授权赋能理论干预联合认知行为疗法对食管癌根治术患者自我效能及生活质量的影响  

Influence of empowerment theory intervention combined with cognitivebehavioral therapy on self-efficacy and quality of life of patients with radical resection of esophageal cancer

作　　者：祥音 郝蒙福 白璟 张冰 吕丛 窦晓雅 SHI Xiangyin;HAO Mengfu;BAI Jing;ZHANG Bing;LYU Cong;DOU Xiaoya(Esophageal Ward,Department of Thoracic Surgery,Nanyang Central Hospital,Nanyang 473000,He’nan,China;Department of Urology Surgery,Nanyang Central Hospital,Nanyang 473000,He’nan,China;Department of Outpatient,Nanyang Central Hospital,Nanyang 473000,He’nan,China;Department of Infectious Disease,Nanyang Central Hospital,Nanyang 473000,He’nan,China)

机构地区：[1]南阳市中心医院胸外科食管病区,河南南阳4730000 [2]南阳市中心医院泌尿外科,河南南阳4730000 [3]南阳市中心医院门诊部,河南南阳4730000 [4]南阳市中心医院感染科,河南南阳4730000

出　　处：《癌症进展》2025年第9期1066-1069,共4页Oncology Progress

摘　　要：目的探讨授权赋能理论干预联合认知行为疗法对食管癌根治术患者自我效能及生活质量的影响。方法根据干预方式的不同将73例食管癌根治术患者分为对照组(n=36)与观察组(n=37),对照组患者接受常规干预,观察组患者接受授权赋能理论干预联合认知行为疗法。比较两组患者的术后恢复指标、自我效能[癌症患者自我效能感量表(SUPPH)]、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]及满意度。结果观察组患者术后进食时间、下床活动时间、住院时间及首次肠蠕动时间均短于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SUPPH、EORTC QLQ-C30各维度评分均高于本组干预前,观察组患者SUPPH、EORTC QLQ-C30各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的总满意度为100%,高于对照组患者的80.56%,差异有统计学意义(P﹤0.05)。结论授权赋能理论干预联合认知行为疗法可增强食管癌根治术患者的自我效能,促进患者的术后恢复,提高生活质量及满意度。Objective To explore the influence of empowerment theory intervention combined with cognitive-behavioral therapy on self-efficacy and quality of life of patients with radical resection of esophageal cancer.Method According to different intervention methods,73 patients with radical resection of esophageal cancer were divided into control group(n=36)and observation group(n=37).Patients in the control group received routine intervention,while patients in the observation group received empowerment theory intervention combined with cognitive-behavioral therapy.The postoperative recovery indicators,self-efficacy[strategies used by people to promote health(SUPPH)],quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)],and satisfaction were compared between the two groups.Result The postoperative feeding time,ambulation time,hospitalization time and first intestinal peristalsis time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of dimensions of SUPPH and EORTC QLQ-C30 in both groups were higher than those before intervention,the scores of dimensions of SUPPH and EORTC QLQ-C30 in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The overall satisfaction rate of the observation group was 100%,which was higher than 80.56%of the control group,and the difference was statistically significant(P<0.05).Conclusion The empowerment theory intervention combined with cognitive-behavioral therapy can enhance the self-efficacy of patients with radical resection of esophageal cancer,promote postoperative recovery,quality of life and satisfaction.

关 键 词：食管癌根治术 授权赋能理论 认知行为疗法 自我效能 生活质量 

分 类 号：R735.1[医药卫生—肿瘤]