四维度自我效能驱动下的身心康复锻炼对老年宫颈癌放疗患者自我效能及应对方式的影响

Effects of physical and mental rehabilitation exercise driven by four-dimension self-efficacy on self-efficacy and coping style in elderly patients with cervical cancer undergoing radiotherapy

目的:探讨四维度自我效能驱动下的身心康复锻炼对老年宫颈癌放疗患者自我效能及应对方式的影响。方法:选取2020年4月至2022年2月期间于我院就诊的105例老年宫颈癌放疗患者作为研究对象,根据随机数字表法分为常规组(n=52)和研究组(n=53)。常规组采取身心康复锻炼干预,研究组在常规组基础上联合四维度自我效能驱动护理。观察两组自我效能、应对方式、睡眠质量、并发症发生率。结果:干预3m后,研究组情绪控制、自我决策、寻找解决方法、自我减压、正性态度维度分值均高于常规组(P<0.05);研究组消极应对(退缩、自责、幻想)各维度分值均低于常规组,积极应对(理性思维、解决问题、寻求帮助)各维度分值均高于常规组(P<0.05);研究组匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)分值低于常规组(P<0.05);研究组并发症(骨髓抑制、恶心呕吐及皮肤过敏)发生率明显低于常规组(P<0.05)。结论:四维度自我效能驱动下的身心康复锻炼对提高老年宫颈癌放疗患者自我效能具有更好的效果,同时能有效增强其应对方式,提高睡眠质量,降低并发症发生率。

Objective:To explore the effects of physical and mental rehabilitation exercise driven by four dimensions of self-efficacy on self-efficacy and coping style of elderly patients with cervical cancer radiotherapy.Methods:A total of 105 elderly patients receiving radiotherapy for cervical cancer in our hospital from April 2020 to February 2022 were selected as research objects and divided into conventional group(n=52)and research group(n=53)according to random number table method.The conventional group took physical and mental rehabilitation exercise intervention,and the research group combined four-dimension self-efficacy driven nursing on the basis of the conventional group.Self-efficacy,coping style,sleep quality and complication rate ofthe two groups were observed.Results:After 3 months of intervention,the scores of emotional control,self-decision making,finding solutions,self-stress reduction and positive attitude in the research group were higher than those in the conventional group(P<0.05).The scores of negative coping(withdrawal,self-blame,fantasy)were lower than those of the conventional group,while the scores of positive coping(rational thinking,problem solving,seeking help)were higher than those of the conventional group(P<0.05).The Pittsburgh sleep quality index(PSQI)score of the study group was lower than that of the normal group(P<0.05).The incidence of complications(myelosuppression,nausea,vomiting and skin allergy)in the study group was significantlylower than that in the conventional group(P<0.05).Conclusion:Physical and mental rehabilitation exercise driven by four-dimension self-efficacy has a better effect on improving self-efficacy in elderly patients with cervical cancer radiotherapy,and can effectively enhance their coping style,improve sleep quality and reduce the incidence of complications.