护士主导的系统化健康教育在宫颈癌患者中的应用

Effect of nurse-led systematic health education in cervical cancer patients

目的探讨护士主导的系统化健康教育在宫颈癌患者中的应用效果。方法采用便利抽样法,选取2019年1—12月新乡市中心医院收治的100例宫颈癌患者为对照组,实行常规护理;选取2020年1—12月收治的100例宫颈癌患者为研究组,在对照组的基础上实行护士主导的系统化健康教育。于干预前、干预3个月后采用医学应对方式问卷(MCMQ)比较两组患者应对疾病的积极性;于干预3、6个月后采用肿瘤患者生活质量评分表比较两组患者的生活质量。结果干预3个月后,研究组患者MCMQ面对维度评分高于对照组,屈服、回避维度评分低于对照组,差异有统计学意义(P<0.01)。两组患者干预6个月后肿瘤患者生活质量评分表评分高于干预3个月后,且研究组患者干预3、6个月后肿瘤患者生活质量评分表评分高于对照组,差异有统计学意义(P<0.01)。结论护士主导的系统化健康教育有助于提高宫颈癌患者应对疾病的积极性及生活质量。

Objective To explore the effect of nurse-led systematic health education in cervical cancer patients.Methods Using the convenience sampling method,100 cervical cancer patients admitted to Xinxiang Central Hospital from January to December 2019 were selected as the control group and received routine nursing.A total of 100 patients with cervical cancer from January to December 2020 were selected as the research group,and nurse-led systematic health education was implemented on the basis of the control group.Before the intervention and 3 months after the intervention,the Medical Coping Modes Questionnaire(MCMQ)was used to compare the enthusiasm of the two groups of patients to cope with the disease.After 3 and 6 months of intervention,the quality of life of the two groups of patients was compared by using the Cancer Quality of Life Scale.Results After 3 months of intervention,the MCMQ confrontation dimension score in the research group was higher than that in the control group,and the resignation and avoidance dimension scores were lower than those in the control group,with statistically significant differences(P<0.01).The Cancer Quality of Life Scale scores of the two groups of patients after 6 months of intervention were higher than those after 3 months of intervention,and the Cancer Quality of Life Scale scores of the research group after 3 and 6 months of intervention were higher than those of the control group,and the differences were statistically significant(P<0.01).Conclusions Nurse-led systematic health education can help improve the enthusiasm and quality of life of cervical cancer patients.