认知行为干预对子宫内膜癌手术患者术后病耻感及自我效能的影响

Effect of cognitive behavioral intervention on postoperative stigma and self-efficacy of patients undergoing endometrial cancer surgery

目的探讨认知行为干预对子宫内膜癌手术患者术后病耻感及自我效能的影响。方法选取2017年1月—2019年12月医院收治的子宫内膜癌手术患者80例为研究对象,按照组间基本特征具有可比性的原则分为对照组和观察组,各40例。对照组予以常规护理干预,观察组在对照组基础上给予认知行为干预,比较两组患者干预8周后病耻感及自我效能水平情况。结果干预8周后,观察组患者社会影响量表(SIS)、弹性量表(CD-RISC10)总评分分别为40.24±5.09分、34.72±3.81分,均优于对照组的59.84±6.17分、26.90±4.52分;观察组患者癌症自我管理效能感量表(SUPPH)评分为96.39±12.04分明显优于对照组的77.89±12.37分,差异均有统计学意义(P<0.05)。结论子宫内膜癌手术患者术后普遍存在病耻感等心理问题,自我效能较差,借助认知行为干预可显著改善其心理状态,提升自我效能,值得临床借鉴。

Objective To explore the effect of cognitive behavioral intervention on postoperative stigma and self-efficacy of patients undergoing endometrial cancer surgery.Methods To select 80 cases of patients who underwent endometrial cancer surgery and were admitted to hospital from January 2017 to December 2019 as the study objects.According to the principle of comparability of basic characteristics between groups,they were divided into a control group and an observation group,with 40 cases in each group.The control group was given routine nursing intervention,and the observation group was given cognitive behavioral intervention on the basis of the control group to compare the stigma and self-efficacy levels of the two groups of patients after 8 weeks of intervention.Results After 8 weeks of intervention,the total scores of social impact scale(SIS)and Connor-Davidson resilience scale(CD-RISC 10)in the observation group were 40.24±5.09 points and 34.72±3.81 points respectively,which were better than the control group's 59.84±6.17 points and 26.90±4.52 points,and the observation group's strategies used by people to promote health(SUPPH)score of 96.39±12.04 points was significantly better than the control group's 77.89±12.37 points,and the differences were statistically significant(P<0.05).Conclusion The postoperative patients undergoing endometrial cancer surgery generally had psychological problems such as stigma and poor self-efficacy,so applying cognitive behavioral intervention can significantly improve their psychological state and enhance self-efficacy.It was worthy of clinical reference.