摘要
目的探讨自我效能干预对股骨远端骨肉瘤患者术后关节功能、自我管理效能、心理状态的影响。方法依据干预方式的不同将86例股骨远端骨肉瘤患者分为对照组(n=43)和观察组(n=43),对照组患者给予常规干预,观察组患者给予自我效能干预。比较两组患者关节功能[Lysholm膝关节评分量表(LKSS)]、心理状态[抑郁自评量表(SDS)和焦虑自评量表(SAS)]、自我管理效能[中文版癌症患者自我管理效能感量表(C-SUPPH)]及并发症发生情况。结果观察组患者的关节功能优良率为95.35%,高于对照组患者的76.74%,差异有统计学意义(P﹤0.05)。干预后,两组患者正性态度、自我决策、自我减压评分均高于本组干预前,观察组患者正性态度、自我决策、自我减压评分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SDS、SAS评分均低于本组干预前,观察组患者SDS、SAS评分均低于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的并发症总发生率为9.30%,低于对照组患者的27.91%,差异有统计学意义(P﹤0.05)。结论自我效能干预可促进股骨远端骨肉瘤患者术后关节功能恢复,有效改善患者的自我效能和负性情绪,降低术后并发症发生率。
Objective To investigate the effect of self-efficacy intervention on postoperative joint function,self-management efficacy,and psychological state of patients with distal femoral osteosarcoma.Method A total of 86 patients with distal femoral osteosarcoma were divided into control group(n=43)and observation group(n=43)based on different intervention methods.The patients in the control group were received routine intervention,while the patients in the observation group were received self-efficacy intervention.The joint function[Lysholm knee score scale(LKSS)],psychological status[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],self-management efficacy[Chinese-strategies used by people to promote health(C-SUPPH)],and incidence of complications were compared between two groups.Result The excellent and good rate of joint function in the observation group was 95.35%,which was higher than 76.74%in the control group,the difference was statistically significant(P<0.05).After intervention,the positive attitude,self-determination,and self-decompression scores of the two groups were higher than those before the intervention,the positive attitude,self-determination,and self-decompression scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the SDS and SAS scores of the two groups were lower than those before the intervention,the SDS and SAS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was 9.30%,which was lower than 27.91%in the control group,and the difference was statistically significant(P<0.05).Conclusion Self-efficacy intervention can promote postoperative joint function recovery in patients with distal femoral osteosarcoma,effectively improve self-management efficacy and negative emotions,and reduce the incidence of postoperative complications.
作者
石玉君
王送
魏琳琳
SHI Yujun;WANG Song;WEI Linlin(Department of Orthopedics,the Third People’s Hospital of He’nan Province,Zhengzhou 450000,He’nan,China)
出处
《癌症进展》
2024年第1期92-95,共4页
Oncology Progress
关键词
股骨远端骨肉瘤
关节功能
自我效能干预
心理状态
distal femoral osteosarcoma
joint function
self-efficacy intervention
negative emotion
