自我护理与自我效能干预在提高胃癌术后化学治疗患者生活质量中的应用效果

Effect of self-care and self-efficacy intervention in improving the quality of life of patients undergoing chemotherapy after gastric cancer surgery

目的探讨自我护理与自我效能干预对胃癌化学治疗(化疗)患者生活质量的影响。方法选取2014年7月—2015年2月收治的64例胃癌术后化疗患者作为研究对象,根据入院先后顺序分为(2014年7月—10月,34例)和对照组(2014年11月—2015年2月,30例),对照组患者实施常规护理,干预组患者实施自我护理与自我效能干预。比较两组患者干预前后的一般自我效能感量表(General Self-efficacy Scale,GCES)评分、自我护理能力测定量表(Exercise of Self-care Agency,ESCA)评分、生命质量测定量表体系的胃癌量表(Quality of Life Instruments for Cancer Patients-stomach Cancer,QLICP-ST)评分。结果干预后,干预组与对照组GCES评分分别为(30.08±4.21)、(20.78±4.58)分,ESCA总评分分别为(132.30±14.81)、(92.45±13.23)分,QLICP-ST总分分别为(75.96±9.41)、(56.77±10.32)分,组间比较差异均有统计学意义(P<0.05)。结论自我护理与自我效能护理干预能有效提高胃癌术后化疗患者的自我护理能力、自我效能,改善患者的生活质量。

Objective To investigate the influence of self-care and self-efficacy intervention on the quality of life of patients undergoing chemotherapy after surgery for gastric cancer. Methods Sixty-four patients undergoing chemotherapy after gastric cancer surgery between July 2014 and February 2015 were selected as the study subjects. According the sequence of admission, they were divided into intervention group （n=34） and control group （n=30）. Patients in the control group accepted conventional care, while those in the intervention group received self-efficacy and self-care interventions. The scores of General Self-efficacy Scale （GCES）, Exercise of Self-care Agency （ESCA）, and Quality of Life Instruments for Cancer Patients-Stomach Cancer （QLICP-ST） were compared between the two groups before and after intervention. Results After intervention, GCES scores of the intervention group and the control group were respectively （30.08±4.21） and （20.78±4.58） points; the total scores of ESCA were respectively （132.30±14.81） and （92.45±13.23） points; and the total scores of QLICP-ST were respectively （75.96±9.41） and （56.77±10.32） points. All the above differences between the two groups were significant （P〈0.05）. Conclusion Self-care and self-efficacy intervention can improve self-care ability and self-efficacy, and improve the quality of life of patients undergoing chemotherapy after gastric cancer surgery.