自我效能增强干预在骨肿瘤患者中的应用效果及对生活质量的影响

Application of self-efficacy enhancing intervention in patients with bone tumor and its effect on quality of life

目的探讨自我效能增强干预在骨肿瘤患者中的应用效果及对生活质量的影响。方法回顾性分析54例接受常规护理干预的骨肿瘤患者(对照组)和54例接受自我效能增强干预的骨肿瘤患者(研究组)的临床资料,比较两组患者的自我效能评分、自我护理能力评分和生活质量评分。结果干预前,两组患者的正性态度、自我减压和自我决策评分比较,差异均无统计学意义(P﹥0.05);干预后,研究组患者的正性态度、自我减压和自我决策评分均明显高于对照组(P﹤0.01)。干预前,两组患者的自护责任感、自我护理技能、自我概念和健康知识水平评分比较,差异均无统计学意义(P﹥0.05);干预后,研究组患者的自护责任感、自我护理技能、自我概念和健康知识水平评分均明显高于对照组(P﹤0.01)。干预前,两组患者的躯体功能、情绪功能、角色功能、认知功能、社会功能和总体生活质量评分比较,差异均无统计学意义(P﹥0.05);干预后,研究组患者的躯体功能、角色功能、认知功能、社会功能和总体生活质量评分均高于对照组(P﹤0.05)。结论自我效能增强干预在骨肿瘤患者中具有一定的可行性,能够增强患者对疾病的自我管理能力,提高其主观能动性,改善生活质量。

Objective To explore the effect of self-efficacy enhancing intervention in patients with bone tumor and its effect on quality of life. Method Retrospective analysis containing 54 bone tumor patients who were given routine nursing intervention （control group） and another 54 bone tumor patients who were administered with self-efficacy enhancing intervention （study group） was performed to compare the self-efficacy scores, self-care ability scores, and quality of life （QOL） scores.Result Before intervention, the scores of positive attitude, self-decompression and self-decision in the two groups were of no statistically significant difference （P〉0.05）; while after intervention, these scores in study group were higher than those in control group （P〈0.01）. Besides, before intervention, the scores of self-care responsibility, self-care skills, self-concept and health knowledge in the two groups were on the same level, with no statistically sig- nificant difference observed （P〉0.05）; and after intervention, these scores in study group were higher than those in control group （P〈0.01）. As for scores of body function, emotional function, role function, cognitive function, social function and overall QOL, there was no statistically significant difference between study group and control group before interven- tion （P〉0.05）; and after intervention, the body function, role function, cognitive function, social function and overall QOL scores in study group were higher than those in control group, with statistically significant difference observed （P〈0.05）. Self-efficacy enhancing intervention is fairly feasible for patients with bone tumors, and it can enhance the patient＇ s self-management ability of disease, improve the subjective initiative, and ameliorate the QOL.