摘要
目的:探讨人生回顾疗法对老年胃癌患者自我管理效能感及自我感受负担的影响。方法:采用便利抽样法,选取于2018年11月—2019年10月在辽宁省肿瘤医院就诊并接受手术治疗的80例老年胃癌患者作为研究对象。将2018年11月—2019年4月住院的患者设为对照组,将2019年5—10月住院的患者设为试验组,每组各40例。对照组患者给予常规护理,试验组患者在常规护理基础上给予人生回顾疗法。采用癌症自我管理效能感量表(SUPPH)、自我感受负担量表(SPBS)比较干预的效果。对照组共37例患者完成研究;试验组共39例患者完成研究。结果:干预后试验组患者SUPPH总分,正性态度、自我减压维度得分均高于对照组,差异有统计学意义(P<0.05);自我决策维度得分差异无统计学意义(P>0.05)。干预后试验组患者的SPBS总分,身体负担、情感负担维度得分均低于对照组,差异有统计学意义(P<0.05);经济负担维度得分差异无统计学意义(P>0.05)。结论:人生回顾疗法可以改善老年胃癌患者的自我管理效能感和自我感受负担状况,值得推广应用。
Objective To explore effects of life review therapy on self-management efficacy and self-perceived burden in elderly patients with gastric cancer.Methods Using the convenient sampling method,a total of 80 elderly patients with gastric cancer who were treated and received surgical treatment in Liaoning Cancer Hospital and Institute were selected as the research objects from November 2018 to October 2019.The patients hospitalized from November 2018 to April 2019 were set as the control group,and the patients hospitalized from May to October 2019 were set as the experimental group,with 40 cases in each group.Patients in the control group were given routine nursing,while patients in the experimental group were given life review therapy on the basis of routine nursing.Strategies Used by People to Promote Health(SUPPH)and Self-Perceived Burden Scale(SPBS)were used to compare the effects of interventions.A total of 37 patients in the control group completed the study,while 39 patients in the experimental group completed the study.Results After the intervention,the total score of SUPPH and scores of positive attitude and self-decompression dimensions of the experimental group were higher than those of the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the score of self-decision dimension between the two groups(P>0.05).After the intervention,the total score of SPBS and scores of physical burden and emotional burden dimension of the experimental group were lower than those of the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the score of the economic burden dimension between the two groups(P>0.05).Conclusions Life review therapy can improve the self-management efficacy and self-perceived burden of elderly patients with gastric cancer,and it is worthy of promotion and application.
作者
于辉
姜桂春
刘阳
解飞
赵松
Yu Hui;Jiang Guichun;Liu Yang;Xie Fei;Zhao Song(Department of Critical Care Medicine,Liaoning Cancer Hospital&Institute,Shenyang 110042,China;Department of Nursing,Liaoning Cancer Hospital&Institute,Shenyang 110042,China;Second Department of Gastroenterology,Liaoning Cancer Hospital&Institute,Shenyang 110042,China)
出处
《中华现代护理杂志》
2021年第20期2744-2748,共5页
Chinese Journal of Modern Nursing
关键词
胃肿瘤
人生回顾
自我管理效能感
自我感受负担
Stomach neoplasms
Life review
Self-management efficacy
Self-perceived burden
