自我效能管理对恶性肿瘤放化疗患者癌痛症状及生活质量的影响

Effects of self-efficacy management on cancer pain symptoms and quality of life in patients with malignant tumor undergoing radiotherapy and chemotherapy

目的探讨自我效能管理对恶性肿瘤放化疗患者癌痛症状及生活质量的影响。方法选取2018年1月至2020年1月收治的78例恶性肿瘤放化疗患者作为研究对象,根据护理方法不同将其分为对照组和试验组,各39例。对照组行常规护理,试验组在常规护理基础上行自我效能管理。比较两组的疼痛程度及评分、生活质量评分、自我效能感评分及临床疗效。结果护理后,试验组轻度患者占比高于对照组,中重度患者占比及VAS评分低于对照组(P<0.05)。护理后,试验组躯体、认知、情绪、社会评分均高于对照组(P<0.05)。护理后,试验组疼痛管理、躯体功能、症状应对评分及总分均高于对照组(P<0.05)。试验组治疗总有效率高于对照组(P<0.05)。结论自我效能管理应用于恶性肿瘤放化疗患者中效果较好,可有效缓解癌痛症状,提升生活质量。

Objective To explore the effects of self-efficacy management on cancer pain symptoms and quality of life in patients with malignant tumor undergoing radiotherapy and chemotherapy.Methods A total of 78 patients with malignant tumor treated by radiotherapy and chemotherapy from January 2018 to January 2020 were selected as the research objects.According to different nursing methods,the patients were divided into control group and experimental group,with 39 cases in each group.The control group received routine nursing,and the experimental group received self-efficacy management on the basis of routine nursing.The pain degree and score,quality of life score,self-efficacy score and clinical efficacy of the two groups were compared.Results After nursing,the proportion of mild patients in the experimental group was higher than that in the control group,and the proportion of moderate and severe patients and VAS score in the experimental group were lower than those in the control group(P<0.05).After nursing,the physical,cognitive,emotional and social scores in the experimental group were higher than those in the control group(P<0.05).After nursing,the pain management,physical function,symptom coping scores and total score in the experimental group were higher than those in the control group(P<0.05).The total effective rate of treatment in the experimental group was higher than that in the control group(P<0.05).Conclusion The self-efficacy management applied to patients with malignant tumor undergoing radiotherapy and chemotherapy has a good effect,which can effectively relieve the cancer pain symptoms and improve the quality of life.