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自我效能干预联合人文关怀护理对恶性肿瘤化疗患者自我护理能力及生活质量的影响

Effect of Self-Efficacy Intervention Combined with Humanistic Nursing on Self-Care Ability and Quality of Life in Patients Receiving Chemotherapy for Malignant Tumors.

作者信息

Lv Ling, Liu Yiying, Tian Tian, Li Juan

机构信息

Oncology Department of Fuyang People's Hospital, Fuyang 341202, Anhui Province, China.

Nursing Department of Fuyang People's Hospital, Fuyang 341202, Anhui Province, China.

出版信息

Iran J Public Health. 2022 Feb;51(2):345-354. doi: 10.18502/ijph.v51i2.8687.

Abstract

BACKGROUND

We aimed to explore the effect of self-efficacy intervention combined with humanistic nursing on self-care ability and quality of life in patients receiving chemotherapy for malignant tumors.

METHODS

A total of 410 patients were enrolled, who received chemotherapy for malignant tumors in Fuyang People's Hospital from June 2019 to June 2021. They were equally divided into the experimental group and the control group by a random number table. The former was given routine nursing, while self-efficacy intervention combined with humanistic nursing on the bases of routine care was introduced for the latter. Baseline information was collected from all patients. The psychological status of patients before and after intervention was assessed by self-rating anxiety scale (SAS), self-rating depression scale (SDS) and Visual analogue scale (VAS), while self-efficacy score and self-care ability scale for evaluating self-care ability of patients. Additionally, there was an evaluation of quality of life and nursing satisfaction in each group.

RESULTS

Before intervention, no significant difference was identified in psychological status, self-care ability and quality of life between the two groups. After the intervention, the above three indexes in the experimental group were significantly better than those of the control group were. The experimental group had higher nursing satisfaction than the control group.

CONCLUSION

In patients with malignant tumor undergoing chemotherapy, self-efficacy intervention combined with humanistic nursing can significantly improve the self-care ability, quality of life and nursing satisfaction of patients, which is therefore worthy of promotion in clinical.

摘要

背景

我们旨在探讨自我效能干预联合人文护理对恶性肿瘤化疗患者自我护理能力及生活质量的影响。

方法

选取2019年6月至2021年6月在阜阳市人民医院接受恶性肿瘤化疗的410例患者,采用随机数字表法将其分为实验组和对照组。前者给予常规护理,后者在常规护理的基础上引入自我效能干预联合人文护理。收集所有患者的基线信息。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)和视觉模拟量表(VAS)评估患者干预前后的心理状态,同时采用自我效能感评分和自我护理能力量表评估患者的自我护理能力。此外,对每组患者的生活质量和护理满意度进行评估。

结果

干预前,两组患者的心理状态、自我护理能力和生活质量无显著差异。干预后,实验组上述三项指标均显著优于对照组。实验组的护理满意度高于对照组。

结论

对于接受化疗的恶性肿瘤患者,自我效能干预联合人文护理可显著提高患者的自我护理能力、生活质量及护理满意度,值得在临床上推广。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85ea/9273493/f53cd786152c/IJPH-51-345-g001.jpg

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