团体心理辅导联合病友同伴支持护理模式对子宫内膜癌患者遵医依从性、自护能力及心理状态的影响

Effect of group psychological counseling combined with peer support care on compliance,self-care ability and psychological state of patients with endometrial cancer

目的探讨团体心理辅导联合病友同伴支持护理模式对子宫内膜癌患者遵医依从性、自护能力及心理状态的影响。方法选取2017年8月—2020年6月福建省浦城县医院收治的60例子宫内膜癌患者作为研究对象,采用随机信封法分为观察组与对照组,每组30例。对照组患者采用常规护理干预,观察组在对照组基础上采用团体心理辅导联合病友同伴支持护理干预,2组均干预3个月。比较2组患者干预后的遵医行为依从性,干预前后自我护理能力、心理状况及社会支持水平。结果观察组患者干预后饮食、心理、运动、复查、用药等遵医行为依从率高于对照组,差异均有统计学意义(P<0.05)。2组患者干预后焦虑自评量表(SAS)及抑郁自评量表(SDS)评分低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。2组患者干预后自我护理能力测定量表(ESCA)评分高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。2组患者干预后社会支持评定量表(SSRS)客观支持、主观支持、支持利用度维度评分高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。结论团体心理辅导联合病友同伴支持护理模式有助于提高子宫内膜癌患者自我护理能力及遵医依从性,缓解患者心理负性情绪,提高患者社会支持水平。

Objective To investigate the effect of group psychological counseling combined with peer support care on compliance,self-care ability and psychological status of patients with endometrial carcinoma.Methods Sixty patients with endometrial carcinoma admitted to Pucheng County Hospital from August 2017 to June 2020 were selected as the study participants and assigned to the observation group and the control group by the random envelope method(n=30).Care intervention was adopted in the control group,and group psychological counseling combined with peer support care intervention was employed in the observation group based on the control group.Participants in both groups underwent intervention for 3 months.Compliance behavior,self-care ability,and psychological status were compared between the two groups before and after the intervention.Results The compliance rate of diet,psychology,exercise,reexamination,and medication in the observation group was significantly higher than that in the control group(P<0.05).The scores of the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the two groups after the intervention were significantly lower than those before the intervention,with the observation group lower than the control group(P<0.05).The scores of the Exercise of Self-Care Agency(ESCA)scale in the two groups after the intervention were significantly higher than those before the intervention,and the observation group was significantly higher than the control group(P<0.05).The scores of objective support,subjective support,and support-seeking behavior dimensions of the Social Support Rating Scale(SSRS)in the two groups after the intervention were significantly higher than those before the intervention,and the observation group was higher than the control group(P<0.05).Conclusion Group psychological counseling in combination with the peer support care model is helpful to improve the self-care ability and compliance of patients with endometrial cancer,alleviate the negative psychological emotions of patients and raise the level of social support.