基于赋能理论多维护理模式对肝癌介入治疗患者应对方式、心理状态及自我效能感的影响

Effects of Multi-maintenance Care Model Based on Empowerment Theory on Coping Style,Psychological State and Self-efficacy in Patients with Liver Cancer Interventional Therapy

目的探索分析基于赋能理论多维护理模式对肝癌介入治疗患者应对方式、心理状态及自我效能感的影响。方法随机抽选2019年1月—2020年12月期间江苏省徐州市传染病医院肝炎科收治的150例全部诊断为肝癌且均进行肝癌介入治疗的患者作为研究对象,按一般资料具有匹配性分为对照组、观察组,每组75例。对照组肝癌患者采取常规护理,观察组采用常规护理与基于赋能理论多维护理模式综合手段进行护理。观察对比两组应对方式、心理状态及自我效能感变化等。结果观察组焦虑、抑郁得分分别为(5.38±3.15)分、(5.63±0.65)分,均低于对照组,差异有统计学意义(t=6.587、12.133,P<0.001)。观察组自我效能各项得分均高于对照组,差异有统计学意义(P<0.05)。观察组消极应对得分低于对照组,积极应对、主观支持、客观支持、支持利用度得分均高于对照组,差异有统计学意义(P<0.05)。观察组护理服务、健康教育、技术操作、环境及其他、总体满意度得分均高于对照组,差异有统计学意义(P<0.05)。结论进行肝癌介入治疗患者采用基于赋能理论多维护理模式,明显缓解负面心理、改善应对方式、提高自我效能、护理满意度。

Objective To explore and analyze the effect of multi-maintenance management model based on empowerment theory on coping style,psychological state and self-efficacy of patients with liver cancer interventional therapy.Methods 150 patients who were diagnosed with liver cancer and underwent liver cancer intervention treatment at the Hepatitis Department of Xuzhou Infectious Disease Hospital in Jiangsu Province from January 2019 to December 2020 were randomly selected as the research subjects.They were divided into a control group and an observation group based on general data matching,with 75 cases in each group.Patients with liver cancer in the control group received conventional nursing care,and the observation group received comprehensive nursing care based on the multimaintenance nursing model based on empowerment theory.Observe and compare the changes in coping style,mental state and self-efficacy between the two groups.Results The scores of anxiety and depression in the observation group were(5.38±3.15)points and(5.63±0.65)points,respectively,lower than those in the control group,the difference was statistically significant(t=6.587,12.133,P<0.001).The self-efficacy scores of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).The negative coping score of the observation group was lower than that of the control group,while the scores of positive coping,subjective support,objective support,and support utilization were higher than those of the control group,the difference was statistically significant(P<0.05).The observation group had higher scores in nursing services,health education,technical operations,environment and others,and overall satisfaction than the control group,the difference was statistically significant(P<0.05).Conclusion The multi-maintenance care model based on empowerment theory can significantly alleviate negative psychology,improve coping style,self-efficacy and nursing satisfaction in patients undergoing interventional therapy for liver cancer.