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基于行动研究实践理论的健康教育对直肠癌造口患者自我效能和自护能力的影响 被引量:7

Effect of applying health education based on action research practice theory for self-efficacy and self-care ability of patients with rectal cancer stoma
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摘要 目的探讨基于行动研究实践理论的健康教育对直肠癌造口患者自我效能和自护能力的影响。方法选择2017年1月至2019年1月我院收治的直肠癌造口患者80例,将其随机等分为对照组和观察组,对照组进行常规健康教育,观察组基于行动研究实践理论开展健康教育,3个月后比较两组患者自我效能调查量表以及自护能力量表(ESCA)评分。结果干预后3个月观察组患者造口照顾、饮食选择、社交、劳动信心、生活自理信心、性生活信心评分均高于对照组,差异具有统计学意义(P<0.05);护理技能、自我责任、健康知识水平、自我概念评分均高于对照组,差异具有统计学意义(P<0.05)。结论基于行动研究实践理论的健康教育通过观察、反思,不断改进行动干预,能够有效提升直肠癌造口患者自护能力与自我效能,值得临床推广应用。 Objective To explore the effect of health education based on action research practice theory for self-efficacy and self-care ability of patients with rectal cancer stoma.Methods To select 80 cases of patients with rectal cancer stoma who treated in our hospital from January 2017 to January 2019.They were randomly divided into a control group and an observation group.The control group received routine health education,and the observation group carried out health education based on action research practice theory.After 3 months of education,the self-efficacy questionnaire scale and exercise of self-care agency scale(ESCA)score of the two groups were compared.Results The stoma care,dietary choice,social,labor confidence,self-care confidence of life,and sexual life confidence scores of the observation group were higher than those of the control group at 3 months after the intervention,and the differences were statistically significant(P<0.05);nursing skills,self-responsibility,health knowledge level,and self-concept scores in the observation group also were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of health education based on action research practice theory could improve the self-care ability and self-efficacy of patients with rectal cancer stoma through observation,reflection,and continuous improvement of action intervention,which was worthy of clinical promotion and application.
作者 杨丽慧 YANG Li-hui
出处 《护理实践与研究》 2020年第7期86-88,共3页 Nursing Practice and Research
关键词 行动研究实践 直肠癌造口 自我效能 自护能力 Action research practice Rectal cancer stoma Self-efficacy Self-care ability
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