团体活动式延续护理对宫颈癌患者抑郁和自我效能的影响
作者: |
1王国莲,
2林铃,
1陈运群,
1符少玲
1 海南省东方市人民医院妇产科,海南 东方 572600 2 海南省海口市人民医院妇产科,海口 570100 |
通讯: |
王国莲
Email: wang59339@163.com |
DOI: | 10.3978/j.issn.2095-6959.2016.08.016 |
摘要
目的:探讨团体活动式延续护理对宫颈癌患者抑郁和自我效能的影响。方法:采取简单随机抽样法选取我院妇科2014年1~6月60名宫颈癌住院患者作为研究对象,按照随机数表法分为对照组和观察组各30名。对照组采用常规性出院护理指导,观察组在此基础上增加团体活动式延续护理内容。入组干预3个月后,分别采用自我护理能力量表(Exercise of Self-Care Agency Scale,ESCA)、抑郁自量表(Self-Rating Depression Scale,SDS)、自测健康评定量表(Self-test on Remark of Health Measuring Scale,SRHMS)进行评分,对结果数据收集后进行统计学分析比较。结果:经过3个月护理试验,观察组患者SDS评分(40.72±6.39)明显低于对照组(45.67±10.56),观察组在自测健康中生理、心理、社会三个健康维度的自测分和总得分上明显高于对照组,观察组干预后30、60、90 d自我效能评分(16.53±1.23,19.98±1.42,29.99±2.09)显著高于对照组(13.76±1.01,17.01±1.04,20.02±1.31),各项对比差异P值<0.05,差异具有统计学意义。结论:团体活动式延续护理对宫颈癌患者自我效能起到明显促进作用,且有效缓解患者的心理压力,减低患者抑郁情绪的产生。
关键词:
团体活动式延续护理
宫颈癌
抑郁
自我效能
The effect of group activity continuity nursing on depression and self-efficacy of patients with cervical cancer
CorrespondingAuthor: WANG Guolian Email: wang59339@163.com
DOI: 10.3978/j.issn.2095-6959.2016.08.016
Abstract
Objective: To explore the effect of group activities on depression and self-efficacy of patients with cervical cancer. Methods: 60 cervical cancer hospitalized patients who were treated in department of gynaecology of our hospital from January to June in 2014 were selected as the research object. All the patients were randomly divided into control group and observation group. There were 30 patients in each group. The control group was given routine discharge nursing instruction, the observation group were increased the activities of the group activity continuity nursing content on the basis of the routine discharge nursing instruction. After 3 months of intervention, the data from Exercise of Self-Care Agency Scale (ESCA), Self-Rating Depression Scale (SDS) and Self-test on Remark of Health Measuring Scale (SRHMS) were collected for statistical analysis of comparison. Results: After 3 months of care test, the SDS score in the observation group (40.72±6.39) was significantly lower than that in the control group (45.67±10.56), the scores of physiological, psychological and social dimensions of the three self-rated health in self-rated health and also total score were significantly higher than that in the intervention group, after the intervention for 30, 60, and 90 d, self-efficacy score (16.53±1.23, 19.98±1.42, 29.99±2.09) was significantly higher than those in the control group (13.76±1.01, 17.01±1.04, 20.02±1.31) (all P value <0.05), the difference was statistically significant. Conclusion: The group active nursing care can significantly improve the self-efficacy of patients with cervical cancer, effectively relieve the psychological pressure of the patients and reduce the generation of depression.