“生物-心理-社会”整体化护理对子宫内膜异位症患者自我效能及生活质量的影响

Effect of “Bio-psychological-social” Holistic Care on Self-efficacy and Quality of Life in Patients with Endometriosis

目的:探讨“生物-心理-社会”整体化护理对子宫内膜异位症(EMs)患者自我效能及生活质量的影响。方法:选取2017年10月—2020年10月驻马店市中医院就诊的82例EMs患者作为研究对象,按随机数表法分为对照组和观察组,每组各41例。对照组予以常规护理,观察组实施“生物-心理-社会”整体化护理,均持续护理3个月。比较两组患者负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分]、自我效能感、生活质量[生活质量评价量表(SF-36)评分]、护理满意度。结果:护理前,两组患者HAMA、HAMD评分比较,差异无统计学意义(t=1.141、0.774,P>0.05);护理后,观察组HAMA、HAMD评分均低于对照组,差异有统计学意义(t=7.374、5.468,P<0.05)。护理前,两组患者自我效能感各维度评分比较,差异无统计学意义(t=0.709、0.174、0.457,P>0.05);护理后,观察组自我效能感各维度评分均高于对照组,差异有统计学意义(t=7.429、11.094、7.299,P<0.05)。护理前,两组患者SF-36量表中各维度评分比较,差异无统计学意义(t=1.646、1.116、1.158、0.148、0.279、1.505、0.187、1.246,P>0.05);护理后,观察组SF-36量表中各维度评分均高于对照组,差异有统计学意义(t=13.974、11.877、14.767、13.494、14.242、12.856、15.037、9.781,P<0.05)。观察组护理满意度明显高于对照组,差异有统计学意义(χ^(2)=5.145,P<0.05)。结论:“生物—心理—社会”整体化护理可有效减轻EMs患者负性情绪,增强自我效能感,提高生活质量,进而提升护理满意度。

Objective:To investigate the effect of “bio-psychological-social” holistic care on self-efficacy and quality of life in patients with endometriosis(EMs).Methods:82 patients with EMs attending the hospital from October 2017 to October 2020were selected for the study and divided into control and observation groups by random number table method, with 41 cases in each group. The control group was given conventional care, and the observation group was given holistic “bio-psycho-social”care, all of which lasted for 3 months. The negative mood(Hamilton Anxiety Inventory [HAMA], Hamilton Depression Measure [HAMD]scores), self-efficacy, quality of life(Quality of Life Assessment Scale [SF-36]scores), and satisfaction with care were compared between the two groups.Results:Before nursing, there was no statistically significant difference in HAMA and HAMD scores between the two groups(t=1.141, 0.774, P>0.05). After nursing, the HAMA and HAMD scores of the observation group were lower than those of the control group, and the differences were statistically significant(t=7.374 and 5.468, P<0.05). Before nursing,there was no statistically significant difference in the scores of each dimension of self-efficacy between the two groups(t=0.709,0.174, 0.457, P>0.05). After nursing, the observation group scored higher than the control group on all dimensions of self-efficacy, and the differences were statistically significant(t=7.429, 11.094, 7.299, P<0.05). Before nursing, there was no statistically significant difference in the scores of each dimension in the SF-36 scale between the two groups(t=1.646, 1.116, 1.158, 0.148,0.279, 1.505, 0.187, 1.246, P>0.05). After nursing, the scores of all dimensions in the SF-36 scale were higher in the observation group than in the control group, with statistically significant differences(t=13.974, 11.877, 14.767, 13.494, 14.242, 12.856, 15.037,9.781, P<0.05). The nursing satisfaction of the observation group was significantly higher than that of the control group, and the difference was statistically significant(χ^(2)=5.145, P<0.05).Conclusion:“Biology-psychology-society” holistic care can effectively reduce negative emotions, enhance self-efficacy, and improve quality of life of patients with EMs, thus increasing nursing satisfaction.