自我效能支持对肝癌TACE患者术后疼痛度、睡眠质量及效能水平的影响

Effect of self-efficacy Support on Postoperative Pain, Sleep Quality and Efficacy Level in Patientswith Liver Cancer After TACE

目的 探究自我效能支持对肝癌行肝动脉化疗栓塞(TACE)治疗患者术后疼痛度、睡眠质量及效能水平的影响。方法 选择2021年1月-2022年1月我院收治的82例肝癌TACE治疗患者为研究对象,按照随机数字表法分为研究组(n=41)和对照组(n=41)。研究组采用自我效能支持,对照组实施常规护理,比较两组护理后疼痛度、睡眠质量,以及干预前后自我效能变化情况。结果 研究组干预后患者视觉模拟量表(VAS)评分低于对照组,差异有统计学意义(P<0.05);研究组患者匹兹堡睡眠质量量表(PSQI)各维度得分低于对照组,差异有统计学意义(P<0.05);研究组患者结果期望(OE-16)和自我效能期望(EE-16)得分高于对照组,差异有统计学意义(P<0.05);研究组干预后患者的焦虑自评量表(SAS)和抑郁自评量表(SDS)得分低于对照组(P<0.05)。结论 自我效能支持有助于改善肝癌TACE患者术后疼痛度,提高其睡眠质量和自我效能水平,还能够改善患者不良情绪。

Objective To explore the effect of self-efficacy support on postoperative pain,sleep quality and efficacy level in patients with liver cancer undergoing transcatheter arterial chemoembolization(TACE).Methods A total of 82 patients with liver cancer treated with TACE in our hospital from January 2021 to January 2022 were selected as the research objects.According to the random number table method,they were divided into study group(n=41)and control group(n=41).The study group was given self-efficacy support,and the control group was given routine nursing.The pain degree,sleep quality and self-efficacy changes before and after intervention were compared between the two groups.Results The Visual Analogue Scale(VAS)score of the study group was lower than that of the control group after intervention,and the difference was statistically significant(P<0.05).The scores of each dimension of Pittsburgh Sleep Quality Scale(PSQI)in the study group were lower than those in the control group,and the difference were statistically significant(P<0.05).The scores of outcome expectation(OE-16)and self-efficacy expectation(EE-16)in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)in the study group were lower than those in the control group(P<0.05).Conclusion Self-efficacy support can help to improve the postoperative pain of patients with liver cancer undergoingTACE,improve their sleep quality and self-efficacy level,and also improve patients'adverse emotions.