目的 探讨基于行为转变理论的护理干预模式在宫颈癌手术治疗患者中的应用效果.方法 选择2019年6月-2022年6月医院收治的宫颈癌手术患者60例为研究对象,按照组间基本特征具有可比性的原则分为对照组与观察组,各30例.对照组进行常规护理,观察组采用基于行为转变理论的护理干预模式.比较两组患者护理干预前和护理干预3个月后认知行为、性生活质量、癌因性疲乏程度(CFS)、自我效能水平评分和满意度及依从性.结果 护理干预前,两组患者认知行为、性生活质量、CFS、自我效能水平评分的比较,差异均无统计学意义(P>0.05).护理干预3个月后,观察组患者认知行为、性欲望、性高潮、性行为及性满意度得分高于对照组,差异有统计学意义(P<0.05);观察组CFS评分低于对照组(P<0.05),差异有统计学意义;自我责任感、自我概念、健康知识及自我护理技能评分高于对照组,差异有统计学意义(P<0.05);观察组患者对护理方法、服务态度、护理效果的满意率及在遵医治疗、并发症预防、康复锻炼方面的依从率均高于对照组,差异有统计学意义(P<0.05).结论 基于行为转变理论的护理干预模式用于宫颈癌手术治疗患者中,能改善患者认知行为,提升性生活质量和自我效能水平,降低癌因性疲乏程度,提高患者护理满意度和依从性.
Objective To explore the application effect of nursing intervention model based on behavioural change theory in patients with cervical cancer surgical treatment.Methods 60 cases of cervical cancer surgery patients admitted to the hospital from June 2019 to June 2022 were selected as the study objects,they were divided into a control group and an observation group,each with 30 cases,in accordance with the principle that the basic characteristics of the groups were comparable.The control group carried out conventional nursing care,and the observation group adopted the nursing intervention model based on the theory of behavioural change.Cognitive behaviour,sexual quality of life,chronic fatigue syndrome(CFS),self-efficacy level scores,and satisfaction and adherence were compared between the two groups of patients before nursing intervention and 3 months after nursing intervention.Results Before nursing intervention,the comparison of cognitive behaviour,sexual quality of life,CFS and self-efficacy level scores of patients in the two groups was not statistically significant(P>0.05).After 3 months of nursing intervention,the scores of cognitive behaviour,sexual desire,orgasm,sexual behaviour and sexual satisfaction of patients in the observation group were higher than those of the control group,with statistically significant differences(P<0.05).The scores of CFS in the observation group were lower than those of the control group(P<0.05),with statistically significant differences.The scores of self-responsibility,self-concept,health knowledge and self-care skills were higher than those of the control group,with statistically significant differences(P<0.05).The satisfaction rate of patients in the observation group for nursing methods,service attitude,nursing effect and the compliance rate in complying with medical treatment,complication prevention and rehabilitation exercise were higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The nursing intervention model based on behavioural change theory used in patients with cervical cancer surgical treatment can improve patients'cognitive behaviours,enhance sexual quality of life and self-efficacy level,reduce the degree of cancer-caused fatigue,and improve patients'nursing satisfaction and adherence.