摘要
目的探讨通过中医护理调节胃癌术后化疗患者自我效能、社会支持和心理弹性对患者益处发现的影响。方法选取2018年1月至2019年12月就诊于空军军医大学第一附属医院消化外科的进展期胃癌患者180例,随机分为中医护理组(n=90)和一般护理组(n=90)对患者进行护理,并对患者采用一般情况量表、益处发现量表(BFS)、自我效能量表(GSES)、社会支持评定量表(SSRS)和心理弹性量表(CD-RISC)进行问卷调查,采用Unpaired Student Test对两组间BFS、GSES、SSRS和CD-RISC得分进行比较,采用Pearson相关性分析和多元回归分析进行数据处理。结果胃癌术后化疗患者中医护理组BFS为(59.2±6.9)分,一般护理组得分为(41.6±3.2)分,两组比较差异有统计学意义(P<0.05)。在中医护理组中,BFS与GSES、SSRS和CD-RISC结果呈正相关(P<0.01)。GSES、SSRS和CD-RISC对总效应的贡献率为79.4%。胃癌术后化疗患者GSES、SSRS对治疗益处发现有直接效应,CD-RISC对治疗益处发现有间接效应。结论胃癌术后患者益处发现仍处于较低水平,通过中医护理调节自我效能、社会支持和心理弹性均能提升患者益处发现,医务人员应积极调动患者的生活信念,增强患者战胜疾病的勇气。
Objective To explore the impact on benefit discovery of patients undergoing chemotherapy after gastric cancer surgery by regulating their self-efficacy,social support and psychological resilience via traditional Chinese medicine(TCM)nursing.Methods A total of 180 patients with advanced gastric cancer admitted to the department of digestive surgery of the First Affiliated Hospital of Air Force Military Medical University from January 2018 to December 2019 were selected and randomly divided into TCM nursing group(n=90)and general nursing group(n=90),and were given corresponding nursing.The patients were investigated with general condition scale,benefit finding scale(BFS),general self-efficacy scale(GSES),social support rating scale(SSRS)and connor-davidson resilience scale(CD-RISC).The scores of BFS,GSES,SSRS and CD-RISC between the two groups were compared by Unpaired Student Test.Pearson correlation analysis and multiple regression analysis were used for analysis.Results The BFS score of patients undergoing chemotherapy after gastric cancer surgery in the TCM nursing group was(59.2±6.9),while that of the general nursing group was(41.6±3.2),and the difference between the two groups was statistically significant(P<0.05).The BFS score in the TCM nursing group was positively correlated with GSES,SSRS and CD-RISC scores(P<0.01).The contribution rate of GSES,SSRS and CD-RISC to the total effect was 79.4%.The scores of GSES and SSRS had direct effect on BFS score,while the score of CD-RISC had indirect effect on BFS score.Conclusion The BFS score of postoperative gastric cancer patients is still low.Patients’benefit discovery can be improved by regulating their self-efficacy,social support and psychological resilience via TCM nursing.Medical staff should actively mobilize patients’faith in life and strengthen patients’courage to overcome the disease.
作者
吴肖
戴艳然
呼永河
Wu Xiao;Dai Yanran;Hu Yonghe(Department of Digestive Surgery, The First Affiliated Hospital of Air Force Military Medical University, Xi’an 710032, China;Department of Traditional Chinese Medicine, General Hospital of Western Theater Command, Chengdu 610083, China)
出处
《成都医学院学报》
CAS
2020年第5期665-668,共4页
Journal of Chengdu Medical College
基金
四川省中医药管理局科研项目(No:2018HJZX013)。
关键词
胃癌
自我效能
社会支持
心理弹性
益处发现
Gastric cancer
Self-efficacy
Social support
Psychological resilience
Benefit discovery
