摘要
目的探讨健康信念模式对膀胱癌造口患者自我效能的影响。方法选取我院收治的膀胱癌患者90例作为研究对象,将其随机分为干预组和对照组,每组各45例。对照组给予常规护理,干预组在对照组基础上,给予健康信念模式干预,评价两组自我护理能力量表(ESCA),生活质量问卷(QOL-OQ)。结果干预后,两组ESCA各项均高于干预前,差异具有统计学意义(P<0.01),干预组自护责任感、自护概念、自护技能、知识水平得分高于对照组,差异具有统计学意义(P<0.01);两组QOL-OQ各项均高于干预前,差异具有统计学意义(P<0.01),干预组心理健康、生理健康、精神状态、社会关系得分高于对照组,差异具有统计学意义(P<0.01)。结论健康信念模式有效提高膀胱癌造口患者自我护理能力及生活质量。
Objective To investigate the effect of healthy belief model on the self-efficacy of patients with bladder cancer.Methods 90 cases of patients with bladder cancer in our hospital were selected as the study objects,they were randomly divided into intervention group and control group,45 cases in each group.The control group was given routine nursing care,the intervention group,on the basis of the control group,was given intervention in the health belief model,evaluation of two groups of selfcare ability scale(ESCA),quality of life questionnaire(QOL-OQ).Results After intervention,the ESCA scores in the two groups were all higher than those before intervention,and the difference was statistically significant(P<0.01).The scores of self-care responsibility,self-care concept,selfcare skills and knowledge level in the intervention group were higher than those in the control group(P<0.01).The two groups of QOL-OQ were all higher than those before intervention,and the difference was statistically significant(P<0.01).The scores of mental health,physical health,mental state and social relationship in intervention group were higher than those in control group,the difference was statistically significant(P<0.01).Conclusion The healthy belief model can effectively improve the self-care ability and quality of life of patients with bladder cancer.
作者
宋春晓
李永智
SONG Chunxiao;LI Yongzhi(Department of Plastic Surgery,The First Affiliated Hospital of China Medical University,Shenyang Liaoning 110001,China;Department of Urology,The Fourth Affiliated Hospital of China Medical University,Shenyang Liaoning 110001,China)
出处
《中国继续医学教育》
2018年第13期143-145,共3页
China Continuing Medical Education
基金
2015年辽宁省教育厅科学研究一般项目(L2015576)
关键词
健康信念模式
膀胱癌
自我护理
生活质量
health belief model
bladder cancer
self-care
quality of life