自我效能干预对胶质瘤患者术后自我管理效能、心理状态及癌因性疲乏的影响

Effect of self-efficacy intervention on postoperative self-management efficacy,psychological state and cancer-related fatigue of patients with glioma

目的探讨自我效能干预对胶质瘤患者术后自我管理效能、心理状态及癌因性疲乏的影响。方法根据干预方法的不同将98例显微镜下胶质瘤切除术患者分为对照组(n=49)和观察组(n=49),对照组患者采用常规干预,观察组患者在对照组的基础上进行自我效能干预。比较两组患者的自我管理效能[中文版癌症自我管理效能感量表(C-SUPPH)]、心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、癌因性疲乏情况[癌症疲乏量表(CFS)]、满意度、住院时间及并发症发生情况。结果干预后,两组患者正性态度、自我决策、自我减压评分均高于本组干预前,观察组患者正性态度、自我决策、自我减压评分均高于对照组,差异均有统计学意义(P<0.05)。干预后,两组患者SDS、SAS评分均低于本组干预前,观察组患者SDS、SAS评分均低于对照组,差异均有统计学意义(P<0.05)。干预后,两组患者行为严重程度、认知、感知、情感评分均低于本组干预前,观察组患者行为严重程度、认知、感知、情感评分均低于对照组,差异均有统计学意义(P<0.05)。观察组患者总满意度明显高于对照组,住院时间明显短于对照组,并发症总发生率明显低于对照组,差异均有统计学意义(P<0.01)。结论自我效能干预能够缓解胶质瘤术后患者的癌因性疲乏,改善患者的自我管理效能和心理状态,降低并发症发生率,缩短住院时间,提高患者满意度。

Objective To investigate the effect of self-efficacy intervention on postoperative self-management efficacy,psychological state and cancer-related fatigue of patients with glioma.Method A total of 98 glioma patients who received microscopic tumor resection were divided into control group(n=49,received routine intervention)and observation group(n=49,received self-efficacy intervention on the basis of the control group)according to different intervention methods.The self-management efficacy[Chinese-strategies used by people to promote health(C-SUPPH)],psychological state[self-rating depression scale(SDS)and self-rating anxiety scale(SAS)],cancer-related fatigue[cancer fatigue scale(CFS)],satisfaction,length of hospital stay and complications were compared between the two groups.Result After intervention,the scores of positive attitude,self-decision making and self-decompression scores in the two groups were increased,with higher scores in the observation group than those in the control group(P<0.05).After intervention,the scores of SDS and SAS in the two groups were decreased,with lower scores in the observation group than those in the control group(P<0.05).After intervention,the behavioral severity,cognition,perception and emotional scores in the two groups were decreased,with lower scores in the observation group than those in the control group(P<0.05).The total satisfaction rate of the observation group was higher,length of hospital stay was shorter and incidence of complication was lower than those of the control group(P<0.01).Conclusion Self-efficacy intervention can alleviate cancer-related fatigue,improve self-management efficacy and psychological state,reduce complications,shorten the length of hospital stay and improve patients’satisfaction after glioma surgery.