【摘要】 目的探讨健康信念模式团体效能干预对结直肠癌术后患者自我效能、遵医行为的影响。方法将2018年1月至2019年8月收治的36例结直肠癌患者作为对照组,给予常规护理干预。将2019年9月至2021年3月收治的39例结直肠癌患者作为观察组,给予健康信念模式团体效能干预。比较两组患者的自我效能、日常生活能力、心理状态[症状自评量表(SCL-90)]、遵医行为和生活质量[生活质量综合评定量表(GQOL-74)]。结果干预后,两组患者自我效能调查问卷评分、Barthel指数、GQOL-74量表各维度评分均高于本组干预前(P﹤0.05),SCL-90量表各维度评分均低于本组干预前(P﹤0.05),且观察组患者自我效能调查问卷评分、Barthel指数、GQOL-74量表各维度评分均高于对照组(P﹤0.05),SCL-90量表各维度评分均低于对照组(P﹤0.05)。干预后,两组患者的遵医行为均优于本组干预前(P﹤0.05),且观察组患者的遵医行为优于对照组(P﹤0.05)。结论健康信念模式团体效能模式有利于提高结直肠癌术后患者的自我效能及日常生活能力,改善遵医行为和心理状态,提高生活质量。更多还原

【Abstract】 Objective To explore the influence of health belief model group efficacy intervention on self-efficacy and compliance behavior of patients after colorectal cancer surgery. Method Thirty-six patients with colorectal cancer admitted from January 2018 to August 2019 as control group, and routine nursing interventions were given. And 39 patients with colorectal cancer admitted from September 2019 to March 2021 as the observation group, and the health belief model group efficacy intervention were given. The self-efficacy, ability of daily living, mental state [symptom check list-90(SCL-90)], compliance behavior and quality of life [generic quality of life inventory-74(GQOL-74)] were compared between the two groups. Result After the intervention, the two groups of patients’ self-efficacy questionnaire scores, Barthel index, and GQOL-74 scale scores were higher than those before the intervention(P<0.05), SCL-90 scale scores were lower than those before the intervention(P<0.05), and the scores of the self-efficacy questionnaire, Barthel index, and GQOL-74 scale of the observation group were higher than those of the control group(P<0.05), SCL-90 scale scores were lower than those of the control group(P<0.05). After the intervention, the compliance behavior of the two groups of patients were better than that before the intervention(P<0.05), and the compliance behavior of the observation group was better than that of the control group(P<0.05). Conclusion The health belief model group efficacy intervention is beneficial to improve the self-efficacy and daily life ability of colorectal cancer patients after surgery, improve compliance behavior and psychological state, and improve the quality of life.更多还原