正性激励模式下的护理措施对直肠癌患者术后心理状态、自我护理能力的影响

Effects of Nursing Measures under Positive Incentive Mode on Postoperative Mental State and Self-care Ability of Patients with Rectal Cancer

目的探讨正性激励模式下的护理措施在直肠癌患者中的应用效果及对术后心理状态和自我护理能力的影响。方法方便选取2020年3月—2023年2月厦门医学院附属第二医院收治的82例直肠癌患者作为研究对象,以随机数表法分为对照组和观察组,每组41例。对照组予以常规护理模式,观察组在对照组基础上联合基于正性激励模式下的护理措施,干预3个月,比较两组患者的心理状态、自我护理能力、对疾病的应对方式及生活质量。结果干预3个月后,观察组焦虑自测量表评分为(44.57±3.51)分与抑郁自测量表评分为(45.24±4.19)分低于对照组的(49.58±4.12)分、(52.83±4.57)分,自我护理能力测定量表评分为(158.23±7.71)分高于对照组的(134.51±6.83)分,差异有统计学意义(t=5.927、7.839、14.746,P均<0.05)。观察组干预后医学应对方式问卷评分中,面对评分为(29.27±2.42)分、屈服评分为(5.29±1.32)分、回避评分为(9.12±1.95)分均优于对照组,差异有统计学意义(P均<0.05)。观察组干预后环境功能评分为(90.55±4.39)分、心理功能评分为(94.81±4.54)分、生理功能评分为(90.32±4.91)分、社会功能评分为(93.12±4.43)分均高于对照组,差异有统计学意义(P均<0.05)。结论直肠癌患者给予正性激励护理,可改善其心理状态,敢于面对疾病,且提高患者的自护能力及生活质量。

Objective To explore the effect of nursing measures under positive incentive mode in patients with rectal cancer and the effect on postoperative psychological state and self-care ability.Methods A total of 82 patients with rectal cancer admitted to the Second Affiliated Hospital of Xiamen Medical College from March 2020 to February 2023 were conveniently selected as the study objects,and were divided into control group and observation group by random number table method,with 41 cases in each group.The control group was given routine nursing mode,and the observation group combined nursing measures based on positive incentive mode on the basis of the control group for 3 months,and compared the mental state,self-care ability,coping style and quality of life of patients in the two groups of patients.Results After 3 months of intervention,the scores of Anxiety Self-rating Scale(44.57±3.51)points and Depression Self-rating Scale(45.24±4.19)points in the observation group were lower than those in the control group(49.58±4.12)points and(52.83±4.57)points,and the score of Self-care Ability Scale(158.23±7.71)points was higher than that of control group(134.51±6.83)points,and the differences were statistically significant(t=5.927,7.839,14.746,all P<0.05).In the Questionnaire of Post-intervention Medical Coping Style,the face score(29.27±2.42)points,yield score(5.29±1.32)points and avoidance score(9.12±1.95)points of the observation group were better than those of the control group,and the differences were statistically significant(all P<0.05).After intervention,the environmental function score(90.55±4.39)points,psychological function score(94.81±4.54)points,physiological function score(90.32±4.91)points and social function score(93.12±4.43)points in observation group were higher than those in control group,and the differences were statistically significant(all P<0.05).Conclusion Positive incentive nursing for rectal cancer patients can improve their psychological state,dare to face the disease,and improve their self-care ability and quality of life.