基于保护动机理论的健康信念干预对宫颈癌患者癌因性疲乏、希望水平和自我效能的影响

Effect of Health Belief Intervention Based on Protective Motivation Theory on Cancer-Related Fatigue,Hope Level and Self-Efficacy in Patients with Cervical Cancer

目的研究基于保护动机理论的健康信念干预对宫颈癌患者在癌因性疲乏、希望水平、自我效能等方面的影响。方法选取2020年3月至2022年3月期间本院收治的77例宫颈癌患者,按随机数字表法分为两组,观察组39例,对照组38例。对照组采用常规护理干预,观察组在对照组基础上采用基于保护动机理论的健康信念干预,比较两组患者癌因性疲乏(CRF)、希望水平、自我效能。结果干预后,两组患者癌因性疲乏程度量表(CFS)中认知、情感、躯体等及总评分均有不同程度下降,观察组患者认知、情感、躯体等及总评分均低于对照组(P<0.05);干预后,两组患者积极行动(P)、积极态度(T)和与他人维持亲密关系(I)及总评分均有不同程度升高,观察组患者P、T、I及总评分均高于对照组(P<0.05);干预后,两组患者自我效能感量表(SUPPH)各项及总评分均有不同程度升高,观察组患者缓解压力、自我决定等及总评分均高于对照组(P<0.05)。结论基于保护动机理论的健康信念干预可显著提升宫颈癌患者希望水平和自我效能,降低CRF程度。

Objective To study the effects of health belief on cancer-induced fatigue,hope level and self-efficacy in patients with cervical cancer based on protective motivation theory.Methods 77 patients with cervical cancer admitted to our hospital from March 2020 to March 2022 were divided into two groups according to random number table method:observation group 39 cases and control group 38 cases.The control group was treated with routine nursing intervention,and the observation group was treated with health belief intervention based on protective motivation theory on the basis of the control group.Cancer fatigue(CRF),hope level and self-efficacy were compared between the two groups.Results After the intervention,the cognitive,emotional,physical,and total scores of the two groups of patients in the scale of cancer fatigue decreased to varying degrees,and the cognitive,emotional,physical,and total scores of patients in the observation group were lower than those in the control group(P<0.05).After intervention,positive action(P),positive attitude(T)and maintaining close relationship with others(I)and total scores of two groups were increased to varying degrees,and P,T,I and total scores of observation group were higher than those of control group(P<0.05).After the intervention,the scales of self-efficacy(SUPPH)and the total scores of the 2 groups were increased to varying degrees,and the stress relief,self-determination and total scores of the observation group were higher than those of the control group(P<0.05).Conclusions Health belief intervention based on protective motivation theory can significantly improve the level of hope and self-efficacy of cervical cancer patients,and reduce the degree of CRF.