摘要
目的探究姑息照护对肝癌介入术后患者健康信念的影响.方法选择2020年1月—2021年3月于该院行介入治疗的50例肝癌患者为研究对象,按照随机数表法分为对照组(25例)和观察组(25例).对照组采用常规护理,在此基础上,观察组采用姑息照护.比较两组的生存质量、健康信念、心理弹性及负性情绪.结果护理后,观察组的社会、躯体、心理功能及症状/不良反应评分分别为(32.90±6.31)分、(53.47±7.69)分、(46.11±3.66)分、(46.50±2.62)分,均高于对照组,差异有统计学意义(P<0.05).护理后,观察组的各项健康信念评分均高于对照组,差异有统计学意义(P<0.05).护理后,观察组的各项心理弹性评分均高于对照组,组间差异有统计学意义(P<0.05).护理后,观察组的抑郁自评量表(SDS)、焦虑自评量表(SAS)评分分别为(32.11±2.05)分、(30.59±3.76)分,均低于对照组,差异有统计学意义(P<0.05).结论姑息照护能够增强肝癌介入术后患者的健康信念,提高其心理弹性,减轻负性情绪,利于促进生存质量改善.
Objective To explore the influence of palliative care on health beliefs of patients after liver cancer intervention.Methods A total of 50 liver cancer patients who received interventional therapy in the hospital from January 2020 to March 2021 were selected as the research subjects,and were divided into a control group(25 cases)and an observation group(25 cases)according to random number table method.The control group received routine nursing,on this basis,the observation group received palliative care.The quality of life,health belief,mental resilience and negative emotion were compared between the two groups.Results After nursing,the scores of social,somatic and psychological functions and symptoms/adverse reactions in the observation group were(32.90±6.31)points,(53.47±7.69)points,(46.11±3.66)points and(46.50±2.62)points,respectively,which were higher than those in the control group,and the differences was statistically significant(P<0.05).After nursing,the health belief scores of the observation group were higher than those of the control group,and the differences was statistically significant(P<0.05).After nursing,the psychological resilience scores of the observation group were higher than those of the control group,and the differences was statistically significant(P<0.05).After nursing,the scores of depression self-rathg scale(SDS)and anxiety self-rating scale(SAS)in the observation group were(32.11±2.05)points and(30.59±3.76)points,respectively,lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Palliative care can enhance the health belief,improve the psychological resilience,reduce negative emotions,and promote the improvement of life quality of patients after liver cancer intervention.
作者
张爱兰
ZHANG Ailan(Department of Tumor Hematology,Chengwu People's Hospital,Heze Shandong,274200,China)
出处
《反射疗法与康复医学》
2021年第19期85-88,共4页
Reflexology And Rehabilitation Medicine
关键词
肝癌
介入术
姑息照护
生存质量
健康信念
心理弹性
负性情绪
Liver cancer
Interventional surgery
Palliative care
Quality of life
Health belief
Mental resilience
Negative emotion
作者简介
张爱兰(1977-),女,山东巨野人,本科,主管护师,研究方向:实体肿瘤微创治疗后的护理。