摘要
目的探讨量化活动干预结合健康教育在肝癌手术患者中的应用效果。方法根据干预方式的不同将106例肝癌手术患者分为观察组和对照组,每组53例,对照组患者采取常规干预,观察组患者在对照组的基础上采取量化活动干预结合健康教育。比较两组患者的术后恢复指标、疾病不确定感[Mishel疾病不确定感量表(MUIS)]、感知压力[压力感知量表(PSS)]、生活质量[健康调查简表(SF-36)]及术后并发症发生情况。结果观察组患者首次肛门排气时间、首次下床活动时间及住院时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者MUIS各维度评分均低于本组干预前,PSS各维度评分均高于本组干预前,观察组患者MUIS各维度评分均低于对照组,PSS各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SF-36评分均高于本组干预前,观察组患者SF-36评分高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的术后并发症总发生率低于对照组,差异有统计学意义(P﹤0.05)。结论量化活动干预结合健康教育可降低肝癌手术患者的疾病不确定感和感知压力,促进患者术后康复,提高生活质量,降低并发症发生率。
Objective To explore the application effect of quantitative activity intervention combined with health education in patients undergoing surgery for liver cancer.Method According to different intervention methods,106 patients with liver cancer who underwent surgery were divided into observation group and control group,with 53 cases in each group.Patients in the control group received routine intervention,and patients in the observation group received quantitative activity intervention combined with health education on the basis of the control group.The postoperative recovery indicators,disease uncertainty[Mishel uncertainty in illness scale(MUIS)],perceived stress[perceived stress scale(PSS)],quality of life[the MOS 36-item short form health survey(SF-36)]and postoperative complications were compared between the two groups.Result The first anal exhaust time,first getting out of bed time and hospitalization time in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.01).After intervention,the dimensional scores of MUIS in both groups were lower than those before intervention,the dimensional scores of PSS were higher than those before intervention,the dimensional scores of MUIS in observation group were lower than those in control group,and the dimensional scores of PSS were higher than those in control group,and the differences were statistically significant(P<0.05).After intervention,the SF-36 scores in both groups were higher than those before intervention,and the SF-36 score in observation group was higher than that in control group,and the differences were statistically significant(P<0.05).The total incidence of postoperative complications in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion Quantitative activity intervention combined with health education can reduce the disease uncertainty and perceived stress of patients with liver cancer surgery,promote
作者
史娟
孙海晴
杨科
钱国武
杨启
房芳
SHI Juan;SUN Haiqing;YANG Ke;QIAN Guowu;YANG Qi;FANG Fang(Department of General Surgery,Nanyang Central Hospital,Nanyang 473000,He’nan,China)
出处
《癌症进展》
2024年第18期2048-2051,2055,共5页
Oncology Progress
基金
南阳市2022年市级科技计划项目(KJGG099)。
关键词
肝癌
量化活动干预
健康教育
疾病不确定感
感知压力
生活质量
liver cancer
quantitative activity intervention
health education
disease uncertainty
perceived stress
quality of life
