心理护理对脑肿瘤患者生存质量的影响及其与自我效能感的关系

Influence of mental nursing on quality of life of brain tumor sufferers and its relation with self-efficacy

目的探讨心理护理对脑肿瘤患者生存质量的影响及其与自我效能感的关系。方法2010-12—2014-12收治的脑肿瘤患者102例中随机选取51例作为观察组,实施心理护理;另51例作为对照组,实施常规护理。应用世界卫生组织生存质量测定量表简表和一般自我效能感量表,在患者出院或转入其他科室时施测。结果观察组的生理领域、心理领域、社会关系领域、自我效能感的得分高于对照组,差异有高度统计学意义(P<0.01);两组环境领域得分差异无统计学意义(P>0.05)。观察组自我效能感与生理领域、心理领域和社会关系领域呈正相关(P<0.05或0.01),与环境领域无相关性(P>0.05);对照组自我效能感与生理领域、环境领域呈正相关(P<0.05),与心理领域和社会关系领域无相关性(P>0.05)。自我效能进入观察组生理领域、心理领域和社会关系领域的回归方程(P<0.01),对其变异的解释率分别为29%、40%和52%;自我效能进入对照组环境领域的回归方程(P<0.01),对其环境领域变异的解释率为27%。结论心理护理改善脑肿瘤患者生理领域、心理领域、社会关系领域等生存质量及自我效能感;自我效能感是脑肿瘤患者生存质量的预测因子。

Objective To explore the influence of mental nursing on quality of life of brain tumor sufferers and its relation with self-efficacy. Methods 5l from 102 patients with brain tumor hospitalized in department of neurosurgery from December 2010 to December 2014 were randomly selected to be the observation group accepting mental nursing and the other 51 patients were the control group accepting regular nursing.The two groups were administered by WHO Quality of Life Rating Scale and General Self-Efficacy Scale at their discharge or shift to other departments. Results The observation group was higher than the control group in scores of physiological domain, psychological domain, social relation domain, and general self-efficacy, and the difference was of high statistical significance （P 〈0.01）.The score difference of environmental domain between the observation group and the control group had no statistical significance （P 〉 0.05）.Self-efficacy of the observation group was positively related to physiological domain, psychological domain, and social relation domain （P〈 0.05 or 0.01 ）, while not related to environmental domain（ P 〉 0.05）. Self-efficacy of the control group was positively related to physiological domain and environmental domain（P〈0.05）, while not related to psychological domain and social relation domain （P 〉0.05）.Self-efficacy was brought into the regression function of physiological domain,psychological domain,and social relation domain in the observation group （P〈0.01）, whose interpretation ratio was respectively 29%, 40% ,and 52%, wbile sell：efficacy was brought into the regression function of environmental domain in the control group （P〈0.01）,with an interpretation ratio of 27% .Conclusion Mental nursing can improve self-efficacy and quality of life of brain tumor sufferers in physiological domain, psychological domain, and social relation domain, and self-efficacy is a predictive factor of quality of life in brain tumor sufferers.