摘要
目的在食管癌根治术患者中采用知信行理论结合微信随访,研究该干预对患者心理压力的影响。方法选取2020年1月至2022年5月接受食管癌根治术的112例患者为研究对象,根据采用的护理方案不同将研究对象划分为对照组和试验组,每组56例。对照组采用常规护理试验组(采用知信行理论结合微信随访)。对比2组干预前后的心理干预[焦虑自评量表(SAS)、抑郁自评量表(SDS)、Piper疲乏量表]、应激反应指标水平和护理满意度。结果干预后,试验组的SAS、SDS评分较对照组低(t=5.971、3.955,P<0.05);试验组的癌症相关性疲乏程度较对照组低(χ^(2)=10.137,P<0.05);试验组的肾上腺素、皮质醇水平较对照组低(t=3.220、2.694,P<0.05);试验组的护理满意度较对照组高(χ^(2)=7.007,P<0.05)。结论在食管癌根治术患者中采用知信行理论结合微信随访,能通过减轻其心理应激反应来缓解患者的心理压力,提高护理满意度。
Objective To study the effect of the knowledge-attitude-belief-practice theory combined with Wechat follow-up on the psychological stress of esophageal cancer patients treated with radical resection.Methods A total of 112 patients who received radical resection of esophageal cancer in our hospital from January 2020 to May 2022 were selected as the research objects.According to different nursing programs,the subjects were divided into control group(56 cases receiving conventional nursing)and experimental group(56 cases receiving the knowledge-attitude-belief-practice theory combined with Wechat follow-up).Psychological intervention outcomes assessed by the Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)and the Piper Fatigue Scale(PFS),stress response indexes and nursing satisfaction before and after intervention were compared between the two groups.Results After intervention,the SAS and SDS scores in the experimental group were significantly lower than those in the control group(t=5.971 and 3.955,respectively;P<0.05).The degree of cancer-related fatigue in the experimental group was significantly lower than that in the control group(χ^(2)=10.137,P<0.05).Adrenalin and cortisol levels in the experimental group were significantly lower than those in the control group(t=3.220 and 2.694,respectively;P<0.05).The nursing satisfaction in the experimental group was significantly higher than that in the control group(χ^(2)=7.007,P<0.05).Conclusion The knowledge-attitude-belief-practice theory combined with Wechat follow-up can relieve the psychological stress and improve nursing satisfaction by reducing their psychological stress response in esophageal cancer patients treated with radical resection.
作者
刘欣
杨晓倩
LIU Xin;YANG Xiaoqian(Third Ward of Thoracic Surgery,Tangdu Hospital,Air Force Military Medical University,Shaanxi,Xi’an 710038,China)
出处
《河北医药》
CAS
2023年第16期2554-2556,2560,共4页
Hebei Medical Journal
基金
国家自然科学基金项目(编号:81402411)。
关键词
食管癌根治术
知信行理论
微信随访
心理压力
满意度
radical resection of esophageal cancer
knowledge-attitude-belief-practice theory
Wechat follow-up
psychological stress
satisfaction degree
