自我效能干预措施对恶性肿瘤放化疗患者癌痛、心理状态及生活质量的影响

Effects of self-efficacy intervention measures on the psychological state of cancer pain and quality of life of patients with malignant tumor radiotherapy and chemotherapy

目的探讨自我效能干预措施对恶性肿瘤放化疗患者癌痛、心理状态及生活质量的影响。方法选取2015年4月~2017年4月于该院收治的125例恶性肿瘤放化疗患者的临床资料进行研究,随机将其分为观察组与对照组,对照组62例患者给予常规护理措施,观察组63例患者在此基础上采用自我效能干预措施。记录并比较干预前后两组恶性肿瘤放化疗患者癌痛情况、自我效能水平、心理状态及生活质量,同时计算并比较护理满意度。结果干预后两组癌痛均明显减轻,且观察组癌痛缓解更为明显,差异具有统计学意义(P<0.05);干预后两组自我效能评分均明显升高,且观察组自我效能评分升高更为明显,差异均具有统计学意义(P<0.05);干预后两组SAS、SDS评分均明显降低,且观察组患者SAS、SDS评分降低更为明显,差异均具有统计学意义(P<0.05);干预后两组SF-36量表8个维度评分均明显升高,且观察组患者SF-36量表8个维度评分升高更为明显,差异均具有统计学意义(P<0.05);观察组恶性肿瘤放化疗患者护理满意度98.41%(62/63)明显高于对照组患者79.03%(49/62),差异具有统计学意义(χ^2=2.943,P<0.05)。结论对恶性肿瘤放化疗患者给予自我效能干预措施可有效缓解患者癌痛、提高其自我效能水平、改善其心理状态以及提高其生活质量,值得推广应用。

Objective To explore the effect of self-efficacy intervention measures on cancer pain, psychological state and quality of life of patients with malignant tumor radiotherapy and chemotherapy. Methods A total of 125 patients with malignant tumor treated in the hospital from April 2015 to April 2017 were selected as the research objects.They were randomly divided into the observation group and the control group.The 62 patients of the control group were given routine nursing measures.The 63 patients of the observation group were given self-efficacy intervention measures on this basis.The self-efficacy level, psychological status and quality of life of cancer pain patients in the two groups before and after the intervention were recorded and compared. Meanwhile, nursing satisfaction was calculated and compared. Results After the intervention, the cancer pain of the two groups was significantly reduced, and the pain relief of the observation group was more obvious, the difference was statistically significant(P<0.05). After the intervention, the self-efficacy scores of the two groups were significantly increased, and the self-efficacy scores of the observation group were significantly increased, and the differences were statistically significant(P<0.05). After intervention, the Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) scores of the two groups were significantly decreased, and the SAS and SDS scores of the observation group decreased more obviously, and the differences were statistically significant(P<0.05). After intervention, the eight dimensions of the SF-36 scale of the two groups were significantly increased, and the eight dimensions of the SF-36 scales of the observation group increased more obviously, and the differences were statistically significant(P<0.05). The nursing satisfaction of the observation group patients with malignant tumor undergoing radiotherapy and chemotherapy 98.41%(62/63) was significantly higher than the control group's 79.03%(49/62), and the difference was statistically significant (χ^2=2.943, P<0.05). Conclusions Self-efficacy intervention measures given to patients with malignant tumor radiotherapy and chemotherapy can effectively alleviate cancer pain, improve their self-efficacy, improve their psychological state and improve their quality of life, which is worthy of promotion and application.