健康教育及行为干预对胃肠道恶性肿瘤患者临终阶段自我感受负担的影响

Study on the effect of health education and behavioral intervention on the self-perceived burden of patients with gastrointestinal malignant tumor at end-stage

目的探讨健康教育及行为干预对改善胃肠道恶性肿瘤患者临终阶段自我感受负担的效果。方法2012年3月至2013年4月在唐山市5家三级综合医院抽取70例生存期预计在6个月内的胃肠道恶性肿瘤患者，将70例患者随机分为干预组和对照组各35例。干预组和对照组在治疗阶段均接受常规护理并按照处方服用药物，干预组实施健康教育及行为干预措施，在干预前后分别应用癌症患者自我感受负担量表（SPBS．cP）进行测评。结果干预后，干预组在照护负担、心理，隋感负担和治疗负担等3个维度的得分均低于自身干预前和同期对照组水平。结论健康教育及行为干预方法可有效减轻胃肠道恶性肿瘤患者临终阶段的自我感受负担。

Objective To investigate the effect of health education and behavioral intervention on the self-perceived burden of patients with gastrointestinal malignant tumor at end-stage. Methods From March 2012 to April 2013, 70 patients with gastrointestinal malignant tumor whose lifetime was esti- mated to be within 6 months were extracted from five general hospitals in Tangsban. 70 patients were randomly divided into the intervention group and the control group with 35 cases in each group. The two groups samely received routine nursing care,while the intervention group was given health education and be- havioral intervention. Both groups were evaluated by SPBS- CP before and after intervention. Results The scores of the intervention group after intervention were lower than before intervention and the control group, which were reflected in 3 dimensions such as care burden, psychological and emotional burden and treatment burden. Conclusions Health education and behavioral intervention can effectively relieve self- perceived burden of patients with gastrointestinal malignant tumor at end-stage.