对比两组术后肛门排气、下地活动、住院时间及干预后生活质量。结果干预后,两组心理弹性量表(CD-RISC)评分及一般自我效能感量表(GSES)评分较干预前均升高,且干预组高于对照组(P<0.05);干预组术后肛门排气、下地活动及住院时间均短于对照组(P<0.05);干预后,干预组生活质量量表(QOL)评分高于对照组(P<0.05)。结论跨理论模型指导下的时效性激励干预可改善宫颈癌术后患者心理弹性状况及自我效能感,并能够促进术后患者恢复,缩短住院时间,提升生活质量。Objective To explore the effectiveness of timeliness incentives interventions guided by cross theoretical models in postoperative patients with cervical cancer.Methods A prospective study was conducted,selecting 86 patients with cervical cancer who underwent laparoscopic radical hysterectomy in the Third Affiliated Hospital of Zhengzhou University from September 2019 to September 2022 as the study subjects.They were randomly divided into intervention group and control group using a random number table method,with 43 patients in each group.The control group received timeliness incentive intervention,and the intervention group received timeliness incentive intervention under the guidance of cross theoretical model until the patient was discharged.The changes of psychological resilience and self-efficacy before and after intervention were compared in both groups,and the postoperative anal exhaust,ambulation,hospitalization time and quality of life after intervention were observed and compared in both groups.Results After intervention,the scores of the Connor-Davidson resilience scale(CD-RISC)and general self-efficacy scale(GSES)in the two groups were higher than those before intervention,and compared with control group,the intervention group was higher(P<0.05).The postoperative anal exhaust,ambulation and hospitalization time in the intervention group were shorter than those in the control group(P<0.05).After intervention,compared with control group,the quality of life scale(QOL)score of the intervention group was higher(P<0.05).Conclusion Timeliness incentives intervention under the guidance of cross theoretical model can improve the resilience and self-efficacy of patients with cervical cancer after surgery,and can promote postoperative recovery,shorten hospital stay and improve quality of life.

关 键 词：宫颈癌 根治性子宫切除术 跨理论模型 时效性激励 心理弹性 自我效能感 

分 类 号：R473.5[医药卫生—护理学]