延续性健康教育对膀胱癌患者遵医行为和自我效能的影响

Effect of continuous health education on compliance behavior and self-efficacy of patients with bladder cancer

目的探讨延续性健康教育对膀胱癌患者遵医行为和自我效能的影响。方法选取2018年10月至2020年6月于宁德师范学院附属宁德市医院行择期手术的术后康复期膀胱癌患者98例,按入院顺序分为对照组和观察组,各49例。对照组患者给予常规随访,观察组患者在对照组方案基础上给予延续性健康教育,比较两组遵医行为情况、自我效能和心理评估结果。结果观察组坚持锻炼、合理膳食、遵医用药、按时复诊和规律作息的遵医行为均显著高于对照组(P值均<0.05)。干预后,两组一般自我效能量表(GSES)评分较干预前显著升高,观察组GSES评分显著高于对照组(P值均<0.05)。干预后,两组的焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分均较干预前显著降低,观察组的SAS和SDS评分均显著低于对照组(P值均<0.05)。结论实施延续性健康教育能促进膀胱癌患者形成遵医行为,提高自我效能,减轻焦虑和抑郁程度。

Objective To explore the effect of continuous health education on compliance behavior and self-efficacy of patients with bladder cancer.Methods From October 2018 to June 2020,98 patients in the postoperative rehabilitation period who had undergone elective surgery for bladder cancer at Ningde City Hospital Affiliated to Ningde Normal University were selected and divided into a control group and an observation group according to the order of admission,with 49 cases in each group.The control group was given routine follow-up,and the observation group were given continuous health education on the basis of the control group.The compliance behavior,self-efficacy and psychological evaluation of the two groups were compared.Results The compliance behaviors of insistence on exercise,reasonable diet,medication compliance,regular visit to hospital and regular work and rest of the observation group were higher than those of the control group(all P<0.05).After the intervention,the General Self-Efficacy Scale(GSES)scores of the two groups were significantly higher than those before the intervention,and the GSES scores of the observation group were significantly higher than those of the control group(all P<0.05).After the intervention,the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in the two groups were significantly lower than those before the intervention,and the scores of SAS and SDS in the observation group were lower than those in the control group(all P<0.05).Conclusion The implementation of continuous health education can promote the compliance behavior,improve the self-efficacy,and reduce anxiety and depression in patients with bladder cancer.