赋能理论联合目标导向性干预在前列腺癌术后患者中的应用

Application of Empowerment Theory Combined with Goal Oriented Intervention in Postoperative Patients with Prostate Cancer

目的探讨赋能理论联合目标导向性干预在前列腺癌术后患者中的应用效果。方法前瞻性随机对照研究,纳入郑州大学第一附属医院2020年11月至2022年11月70例前列腺癌患者,以随机数字表法将患者分成两组,每组35例。对照组接受赋能理论护理干预,观察组在对照组基础上联合目标导向性干预,干预时间为2个月。护理后用自我护理能力量表(ESCA)评估患者的自我管理能力,记录并比较术后两组并发症发生率;护理前后采用肿瘤生存质量调查表(QLQ-C30)评估两组生活质量。结果护理后观察组自我管理能力各项评分均高于对照组(P<0.05);观察组术后并发症发生率低于对照组(P<0.05);护理前,两组生活质量各项评分差异无统计学意义(P>0.05),护理后两组生活质量评分升高,观察组高于对照组(P<0.05)。结论赋能理论联合目标导向性干预能提高前列腺癌术后患者的自我管理能力,减少并发症的发生,改善患者术后生活质量。

Objective To explore the application effect of empowerment theory combined with goal oriented intervention in postoperative patients with prostate cancer.Methods A prospective randomized controlled study was conducted.Seventy patients with prostate cancer from November 2020 to November 2022 in the First Affiliated Hospital of Zhengzhou University were enrolled.The patients were divided into two groups by random number table,with 35 cases in each group.The control group implemented empowerment theory nursing interventions,while the observation group combined goal-oriented interventions on the basis of the control group,with an intervention time of 2 months.After nursing,the exercise of self-care agency scale(ESCA)was used to evaluate the patient’s self-management ability,and the incidence of postoperative complications was recorded and compared between the two groups.Before and after nursing,the quality of life of the two groups was evaluated using the tumor quality of life questionnaire(QLQ-C30).Results After nursing,the self-management ability scores of the observation group were higher than those of the control group in all aspects(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).Before nursing,there was no statistical difference in the quality of life scores between the two groups(P>0.05).After nursing,the quality of life scores of the two groups increased,the observation group was higher than control group(P<0.05).Conclusion The combination of empowerment theory and goal oriented intervention can improve the self-management ability of prostate cancer patients after surgery,reduce the occurrence of related complications,and further improve their postoperative quality of life.