摘要
目的 探讨基于赋能教育的集束化护理干预对肝癌介入治疗患者应对方式、心理状态的影响。方法选取2019年8月—2020年8月医院收治的88例肝癌介入治疗患者为研究对象,按照组间基本特征具有可比性的原则分为观察组与对照组,每组44例。对照组给予常规介入护理,观察组给予基于赋能教育的集束化护理干预,比较两组干预前后的应对方式、心理状态及自我效能感情况。结果 实施基于赋能教育的集束化护理干预后,观察组积极应对能力评分高于对照组,消极应对能力评分低于对照组(P<0.05);观察组汉密尔顿焦虑量表(HAMA)的躯体性和精神性评分均低于对照组;观察组癌症自我管理效能感量表(SUPPH)各维度评分均高于对照组,组间比较差异均有统计学意义(P<0.05)。结论 基于赋能教育的集束化护理干预可提升肝癌介入治疗患者积极应对能力,有效改善患者焦虑等不良情绪,提升自我效能感。
Objective To explore the effect of cluster nursing intervention based on empowerment education on the coping style and psychological state of patients with liver cancer undergoing interventional therapy.Methods A total of 88 patients with liver cancer treated by interventional therapy in the hospital from August 2019 to August 2020 were selected as the study subjects,and were divided into an observation group and a control group according to the principle of comparability of basic characteristics between groups,with 44 patients in each group.The control group was given routine intervention nursing,and the observation group was given cluster nursing intervention based on empowerment education.The coping style,psychological state and self-efficacy of the two groups were compared before and after the intervention.Results After the implementation of cluster nursing intervention based on empowerment education,the score of positive coping ability in the observation group was higher than that in the control group,and the score of negative coping ability was lower than that in the control group(P<0.05);the physical and mental scores of Hamilton anxiety scale(HAMA) in the observation group were lower than those in the control group;the each dimension scores of strategies used by people to promote health(SUPPH) in the observation group were higher than those in the control group,the differences between the groups were statistically significant(P<0.05).Conclusion The cluster nursing intervention based on empowerment education can improve the positive coping ability of patients with liver cancer after interventional therapy,effectively improve the patients’ anxiety and other negative emotions,and enhance their self-efficacy.
作者
李亚
郭丹丹
高茜茜
LI Ya;GUO Dandan;GAO Qianqian(The First Affi liated Hospital of Zhengzhou University,Zhengzhou,450000,China)
出处
《护理实践与研究》
2023年第4期575-579,共5页
Nursing Practice and Research
关键词
赋能理论
集束化护理干预
肝癌介入治疗
应对方式
心理状态
自我效能感
Empowerment theory
Cluster nursing intervention
Interventional therapy for liver cancer
Coping style
Psychological state
Self-efficacy