中低位直肠癌患者实施改良Bacon手术治疗后应用健康信念模式下开展居家式自我管理的效果评价

Evaluation of the Effect of Home-based Self-management under the Health Belief Model after Modified Bacon Surgery in Patients with Middle and Low Rectal Cancer

目的:探究与分析中低位直肠癌患者实施改良Bacon手术治疗后应用健康信念模式下开展居家式自我管理的效果评价。方法:选取江西省肿瘤医院自2018年5月-2021年2月收治的接受改良Bacon手术治疗的直肠癌患者120例,采取随机数字表法分为对照组与观察组,各60例,除去中途退出或中断研究、转院或临床资料缺失者,共111例患者纳入最后研究,对照组53例,观察组58例。对照组给予常规管理,观察组在其基础上给予健康信念模式下开展居家式自我管理。比较两组自我护理能力评分、健康信念评分、并发症发生率及满意度。结果:管理后,观察组自我概念、自我护理技能、健康知识水平、自护责任感评分均较对照组高,健康动力、益处、自我效能、易感性、严重性、障碍评分均较对照组高,差异均有统计学意义(P<0.05)。观察组并发症发生率较对照组低,满意度较对照组高,差异均有统计学意义(P<0.05)。结论:健康信念模式下开展居家式自我管理应用于改良Bacon手术治疗直肠癌患者中显著提高了患者的自我护理能力,提升其健康信念,同时也降低了并发症发生率,患者总体满意度较高。

Objective:To explore and analyze the evaluation of the effect of home-based self-management under the health belief model after modified Bacon surgery in patients with middle and low rectal cancer.Method:A total of 120 patients with rectal cancer who received modified Bacon surgery and were treated in Jiangxi Cancer Hospital from May 2018 to February 2021 were selected,they were divided into the control group and the observation group by random number table method,with 60 cases in each group,excluding those who dropped out or discontinued the study,transferred to a hospital,or had missing clinical data,a total of 111 patients were included in the final study there were 53 cases in the control group and 58 cases in the observation group.The control group was given routine management,and the observation group was given home-based self-management under the health belief model.Self-care ability scores,health belief scores,complication rate and satisfaction were compared between the two groups.Result:After management,the scores of self-concept,self-care skills,health knowledge level and sense of self-care in the observation group were higher than those in the control group,and the scores of health motivation,benefits,self-efficacy,susceptibility,severity and disorder were higher than those in the control group,the differences were statistically significant(P<0.05).The complication rate in the observation group was lower than that in the control group,and the satisfaction rate was higher,the differences were statistically significant(P<0.05).Conclusion:The application of home-based self-management under the health belief model to the modified Bacon surgery for the treatment of cancer patients significantly improves the patients’self-care ability,improves their health behaviors and health beliefs,and reduces the incidence of complications,overall satisfaction is high.