Snyder希望理论联合微信支持对胃癌根治术后患者希望水平及康复自我效能的影响

Effect of Snyder hope theory combined with WeChat support on the hope level and rehabilitation self-efficacy of patients after radical gastric cancer surgery

目的探讨Snyder希望理论联合微信支持对胃癌根治术后患者康复效果的影响。方法选择2018年4月至2019年10月江苏省淮安市第一人民医院收治的胃癌根治术后患者96例,采用随机数字表法分为干预组、对照组,每组各50例。对照组给予常规护理干预,干预组在常规护理干预的基础上联合应用Snyder希望理论、微信支持。干预6个月,比较两组希望水平、康复自我效能及生活质量。结果观察组脱落1例,对照组脱落3例,最终观察组纳入49例、对照组47例。干预6个月,两组对现实和未来的态度、与他人保持亲密关系、采用积极行动评分及希望水平总分高于干预前,且干预组高于对照组(P<0.05);两组情绪管理、症状管理、日常生活管理、康复信息获取与应用、康复训练与技能培养评分及康复自我效能总分高于干预前,且干预组高于对照组(P<0.05);两组社会/家庭状况、情感状况、功能状况评分及生活质量总分高于干预前高于且干预组高于对照组(P<0.05)。结论Snyder希望理论联合微信支持有助于提高胃癌根治术后患者希望水平及康复自我效能,改善生活质量。

Objective To explore the effect of Snyder’s hope theory combined with WeChat support on the rehabilitation of patients after radical gastric cancer surgery.Methods Ninety-six patients after radical gastric cancer who were admitted to Huaian First People’s Hospital from April 2018 to October 2019 were selected and they were divided into intervention group and control group by random number table method.with 50 cases in each group.The control group was given conventional nursing intervention,and the intervention group received combined with the application of Snyder hope theory and WeChat support on the basis of conventional nursing intervention.Intervention for six months,the hope level,rehabilitation self-efficacy,and quality of life were compared between the two groups.Results Six months after intervention,the two groups attitude towards reality and future,maintaining close relationship with others,positive action score and total score of hope level were higher than before intervention,and the intervention group was higher than the control group(P<0.05).The scores of emotional management,symptom management,daily life management,rehabilitation information acquisition and application,rehabilitation training and skill cultivation and total rehabilitation self-efficacy of the two groups were higher than before intervention,and the intervention group was higher than the control group(P<0.05).The scores of social/family status,emotional status,functional status and quality of life in the intervention group were higher than those before intervention and higher than those in the control group(P<0.05).Conclusion Snyder hope theory combined with WeChat support can help enhance the hope of patients after radical gastric cancer surgery,rehabilitation self-efficacy,and improve the quality of life.