激励式护理对喉癌患者疾病感知自护能力及生活质量的影响  

Effect of incentive nursing on illness perception,self-care ability and quality of life in patients with laryngeal cancer

作　　者：王琼[1] 焦妙蕊[2] 李爱真[1] Wang Qiong;Jiao Miaorui;Li Aizhen(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China;不详)

机构地区：[1]郑州大学第一附属医院,河南郑州450000 [2]河南省肿瘤医院,河南郑州450000

出　　处：《临床心身疾病杂志》2025年第2期139-143,共5页Journal of Clinical Psychosomatic Diseases

基　　金：河南省医学科技攻关计划联合共建项目(编号LHGJ20190654)。

摘　　要：目的 探究激励式护理对喉癌患者疾病感知、自护能力和生活质量的影响。方法 将80例喉癌患者按照随机数字表法分为对照组和观察组,各40例。对照组患者实施常规基础护理,观察组患者在对照组的基础上给予激励式护理。采用疾病感知问卷修订版(IPQ-R)、自我护理能力量表(ESCA)、癌症患者生命质量测定量表(EORTC QLQ-C30)以及焦虑自评量表(SAS)、抑郁自评量表(SDS)比较两组患者护理前后疾病感知状况、自护能力、生命质量及负性情绪。统计并比较两组患者护理依从性。结果 护理后,两组患者的IPQ-R评分以及SAS、SDS评分较护理前降低,且观察组低于对照组(P<0.01);ESCA总分及各维度评分、EORTC QLQ-C30总体生存质量以及功能领域、特异性模块、共性症状评分较护理前升高,且观察组高于对照组(P<0.01)。观察组患者护理依从性高于对照组(P<0.01)。结论 激励式护理在喉癌患者中应用效果较好,值得临床推广。Objective To explore the effect of incentive nursing on illness perception,self-care ability and quality of life in patients with laryngeal cancer(LC).Methods Eighty LC patients were divided into control and observation group according to random number table method,with 40 ones in each.Controls received routine basic nursing and observation group did incentive nursing on the basis of controls.Pre-and post-nursing illness perception,self-care ability,quality of life and negative emotions were compared between two groups using the Illness Perception Questionnaire Revised(IPQ-R),Exercise of Self-Care Agency Scale(ESCA),European Organization for Research and Treatment of Cancer(EORTC)Core Quality of Life Questionnaire(EORTC QLQ-C30),Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS).Nursing compliance of two groups was counted and compared.Results After nursing,the IPQ-R,SAS and SDS scores in both groups lowered compared with pre-nursing and those were lower in observation than control group(P<0.01),the total and each dimension scores of the ESCA as well as the scores of overall quality of life,functional domain,specific modules and comorbid symptoms of the EORTC QLQ-C30 elevated and those were higher in observation than control group(P<0.01).Nursing compliance was higher in observation than control group(P<0.01).Conclusion Application effect of incentive nursing in laryngeal cancer patients is good,it is worthy of clinical promotion.

关 键 词：激励式护理 喉癌 疾病认知 自护能力 生活质量 负性情绪 

分 类 号：R473.73[医药卫生—护理学] R395.6[医药卫生—临床医学]