询问—建议—评估—帮助—随访干预策略对胸中下段食管癌患者术后的影响分析

Analysis of the Influence of Inquiry-Suggestion-Evaluation-HelpFollow-up Intervention Strategy on postoperative Patients with middle and lower thoracic esophageal Cancer

目的探讨询问—建议—评估—帮助—随访干预策略在胸中下段食管癌患者中的应用价值,并分析对自我管理效能及护理工作满意度的影响。方法收集南阳医学高等专科学校第一附属医院2020年6月至2021年5月收治的100例胸中下段食管癌患者,研究按照入院顺序随机分为两组。常规管理组50例,以常规护理干预,5A管理组50例以询问—建议—评估—帮助—随访干预策略干预。比较两组干预前后自我感受负担(SPBS-CP)、自我管理效能(SUPPH)、应对策略及护理满意度。结果SPBS-CP评分低于常规管理组,干预后5A管理组SUPPH评分高于常规管理组,差异有统计学意义(P<0.05);干预后5A管理组面对评分高于常规管理组,屈服和回避评分低于常规管理组,差异有统计学意义(P<0.05);5A管理组护理满意度(96.00%)高于常规管理组(80.00%),差异有统计学意义(P<0.05)。结论询问-建议-评估-帮助-随访干预策略可减轻胸中下段食管癌患者自我感受负担,提升其自我管理效能感,改善其应对策略,增强护理满意度。

Objective To explore the application value of inquiry-suggestion-evaluation-help-follow-up intervention strategy in patients with middle and lower thoracic esophageal cancer,and analyze the impact on self-management efficacy and nursing satisfaction.Methods A total of 100 patients with middle and lower thoracic esophageal cancer admitted to the First Affiliated Hospital of Nanyang Medical College from June 2020 to May 2021 were collected and randomly divided into two groups according to the order of admission.There were 50 cases in the routine management group,and 50 cases in the 5A management group were intervened by the strategy of inquiry-suggestion-evaluation-help-follow-up intervention.SPBS-CP,SUPPH,coping strategies and nursing satisfaction were compared between the two groups before and after intervention.Results The SPBSCP score was lower than that of the routine management group,and the SUPPH score of the 5A management group was higher than that of the routine management group after the intervention,with a statistically significant difference(P<0.05);After intervention,the face score of 5A management group was higher than that of the conventional management group,and the yield and avoidance scores were lower than that of the conventional management group,with a statistically significant difference(P<0.05);Nursing satisfaction in 5A management group(96.00%)was higher than that in routine management group(80.00%),with a statistically significant difference(P<0.05).Conclusion The strategy of inquiry-suggestion-evaluation-help-follow-up intervention can reduce the burden of self-perception of patients with middle and lower thoracic esophageal cancer,enhance their sense of self-management efficacy,improve their coping strategies,and enhance patient satisfaction with nursing.