摘要
目的:探讨基于普适化与个体化的双轨延续性健康宣教在子宫内膜癌(EC)患者术后的应用效果。方法:选取2017年6月—2018年6月武汉大学中南医院行手术治疗的194例EC患者进行前瞻性研究,采用随机数字表法分为观察组与对照组,各97例。观察组采用基于普适化与个体化的双轨延续性健康宣教进行干预,对照组则给予常规延续性健康宣教。比较两组3个月后的中文版自我护理能力实施量表(ESCA)、医学应对问卷(MCMQ)、Zung焦虑自评量表(SAS)和抑郁自评量表(SDS)及癌症治疗功能评价量表(FACT-G)评分变化。结果:两组干预后的ESCA量表健康知识、自护概念、自护责任感、自护技能评分及总分均高于干预前,且观察组干预后各维度评分及总分高于对照组,差异均有统计学意义(P<0.05);两组干预后MCMQ量表中的"面对"应对策略评分高于干预前,"回避"及"屈服"应对策略评分低于干预前,且观察组干预后"面对"评分高于对照组,"回避"及"屈服"评分低于对照组,差异均有统计学意义(P<0.05);两组干预后的SAS和SDS评分均低于干预前,且观察组干预后的SAS和SDS评分均低于对照组,差异均有统计学意义(P<0.05);两组干预后的FACT-G量表家庭/社会、生理、情感及功能评分均高于干预前,且观察组干预后各维度评分高于对照组,差异均有统计学意义(P<0.05)。结论:基于普适化与个体化的双轨延续性健康宣教用于EC术后干预可有效提升患者自护能力并促使患者采取积极应对方式,有利于改善患者心理状态、CRF和生活质量。
Objective To explore the effects of dual-track continuous health education based on universalization and individualization in patients post operation for endometrial cancer(EC).Methods From June 2017 to June 2018,this prospective study selected 194 EC patients with surgery of Zhongnan Hospital of Wuhan University to carry out.All of patients were divided into observation group and control group with the method of random number table,97 cases in each group.Observation group carried out the dual-track continuous health education based on universalization and individualization,while control group implemented the routine continuous nursing.This study compared the scores the Chinese Edition of Exercise of Self-Care Agency Rating Scale(ESCA),Medical Coping Modes Questionnaire(MCMQ),Zung Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS),Functional Assessment of Cancer Therapy-general(FACT-G)between two groups three after intervention.Results After intervention,the scores of health knowledge,self-conception,self-care responsibility,self-care agency and the total score of ESCA between two groups were higher than those before intervention,and those scores of observation group were higher than those of control group with statistical differences(P<0.05).After intervention,the score of confrontation in MCMQ of two groups was higher than that before intervention,and scores of avoidance and submission were lower than those before intervention;the score of confrontation in MCMQ of observation group was higher than that of control group,and the scores of avoidance and submission of observation group were lower than those of control group with statistical differences(P<0.05).The scores of SAS and SDS of two groups after intervention were higher than those before intervention,and the scores of SAS and SDS of observation group after intervention were higher than those of control group with statistical differences(P<0.05).After intervention,the scores of family/society,physiology,emotion and function of FACT-G between two groups were higher than those before intervention,and those dimension scores of observation group were higher than those of control group with statistical differences(P<0.05).Conclusions Dual-track continuous health education based on universalization and individualization for EC post operation can effectively lift patient's self-care ability and promote the positive coping style which helps patients improve their mental state,CRF and quality of life.
作者
武妍
Wu Yan(Department of Anesthesiology and Operation,Zhongnan Hospital of Wuhan University,Wuhan 430071,China)
出处
《中华现代护理杂志》
2020年第8期1088-1093,共6页
Chinese Journal of Modern Nursing
关键词
子宫内膜肿瘤
延续性护理
双轨健康宣教
普适化
个体化
Endometrial neoplasms
Continuing nursing
Dual-track health education
Universalization
Individualization
