行为转变理论护理在结直肠癌术后患者中的应用效果

Application effects of behavior change theory nursing in postoperative patients with colorectal cancer

目的:观察行为转变理论护理在结直肠癌术后患者中的应用效果。方法:回顾性分析2018—2022年该院收治的82例结直肠癌术后患者的临床资料,根据护理方法不同将其分为对照组和观察组各41例。对照组实施常规护理,观察组在对照组基础上实施行为转变理论护理。比较两组护理前后自我效能[一般自我效能感量表(GSES)]评分、应对方式[医学应对方式问卷(MCMQ)]评分、负性情绪[汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)]评分及并发症发生率。结果:护理后,两组HAMA、HAMD评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组面对评分均高于护理前,且观察组高于对照组,两组回避、屈服评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组GSES评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为4.88%(2/41),低于对照组的19.51%(8/41),差异有统计学意义(P<0.05)。结论:在常规护理基础上实施行为转变理论护理可提高结直肠癌术后患者自我效能评分,改善应对方式评分,以及降低负性情绪评分和和并发症发生率的效果优于单纯常规护理效果。

Objective:To observe application effects of behavior change theory nursing in postoperative patients with colorectal cancer.Methods:The clinical data of 82 postoperative patients with colorectal cancer admitted to the hospital from 2018 to 2022 were retrospectively analyzed.According to different nursing methods,they were divided into control group and observation group,41 cases in each group.The control group received routine nursing,while the observation group received the behavior change theory nursing on the basis of that of the control group.The self-efficacy[general self-efficacy scale(GSES)]score,the coping style[medical coping style questionnaire(MCMQ)]score,the negative emotion[Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA)]scores before and after the nursing,and the incidence of complications were compared between the two groups.Results:After the nursing,the scores of HAMA and HAMD in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the facing scores of the two groups were higher than those before the nursing,and that in the observation group was higher than that in the control group;the avoidance and yielding scores of the two groups were lower than those before the nursing,and those in the observation group were lower than those in the control group;and the differences were statistically significant(P<0.05).After the nursing,the GSES scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 4.88%(2/41),which was lower than 19.51%(8/41)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The behavior change theory nursing on the basis of the routine nursing can improve the self-efficacy scores,improve the coping style scores,and reduce the negative emotion scores and the incidence of complications in the postoperative patients with colorectal cancer.Moreover,it is superior to simple routine nursing.