自我效能干预对肺癌住院患者照护者心理弹性和社会功能的影响

Effects of self-efficacy intervention on mental resilience and social functioning of inpatients with lung cancer

目的 探讨自我效能干预模式对肺癌住院患者照护者心理弹性和社会功能的影响。方法 选取2021年1月-2022年3月新疆医科大学附属肿瘤医院收治的86例肺癌患者照护者为研究对象,按随机数字表法分为观察组、对照组,每组43例。对照组以常规护理干预,观察组以自我效能干预。对两组心理弹性、应对能力、社会功能及对应患者的生活质量评分,并比较患者对两组的满意度。结果 干预后,观察组的心理弹性量表(CD-RISC)评分,包括坚韧性、力量、乐观性及总分均高于对照组(P<0.05)。干预后,观察组的医学应对问卷量表(MCMQ)评分,包括回避、面对、屈服评分均高于对照组(P<0.05)。干预后,观察组社会功能缺陷筛选表(SDSS)评分低于对照组,人际反应指数(IRI)、社会支持评定量表(SSRS)评分均高于对照组(P<0.05)。干预后,观察组照护对象的生理健康、心理健康、社会关系、周围环境评分均高于对照组照护对象(P<0.05)。干预后,观察组照护对象的总满意度高于对照组照护对象(P<0.05)。结论 自我效能干预模式对肺癌住院患者照护者有良好的干预效果,能够改善照护者的心理弹性和社会功能,提高照护者的应对能力,并可以改善肺癌患者的生活质量,加快肺癌患者的康复,提高患者对照护者的满意度。

Objective To study the effects of self-efficacy intervention mode on mental resilience and social function of inpatients with lung cancer.Methods The caregivers of 86 patients with lung cancer admitted to the hospital from January 2021 to March 2022 were selected as the research objects.The patients were divided into observation group and control group by random number table method,with 43 caregivers in each group.The control group was treated with routine nursing intervention,and the observation group was treated with self-efficacy intervention.The mental resilience,coping ability,social function,the quality of life of the corresponding patients and the satisfaction of the patients to the caregivers were statistically compared between the two groups.Results The scores of mental resilience scale(CD-RISC),including tenacity,strength,optimism and total scores,were higher in observation group than in control group(P<0.05).After the intervention,the scores of the medical coping questionnaire(MCMQ)including avoidance,facing and submission were higher in observation group than in control group(P<0.05).After the intervention,the scores of SDSS were lower in observation group than in control group,and the scores of interpersonal response index(IRI)and social support rating scale(SSRS)were higher in control group(P<0.05).After the intervention,the scores of physical health,mental health,social relationship and surrounding enviromental scores in observation group′s caregivers were higher than those in control group′s caregivers(P<0.05).After the intervention,the total satisfaction of observation group′s caregivers was higher than that of control group′s caregivers(P<0.05).Conclusion The self-efficacy intervention mode has a good intervention effect on caregivers of the inpatients with lung cancer,and it can improve the mental resilience and social function of the caregivers,improve the coping ability of the caregivers,improve the quality of life of the patients with lung cancer,accelerate the rapid recovery of the patients with lung cancer and improve patients′satisfaction with the caregivers.