摘要
目的探究半结构式访谈联合赋能教育对行晚期胃癌根治术患者自我效能及生命意义认知的影响。方法将甘肃省武威肿瘤医院胃肠科于2022年1~12月收治的240例经胃癌根治术治疗的晚期胃癌患者纳为研究对象,根据简单随机分组法将所有患者分为赋能组与访谈组,每组120例。赋能组给予常规赋能教育,访谈组给予半结构式访谈联合赋能教育。对比2组心理压力等的变化。结果干预后,2组患者的焦虑和抑郁自评量表、疲乏量表评分均较干预前显著下降,自我效能感量表和生命意义认知量表评分均较干预前显著升高(P均<0.05),且访谈组均优于赋能组(P均<0.05)。结论半结构式访谈联合赋能教育可有效缓解经胃癌根治术治疗的晚期胃癌患者的负性情绪及疲乏情况,有效提高其自我效能与生命意义认知水平。
Objective To explore the effect of semi-structured interview combined with empowering education on the self-efficacy and life meaning cognition of patients undergoing radical resection of advanced gastric cancer.Methods A total of 240 advanced gastric cancer patients who were treated by radical gastrectomy in the Department of Gastroenterology of Gansu Wuwei Tumor Hospital from January to December 2022 were enrolled.All patients were assigned to either an empowering group or an interview group through simple randomization,with 120 cases in each group.The empowering group was given conventional empowering education,and the interview group was given semi-structured interview combined with empowering education.The changes of psychological pressure were compared between the two groups.Results After intervention,the scores of the Self-Rating Anxiety and Depression Scale and the Piper Fatigue Scale in both groups were significantly decreased compared with those before intervention,and the scores of the General Self-Efficacy Scale and the Meaning in Life Questionnaire-Presence of Meaning were significantly increased compared with those before intervention(all P<0.05).The interview group performed better than the empowering group(all P<0.05).Conclusion Semi-structured interview combined with empowering education can effectively relieve the negative emotions and fatigue,and enhance the self-efficacy and life meaning cognition in patients undergoing radical resection of advanced gastric cancer.
作者
付国萃
吴芳
马小娟
FU Guocui;WU Fang;MA Xiaojuan(Gansu Wuwei Tumor Hospital,Wuwei,Gansu,733000,China)
出处
《中西医结合护理（中英文）》
2024年第6期13-16,共4页
Journal of Clinical Nursing in Practice
关键词
晚期胃癌根治术
半结构式访谈
赋能教育
生命意义认知
radical resection of advanced gastric cancer
semi-structured interview
empowering education
life meaning cognition
