全程关护护理模式对子宫颈癌根治术患者希望水平及病耻感的影响观察

Observation on the Influence of Whole-course Nursing Mode for Hope Level and Stigma of Patients with Radical Operation for Cervical Cancer

目的:观察与分析全程关护护理模式对子宫颈癌根治术患者希望水平及病耻感的影响。方法:选取2019年7月-2020年5月100例子宫颈癌根治术患者,根据随机数字表法分为两组,每组50例。对照组采用常规护理模式,观察组在对照组的基础上实施以全程关护护理模式为指导的护理措施。比较两组护理前、护理1周后、出院当天、出院后1周的希望水平(Herth希望量表)、病耻感(SIS量表)、自我管理效能感(SUPPH量表)及患者和家属对护理模式的满意度。结果:护理前,两组Herth希望量表、SIS量表及SUPPH量表评分比较,差异无统计学意义(P>0.05);护理1周后、出院当天及出院后1周观察组的Herth希望量表、SIS量表及SUPPH量表评分均优于对照组,差异均有统计学意义(P<0.05)。患者及家属对护理模式的总满意率均高于对照组,差异均有统计学意义(P<0.05)。结论:全程关护护理模式可改善子宫颈癌根治术患者的希望水平及病耻感,有助于自我管理效能感的提升,在子宫颈癌根治术患者中的应用价值较高。

Objective:To observe and analyze the influence of whole-course nursing mode for hope level and stigma of patients with radical operation for cervical cancer.Method:A total of 100 patients with radical operation for cervical cancer from July 2019 to May 2020 were divided into control group and observation group according to method of random number table,50 cases in each group.The control group adopted the routine nursing mode,and the observation group implemented the nursing measures guided by whole-course nursing mode on the basis of the control group.The hope level(Herth hope scale),stigma(SIS scale),self-management efficacy(SUPPH scale)were compared between two groups before nursing,after 1 week of nursing,the day of discharge and 1 week after discharge,and the satisfaction of patients were compared between two groups.Result:Before nursing,there were no significant differences in the scores of herth hope scale,SIS scale and SUPPH scale between two groups(P>0.05);after 1 week of nursing,the day of discharge and 1 week after discharge,the scores of herth hope scale,SIS scale and SUPPH scale of observation group were superior than those of control group,with statistical significance(P<0.05).The total satisfaction rates of patients and their families to nursing mode were higher than those of control group,and the differences were statistically significant(P<0.05).Conclusion:The whole-course nursing mode can improve the hope level and stigma of patients with radical operation for cervical cancer,contribute to improvement of self-management efficacy,so its application value in patients with radical operation for cervical cancer is higher.