台签式健康教育对喉癌术后患者创伤后成长的影响

Influence of place card health education on the post-traumatic growth in laryngeal cancer patients after the operation

目的：探讨台签式健康教育对喉癌术后患者创伤后成长的影响。方法选取2012年1月-2013年12月92例喉癌患者作为研究对象，按照随机数字表法将患者分为对照组及观察组各46例。对照组实施常规健康教育，观察组在对照组的基础上给予台签式健康教育。健康教育前后分别采用创伤后成长评定量表、Jalowies 应对方式量表、自我效能量表（ GSES ）对两组患者进行问卷调查。结果健康教育后观察组患者创伤后成长总分（76．38±14．75）分，优于对照组的（52．18±12．02）分，差异有统计学意义（t＝5．986，P＜0．05）。健康教育后观察组患者自我效能评分为（50．92±12．78）分，高于对照组的（35．98±6．72）分，差异有统计学意义（t＝5．785，P＜0．05）。 Jalowies应对方式各维度评分健康教育前后差异均有统计学意义（P＜0．05）。喉癌患者术后创伤后成长评分与Jalowies应对方式中的寻求支持、乐观、面对、情感宣泄呈正相关（r值分别为0．402，0．412，0．325，0．336；P＜0．05），而与逃避、宿命、姑息、依靠自我呈负相关（ r值分别为-0．352，-0．372，-0．363，-0．341；P＜0．05）；创伤后成长与自我效能呈正相关（r＝0．396，P＜0．05）。结论台签式健康教育可使患者积极应对疾病，学会调节负性情绪，从而提高自我效能，促进创伤后成长。

Objective To explore the effect of place card health education on the post-traumatic growth in laryngeal cancer patients after the operation .Methods Ninety-two laryngeal cancer patients from January 2012 to December 2013 were chosen and divided into the control group and the observation group , each with 46 cases.The control group received the routine health education , and the observation group received the place card health education on the basis of the routine health education .The patients were surveyed by Posttraumatic Growth Inventory （ PTGI ） , Jalowies coping scale , General Self-Efficacy Scale （ GSES ） before and after the health education.Results The total score of PTGI was （76.38 ±14.75） in the observation group, and was better than （52.18 ±12.02） in the control group, and the difference was statistically significant （ t=5.986, P〈0.05）.The score of GSES was （50.92 ±12.78） in the observation group, and was higher than （35.98 ± 6.72） in the control group, and the difference was statistically significant （ t =5.785, P 〈0.05 ）.The differences were found in the all dimension of Jalowies coping scale before and after the health education （ P〈0.05）.The score of PTGI of laryngeal cancer patients after the operation was positively correlated with looking for support, optimism, face, and emotional catharsis included by Jalowies coping scale （ r =0.402,0.412, 0.325,0.336, respectively;P〈0.05）, and was negatively correlated with escape , fate, palliative, self-relying included by Jalowies coping scale （r=-0.352,-0.372,-0.363,-0.341, respectively;P〈0.05）.The score of PTGI was positively correlated with self-efficacy（r=0.396,P〈0.05）.Conclusions Place card health education can make the patients to raise positive response to the disease and learn to regulate negative emotions so as to improve their self-efficacy and promote their post-traumatic growth.