基于行为转变理论的护理干预应用于宫颈癌前病变和宫颈癌患者中的效果

Application Effect of Nursing Intervention Based on Behavior Change Theory in Patients with Cervical Precancerous Lesions and Cervical Cancer

目的:探讨基于行为转变理论的护理干预应用于宫颈癌前病变和宫颈癌患者中的效果。方法:选取2019年1月—2022年12月湖北省监利市第二人民医院收治的宫颈癌前病变和宫颈癌患者50例作为研究对象,根据随机抽签法分对照组与试验组,各25例。对照组实施常规护理;试验组实施基于行为转变理论的护理干预。比较两组护理前后焦虑情绪评分、抑郁情绪评分、疼痛程度评分、睡眠质量评分、生活质量评分、护理满意度、并发症发生情况。结果:护理后,两组焦虑、抑郁评分均低于护理前,且试验组低于对照组,差异有统计学意义(P<0.05)。护理后,两组疼痛程度、睡眠质量评分均低于护理前,试验组低于对照组,两组生活质量评分均高于护理前,且试验组高于对照组,差异有统计学意义(P<0.05)。试验组护理满意度高于对照组,差异有统计学意义(P=0.014)。试验组并发症发生率低于对照组,差异有统计学意义(P=0.027)。结论:宫颈癌前病变和宫颈癌患者实施基于行为转变理论的护理干预效果确切,可有效缓解患者不良情绪和疼痛程度,减少并发症发生率,改善其睡眠和生活质量,提高满意度,值得推广。

Objective:To explore the effect of nursing intervention based on behavior change theory in patients with cervical precancerous lesions and cervical cancer.Methods:A total of 50 patients with cervical precancerous lesions and cervical cancer in the Second People′s Hospital of Jianli City of Hubei Province from January 2019 to December 2022 were selected as the study subjects.They were divided into control group and experimental group by random lottery method,with 25 cases in each group.The control group was given routine nursing,and the experimental group was given nursing intervention based on behavior change theory.The anxiety score,depression score,pain degree score,sleep quality score,quality of life score,nursing satisfaction and complications were compared between the two groups before and after nursing.Results:After nursing,the anxiety and depression scores in the two groups were lower than those before nursing,the experimental group was lower than the control group,and the difference was statistically significant(P<0.05).After nursing,the pain degree and sleep quality scores in the two groups were lower than those before nursing,the experimental group was lower than the control group,and the quality of life scores in the two groups were higher than those before nursing,the experimental group was higher than the control group,and the difference was statistically significant(P<0.05).Nursing satisfaction in the experimental group was higher than that in the control group,and the difference was statistically significant(P=0.014).The incidence of complications in the experimental group was lower than that in the control group,and the difference was statistically significant(P=0.027).Conclusion:The effect of nursing intervention based on behavior change theory in patients with cervical precancerous lesions and cervical cancer is accurate,which can effectively relieve the patients′bad mood and pain,reduce the incidence of complications,improve sleep quality and quality of life,and improve satisfaction,and it is worth promoting.