基于互动达标理论的干预对胆囊癌患者术后健康恢复的影响  

Effect of intervention based on interactive and goal attainment theory on postoperative health recovery of patients with gallbladder cancer

作　　者：张晓辉[1] 李明莉 张倬萁 ZHANG Xiaohui;LI Mingli;ZHANG Zhuoqi(Department of Hepatobiliary Surgery,the First Affiliated Hospital of He’nan University of Science&Technology,Luoyang 471000,He’nan,China)

机构地区：[1]河南科技大学第一附属医院肝胆外科,河南洛阳471000

出　　处：《癌症进展》2025年第7期804-807,832,共5页Oncology Progress

摘　　要：目的探讨基于互动达标理论的干预对胆囊癌患者术后健康恢复的影响。方法将87例胆囊癌患者根据围手术期干预措施的不同分为对照组(n=43,采用常规干预)和观察组(n=44,采用基于互动达标理论的干预)。比较两组患者围手术期指标、健康恢复状况[癌症患者生命质量测定量表体系的共性模板(QLICP-GM)]、自我护理能力[自我护理能力测定量表(ESCA)]、生活质量[健康调查简表(SF-36)]以及并发症发生情况。结果观察组患者术后排气时间、下床活动时间以及住院时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者QLICP-GM、ESCA各维度评分及总分均高于干预前,观察组QLICP-GM、ESCA各维度评分及总分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SF-36各维度评分均高于干预前,观察组SF-36各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者并发症总发生率低于对照组,差异有统计学意义(P﹤0.05)。结论基于互动达标理论的干预有利于促进胆囊癌患者术后健康恢复,有效提高患者自我护理能力,提高生活质量,并且可以降低并发症发生率。Objective To explore the effect of intervention based on interactive and goal attainment theory on postoperative health recovery of patients with gallbladder cancer(GBC).Method A total of 87 patients with GBC were divided into control group(n=43,routine intervention)and observation group(n=44,intervention based on interactive standard theory)according to different perioperative intervention measures.The perioperative indicators,health recovery status[quality of life instruments for cancer patients-general module(QLICP-GM)],self-care ability[exercise of self-care agency(ESCA)],quality of life[the MOS 36-item short form health survey(SF-36)]and complications were compared between the two groups.Result The postoperative exhaust time,ambulation time and hospitalization time in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.01).After the intervention,the dimensional scores and total scores of QLICP-GM and ESCA of the two groups were higher than those before the intervention,and the dimensional scores and total scores of QLICP-GM and ESCA of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the scores of all dimensions of SF-36 in the two groups were higher than those before the intervention,and the scores of all dimensions of SF-36 in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Intervention based on interactive and goal attainment theory for patients with GBC can effectively promote the postoperative health recovery,effectively improve the self-care ability of patients,improve the quality of life,and reduce the incidence of complications.

关 键 词：胆囊癌 互动达标理论 术后健康恢复 生活质量 

分 类 号：R735.8[医药卫生—肿瘤]