自我效能干预对老年宫颈癌术后放疗患者生存质量的影响

Effect of self-efficacy intervention on quality of life in elderly patients with cervical cancer receiving postoperative radiotherapy

目的探讨自我效能干预对老年宫颈癌手术后放疗患者生存质量的影响。方法选取2017年1月至2019年1月间咸阳市中心医院收治的行宫颈癌根治术后放疗的60例老年宫颈癌患者,采用随机数字表法分为观察组和对照组,每组30例。两组患者均采用宫颈癌术后放疗临床路径实施治疗后照护干预,观察组患者加用自我效能干预,比较两组患者干预前后自我效能评分(GSES)、心理社会适应能力、医学应对能力及生活质量。结果干预前,两组患者GSES评分、心理社会适应能力各维度评分、医学应对问卷各维度评分和生活质量评分比较,差异均无统计学意义(P>0.05)。干预后,对照组患者GSES评分较干预前无明显变化,观察组患者上升,差异有统计学意义(P<0.05)。干预后,对照组患者心理社会适应能力各维度评分无明显变化,观察组患者各维度评分均上升,差异均有统计学意义(均P<0.05)。干预后,两组患者医学应对问卷各维度评分均上升,且观察组患者各维度评分均大于对照组,差异均有统计学意义(均P<0.05)。干预后,对照组患者生活质量评分较干预前下降(P<0.05),观察组患者较干预前无明显变化(P>0.05)。结论自我效能干预可有效提升老年宫颈癌手术患者术后放疗应对积极性,提高心理社会适应能力,缓解放疗不利刺激,提高生存质量.

Objective To analyze the effect of self-efficacy intervention on quality of life in elderly patients with cervical cancer on radiotherapy after surgery.Methods Sixty elderly patients who received radiotherapy after radical operation for cervical cancer at Xianyang Center Hospital from January 2017 to January 2019 were selected as the research subjects.They were divided into an observation group and a control group using digital random table method with 30 patients in each group.Both groups were given nursing intervention based on clinical pathway for postoperative radiotherapy.Besides this,patients in the observation group were given self-efficacy intervention.The scores of general self-efficacy scale(GSES),psychosocial adaptability,medical coping ability and quality of life before and after intervention were compared between the two groups.Results There was no significant difference in GSES score,psychosocial adaptability,medical coping ability and quality of life between the two groups before intervention(P>0.05).After the intervention,GSES score significantly increased in the observation group(P<0.05),while there was no significant change in the control group.Scores of psychosocial adaptability increased after the intervention in the observation group(P<0.05)while there was no significant change in the control group.Scores of medical coping ability increased in both groups with the scores higher in the observation group than in the control group(all P<0.05).After the intervention,scores of quality of life decreased in the control group(all P<0.05),while there was no significant difference in scores of quality of life in the observation group(P>0.05).Conclusion Self-efficacy intervention can effectively improve the responsiveness,enhance psychosocial adaptability,alleviate the adverse stimulation of radiotherapy,and improve quality of life in elderly patients with cervical cancer on radiotherapy after surgery.