以量化评估指导为基础的行为研究干预对胃癌患者术后恢复及自我管理能力的影响

Effect of behavioral research intervention guided by quantitative evaluation on postoperative recovery and self-management ability of gastric cancer patients

目的探讨以量化评估指导为基础的行为研究干预对胃癌患者术后恢复及自我管理能力的影响。方法采用随机数字表法将92例胃癌患者分为对照组和研究组,每组46例,对照组患者给予常规干预,研究组患者在对照组的基础上给予以量化评估指导为基础的行为研究干预。比较两组患者的术后恢复进程指标、自我管理能力[成年人健康自我管理能力测评量表(AHSMSRS)]、健康状态[卡氏功能状态(KPS)评分]和术后并发症发生情况。结果研究组患者肛门排气时间、饮食恢复时间、肠蠕动恢复时间、首次下床时间和住院时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者行为、认知、环境评分和总分均高于本组干预前,研究组患者行为、认知、环境评分和总分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,研究组患者的KPS评分高于本组干预前和对照组,差异均有统计学意义(P﹤0.05)。研究组患者的术后并发症总发生率为6.52%,与对照组患者的17.39%比较,差异无统计学意义(P﹥0.05)。结论以量化评估为指导的行为研究干预可以明显促进胃癌患者的术后恢复进程,提高自我管理能力,改善健康状态。

Objective To investigate the effect of behavioral research intervention guided by quantitative evaluation on postoperative recovery and self-management ability of gastric cancer patients.Method A total of 92 patients were divided into control group and study group using the random number table method,with 46 patients in each group.Patients in the control group were given conventional intervention,while patients in the study group were given behavioral research intervention guided by quantitative evaluation based on the control group.The postoperative recovery process indicators,self-management ability[the rating scale of health self-management skill for adult(AHSMSRS)],health status[Karnofsky performance status(KPS)],and postoperative complications were compared between the two groups.Result The anal exhaust time,diet recovery time,intestinal motility recovery time,first time out of bed,and hospitalization time in the study group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.01).After the intervention,the behavioral,cognitive,and environmental scores and total score in the two groups were higher than those before the intervention,the above scores in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the KPS scores in the study group were higher than those before the intervention and the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the study group was 6.52%,which was not statistically significant compared to 17.39% in the control group(P>0.05).Conclusion Behavioral research intervention guided by quantitative evaluation could significantly promote the postoperative recovery process of gastric cancer patients,improve their self-management capacity,and improve their health status.