基于跨理论模型的行为干预方式对胸腔镜精准肺段切除病人术后自我效能感及癌因性疲乏的影响

Effect of behavioral intervention based on cross-theoretical model on postoperative self-efficacy and cancer-induced fatigue in patients undergoing thoracoscopic precision segmental lung resection

目的:探讨基于跨理论模型的行为干预方式对胸腔镜精准肺段切除病人术后自我效能感及癌因性疲乏的影响。方法:采用便利抽样法选取2020年10月—2022年5月在医院接受胸腔镜精准肺段切除术的108例病人为研究对象,采用随机数字表法分为对照组与观察组各54例。对照组术后实施常规护理,观察组术后实施基于跨理论模型的行为干预方式。比较干预前后两组病人健康行为自我效能感量表(GSES)、中文版癌症自我管理效能感量表(SUPPH)和中文版癌因性疲乏自评量表(CRF量表)评分。结果:干预后两组病人GSES评分及SUPPH量表正性态度、自我减压及自我决策维度评分比干预前均升高,且观察组明显高于对照组(P<0.05);干预后两组病人CRF量表心理疲乏、躯体疲乏、认知疲乏及疲乏对生活的影响维度评分比干预前均降低,且观察组明显低于对照组(P<0.05)。结论:胸腔镜精准肺段切除病人围术期实施基于跨理论模型的行为干预方式可有效提高病人术后健康行为自我效能感和癌症自我管理效能感,缓解病人术后癌因性疲乏。

Objective:To explore the effect of behavioral intervention based on cross-theoretical model on postoperative self-efficacy and cancer-induced fatigue in patients with thoracoscopic precision segmental lung resection.Methods:A total of 108 patients who received thoracoscopic precision segmental lung resection in hospital from October 2020 to May 2022 were selected as research objects by convenience sampling method,and were divided into control group and observation group with 54 patients in each group by random number table method.The patients in control group received routine nursing after surgery,and the patients in observation group received behavioral intervention based on cross-theoretical model after surgery.The scores of General Self-Efficacy Scale(GSES),Strategies Used by People to Promote Health(SUPPH)and cancer related fatigue(CRF)were compared before and after the intervention between the two groups.Results:After intervention,GSES score and SUPPH scale positive attitude,self-decompression and self-decision dimension score were higher than those before intervention,and these in observation group were significantly higher than those in control group(P<0.05).After intervention,the CRF scale scores of psychological fatigue,physical fatigue,cognitive fatigue and the impact dimension of fatigue on life were decreased in both groups compared with those before intervention,and was significantly lower in the observation group than those in the control group(P<0.05).Conclusions:Perioperative behavioral intervention based on cross-theoretical model can effectively improve postoperative health behavior self-efficacy and cancer self-management efficacy of patients with thoracoscopic precision segmental lung resection,and alleviate postoperative cancer-related fatigue.