二元应对护理干预对卵巢癌术后患者自我管理能力及创伤后成长的影响

Effects of the dyadic coping nursing intervention for treating patients with ovarian cancer after operation on their self-management ability and post-traumatic growth

目的:探讨二元应对护理干预在卵巢癌术后患者中的应用效果。方法:选择2020年5月-2023年5月本院治疗的卵巢癌术后患者102例,随机数字表法分为常规组与观察组各51例,均予以常规护理干预,观察组同时开展二元应对护理干预,连续干预3个月。比较两组自我管理能力、创伤后成长水平、康复进程、患者及其配偶生活质量、并发症。结果:干预后观察组自我管理能力测定量表各维度评分、创伤后成长评定量表各维度评分、生活质量综合评定问卷(71.82±9.81分)及患者照顾者生活质量评分(251.88±18.65分)均高于常规组(62.64±8.03分、208.64±19.53分),且康复进程较常规组快,干预期间并发症发生率观察组(3.9%)低于常规组(15.7%)(均P<0.05)。结论:以二元应对护理模式对卵巢癌术后患者进行干预可提高患者自我管理能力与创伤后成长水平,利于减少并发症发生,促进疾病康复,改善夫妻双方生活质量。

Objective:To explore the application effect of the dyadic coping nursing intervention for treating patients with ovarian cancer(OC)after operation.Methods:A total of 102 patients after OC operation in hospital were selected and were randomly divided into two groups(51 cases in each group)from May 2020 to May 2023.The patients in the two groups were given routine nursing intervention for 3 months,and the patients in the study group were given the dyadic coping nursing intervention additionally.The self-management ability,the post-traumatic growth,the rehabilitation process,the quality of life of the patients and their spouses,and the complications rate of the patients were compared between the two groups.Results:After intervention,the scores of the different dimension of the self-management ability measurement scale and the post-traumatic growth inventory of the patients in the study group were significantly higher than those of the patients in the control group.The scores of the comprehensive quality of life assessment questionnaire(71.82±9.81 points)and the quality of life questionnaire for caregivers and patient(251.88±18.65 points)of the patients in the study group were significantly higher than those(62.64±8.03 points and 208.64±19.53 points)of the patients in the control group.The rehabilitation process of the patients in the study group was significantly faster than that of the patients in the control group.The incidence of the complications(3.9%)of the patients in the study group during the intervention was significantly lower than that(15.7%)of the patients in the control group(all P<0.05).Conclusion:The intervention of dyadic coping nursing model for the patients after OC operation can improve their self-management ability and post-traumatic growth level,which is conducive to reducing their complications occurrence,promoting their disease rehabilitation and improving the quality of life of both husband and wife.