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Received:February 16, 2023 Published Online:November 20, 2023
Received:February 16, 2023 Published Online:November 20, 2023
中文摘要: 目的 探讨“自我效能加油站”护理模式对头颈部肿瘤患者术后颈部功能锻炼依从性及护理满意度的影响。方法 选取江苏省肿瘤医院2020年3月至2022年11月收治的90例头颈部肿瘤患者,按照随机数字表法分为对照组和观察组各45例,对照组在围术期给予常规护理干预,观察组给予“自我效能加油站”护理模式干预,观察两组患者干预前后颈部功能锻炼依从性、希望水平、疾病应对方式及护理满意度情况。结果 观察组患者干预后头颈部功能锻炼依从性、功能锻炼注意事项依从性及主动寻求建议依从性评分均高于对照组,差异有统计学意义(P<0.05)。观察组Herth希望指数(HHI)量表积极生活态度、积极行动力、保持亲密关系维度评分均高于对照组(P<0.05)。观察组医学应对问卷(MCMQ)中面对评分高于对照组,回避、屈服评分均低于对照组,差异有统计学意义(P<0.05)。观察组护理满意度高于对照组(95.56% vs 82.22%, P<0.05)。结论 “自我效能加油站”护理模式能够提高头颈部肿瘤患者术后颈部功能锻炼依从性,提升患者希望水平,并改善其疾病应对方式,提高护理满意度。
Abstract:Objective To investigate the impact of the “self-efficacy gas station” nursing model on the compliance with postoperative neck function exercises and nursing satisfaction in patients with head and neck tumor. Methods A total of 90 head and neck tumor patients admitted to Jiangsu Cancer Hospital from March 2020 to November 2022 were selected. They were randomly divided into a control group and an observation group, with 45 patients in each group. The control group received routine nursing intervention during the perioperative period, while the observation group received the “self-efficacy gas station” nursing model intervention. The compliance with neck function exercises, hope index, disease coping strategies, and nursing satisfaction were observed in both groups before and after the intervention. Results After the intervention, the observation group had higher scores in compliance with neck function exercises, compliance with exercise precautions, and seeking advice compared to the control group (P<0.05). The observation group had higher scores in positive attitude, proactive behavior, and maintaining intimate relationships dimensions of the Herth hope index (HHI) compared to the control group (P<0.05). The observation group had higher scores in the Medical Coping Modes Questionnaire (MCMQ) approach dimension compared to the control group, while the avoidance and yielding dimensions were lower than the control group (P<0.05). The nursing satisfaction of the observation group was higher than that of the control group(95.56% vs 82.22%, P<0.05). Conclusion The “self-efficacy gas station” nursing model can improve the compliance with postoperative neck function exercises in patients with head and neck tumor, enhance hope index, improve disease coping strategies, and increase nursing satisfaction.
keywords: “Self-efficacy gas station” nursing model Head and neck tumor Neck function exercise Herth hope index Medical coping modes questionnaire Nursing satisfaction
文章编号: 中图分类号: 文献标志码:B
基金项目:国家自然科学基金青年科学基金项目(71904090)
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