基于普及化和个体化的双轨持续健康教育对癌症子宫内膜术后患者的影响

Yan Wu
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摘要

目的探讨基于普及化和个体化的双轨持续健康教育在癌症术后患者中的效果。方法自2017年6月至2018年6月,选择武汉大学中南医院194例EC手术患者进行前瞻性研究。采用随机数表法将患者分为观察组和对照组,每组97例。观察组实施基于普遍性和个体化的双轨式持续健康教育,对照组实施常规持续护理。本研究比较了两组干预后3个月的自我护理运动量表(ESCA)、医学应对方式问卷(MCMQ)、尊自评焦虑量表(SAS)和自评抑郁量表(SDS)、癌症综合治疗功能评估量表(FACT-G)。结果干预后,两组患者的健康知识、自我概念、自理责任、自理能力和ESCA总分均高于干预前,观察组高于对照组,差异有统计学意义(P<0.05),两组MCMQ对抗得分均高于干预前,回避和屈服得分均低于干预前;观察组MCMQ对抗得分高于对照组,回避和服从得分低于对照组,差异有统计学意义(P<0.05)。干预后两组SAS和SDS得分均高于干预前,干预后观察组的SAS和SDS得分均高于对照组(P<0.05),干预后两组的家庭/社会、生理、情绪和FACT-G功能得分均高于干预前,观察组的维度得分高于对照组,差异有统计学意义(P<0.05),CRF和生活质量。关键词:子宫内膜肿瘤;继续护理;健康教育双轨制;普遍化;个性化
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Effects of dual-track continuous health education based on universalization and individualization in patients post operation for endometrial cancer
Objective To explore the effects of dual-track continuous health education based on universalization and individualization in patients post operation for endometrial cancer (EC) . Methods From June 2017 to June 2018, this prospective study selected 194 EC patients with surgery of Zhongnan Hospital of Wuhan University to carry out. All of patients were divided into observation group and control group with the method of random number table, 97 cases in each group. Observation group carried out the dual-track continuous health education based on universalization and individualization, while control group implemented the routine continuous nursing. This study compared the scores the Chinese Edition of Exercise of Self-Care Agency Rating Scale (ESCA) , Medical Coping Modes Questionnaire (MCMQ) , Zung Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) , Functional Assessment of Cancer Therapy-general (FACT-G) between two groups three after intervention. Results After intervention, the scores of health knowledge, self-conception, self-care responsibility, self-care agency and the total score of ESCA between two groups were higher than those before intervention, and those scores of observation group were higher than those of control group with statistical differences (P<0.05) . After intervention, the score of confrontation in MCMQ of two groups was higher than that before intervention, and scores of avoidance and submission were lower than those before intervention; the score of confrontation in MCMQ of observation group was higher than that of control group, and the scores of avoidance and submission of observation group were lower than those of control group with statistical differences (P<0.05) . The scores of SAS and SDS of two groups after intervention were higher than those before intervention, and the scores of SAS and SDS of observation group after intervention were higher than those of control group with statistical differences (P<0.05) . After intervention, the scores of family/society, physiology, emotion and function of FACT-G between two groups were higher than those before intervention, and those dimension scores of observation group were higher than those of control group with statistical differences (P<0.05) . Conclusions Dual-track continuous health education based on universalization and individualization for EC post operation can effectively lift patient's self-care ability and promote the positive coping style which helps patients improve their mental state, CRF and quality of life. Key words: Endometrial neoplasms; Continuing nursing; Dual-track health education; Universalization; Individualization
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