普里西特模式干预对结直肠癌手术患者自我效能及生活质量的影响  

Influence of PLISSIT model intervention on self-efficacy and quality of life of patients with colorectal cancer undergoing surgery

作　　者：耿利丹 邢佳佳 李东艳 盛思进 GENG Lidan;XING Jiajia;LI Dongyan;SHENG Sijin(Ward of Department of Gastrointestinal and Colorectal Surgery,Department of Gastrointestinal Surgery/Department of Hernia and Abdominal Wall Surgery,West Campus of the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China;Ward 1,Department of Gastrointestinal Surgery/Department of Hernia and Abdominal Wall Surgery,West Campus of the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院西院区胃结直肠外科病区,郑州4500000 [2]郑州大学第一附属医院西院区胃肠外科一病区/疝和腹壁外科,郑州4500000

出　　处：《癌症进展》2025年第9期1097-1100,共4页Oncology Progress

摘　　要：目的探讨普里西特模式干预对结直肠癌手术患者自我效能及生活质量的影响。方法依据干预方法的不同将84例结直肠癌患者分为对照组(n=41)和普里西特模式组(n=43),对照组患者接受常规干预,普里西特模式组患者接受普里西特模式干预。比较两组患者自我效能[修订版自我护理能力评价量表(ASAS-R)]、生活质量[健康调查简表(SF-36)]、并发症发生情况和满意度。结果干预后,两组患者ASAS-R各维度评分均高于本组干预前,普里西特模式组患者ASAS-R各维度评分均高于对照组,差异均有统计学(P﹤0.05)。干预后,两组患者SF-36各维度评分均高于本组干预前,普里西特模式组患者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)。普里西特模式组患者的并发症总发生率为6.98%,低于对照组患者的24.39%,总满意度为88.37%,高于对照组患者的70.73%,差异均有统计学意义(P﹤0.05)。结论普里西特模式干预可有效提高结直肠癌手术患者的自我效能和生活质量,减少并发症发生风险,提高干预满意度。Objective To explore the influence of PLISSIT model intervention on self-efficacy and quality of life of patients with colorectal cancer undergoing surgery.Method According to different intervention methods,84 patients with colorectal cancer undergoing surgery were divided into control group(n=41)and PLISSIT model group(n=43).Patients in the control group received routine intervention,while patients in the PLISSIT model group received PLISSIT model intervention.The self-efficacy[the appraisal of self-care agency scale-revised(ASAS-R)],quality of life[the MOS 36-item short form health survey(SF-36)],incidence of complications and satisfaction were compared between the two groups.Result After intervention,the scores of dimensions of ASAS-R in both groups were higher than those before intervention,the scores of dimensions of ASAS-R in PLISSIT model group were higher than those in control group,and the differences were statistically significant(P<0.05).After intervention,the scores of dimensions of SF-36 in both groups were higher than those before intervention,the scores of dimensions of SF-36 in PLISSIT model group were higher than those in control group,and the differences were statistically significant(P<0.05).The total incidence of complications in PLISSIT model group was 6.98%,which was lower than 24.39%in control group,the overall satisfaction rate was 88.37%,which was higher than 70.73%in control group,and the differences were statistically significant(P<0.05).Conclusion PLISSIT model intervention can effectively improve the self-efficacy and quality of life of patients with colorectal cancer undergoing surgery,reduce the risk of complications,and increase intervention satisfaction.

关 键 词：普里西特模式 心理干预 结直肠癌 自我效能 生活质量 

分 类 号：R735.3[医药卫生—肿瘤]