动态健康教育对老年前期胃癌患者焦虑抑郁情绪和自我效能影响研究

The effect of dynamic health education on anxiety,depression and self-efficiency in elderly patients with gastric cancer

目的观察动态健康教育对老年前期胃癌患者焦虑抑郁情绪和自我效能的影响,以探讨健康教育护理的临床价值。方法选取82例老年前期胃癌患者作为研究对象,根据是否进行动态健康教育护理将患者分成观察组和对照组,每组41例,比较两组患者抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分、自我效能评分及生活质量评价,对动态健康教育的临床价值进行评价。结果观察组患者出院时的SDS评分和SAS评分均明显低于对照组患者出院时,差异均有统计学意义(P﹤0.01);观察组患者出院时的自我效能评分为(119.22±15.32)分,对照组患者出院时的自我效能评分为(102.16±12.54)分,观察组高于对照组,差异有统计学意义(P﹤0.05);观察组患者出院时的生活质量高于对照组患者出院时,差异有统计学意义(P﹤0.05)。结论动态健康教育能够在很大程度上缓解老年前期胃癌患者的焦虑和抑郁情绪,同时提高患者的自我效能,对于改善患者生活质量具有重要临床价值。

Objective To observe the effect of dynamic health education on anxiety,depression and self-efficiency in elderly patients with gastric cancer,and to explore the clinical value of nursing.Method 82 cases of elderly patients with gastric cancer were treated in our hospital,and were divided as study group or control group by whether the dynamic health education was administered,with 41 cases in each,and the SDS score,SAS score,self-efficiency score and quality of life between the two groups were compared,the value of dynamic health education was determined.Result The scores of SDS and SAS were significantly lower in the study group than those in the control group,with significant difference observed（P〈0.01）; when patients were discharged from hospital,the self-efficacy score of the study group was（119.22±15.32）,which was higher than that in control group at（102.16±12.54）,indicating statistically significant difference（P〈0.05）; besides,the quality of life was also better than that in the control group（P〈0.05）.Conclusion Dynamic health education can greatly alleviate the anxiety and depression of elderly patients with gastric cancer,and can improve the self-efficacy of patients at the same time,which is of important clinical significance in improving the quality of life in elderly patients.