OEC管理模式对肿瘤科出院患者自我效能的影响
发布时间：2019-07-06 20:59
【摘要】：目的探讨OEC管理模式对肿瘤科出院患者自我效能的影响。方法选择2014年1月至2015年12月该院178例肿瘤科患者作为研究对象,按照入院日期分为观察组和对照组,每组89例,对照组采用常规护理,观察组采用OEC管理模式护理,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对患者的心理状态进行评定,采用王才康等翻译修订的汉化版量表及中国癌症患者生活质量(QLQ-C30)核心问卷对患者的自我效能及生活质量进行测评。比较两组患者干预前后的效果。结果观察组干预后SAS评分[(22.65±8.67)分]和SDS评分[(36.67±8.60)分]明显低于对照组[(29.52±7.90)分vs.(40.12±10.82)分],差异有统计学意义(P0.05);观察组自我护理(自护)技能、自护责任感、自我概念、健康知识及护理能力总分均优于对照组,差异有统计学意义(P0.05)。观察组生活质量总评分显著优于对照组[(59.00±10.32)分vs.(46.21±12.35)分],功能量表躯体机能、角色功能、认知功能、情绪功能及社会功能各项目评分均优于对照组,差异有统计学意义(P0.05);症状子量表社会功能、疲乏、疼痛、恶心、呕吐均优于对照组,呼吸困难、失眠、食欲丧失评分均优于对照组,差异有统计学意义(P0.05);同时观察组满意率为92.13%(82/89),对照组满意率为75.28%(67/89),两组比较差异有统计学意义(P0.05)。结论 OEC管理模式应用于肿瘤科出院患者中效果显著,对于患者自我效能及生活质量的提升具有积极影响。
[Abstract]:Objective to investigate the effect of OEC management model on self-efficacy of discharged patients in oncology department. Methods from January 2014 to December 2015, 178 patients in oncology department of our hospital were divided into observation group (n = 89) and control group (n = 89) according to the date of admission. The control group was treated with routine nursing, the observation group was treated with OEC management mode nursing, and the psychological state of the patients was evaluated by self-rating anxiety scale (SAS),) self-rating depression scale (SDS). Wang Caikang's revised Chinese version scale and Chinese Cancer patients' quality of Life (QLQ-C30) Core questionnaire were used to evaluate the self-efficacy and quality of life of patients. The effects of the two groups before and after intervention were compared. Results after intervention, the SAS score [(22.65 卤8.67)] and SDS score [(36.67 卤8.60)] in the observation group were significantly lower than those in the control group [(29.52 卤7.90) vs. (40.12 卤10.82)], and the difference was statistically significant (P 0.05). The observation group was better than the control group in self-nursing skills, self-care responsibility, self-concept, health knowledge and total score of nursing ability, the difference was statistically significant (P 0.05). The total score of quality of life in the observation group was significantly better than that in the control group [(59.00 卤10.32) vs. (46.21 卤12.35)]. The scores of physical function, role function, cognitive function, emotional function and social function of the function scale were better than those of the control group (P 0.05). The scores of social function, fatigue, pain, nausea and vomiting of symptom subscale were better than those of control group, dyspnea, insomnia and appetite loss, the difference was statistically significant (P 0.05), and the satisfaction rate of observation group was 92.13% (82 鈮，
本文编号：2511318
[Abstract]:Objective to investigate the effect of OEC management model on self-efficacy of discharged patients in oncology department. Methods from January 2014 to December 2015, 178 patients in oncology department of our hospital were divided into observation group (n = 89) and control group (n = 89) according to the date of admission. The control group was treated with routine nursing, the observation group was treated with OEC management mode nursing, and the psychological state of the patients was evaluated by self-rating anxiety scale (SAS),) self-rating depression scale (SDS). Wang Caikang's revised Chinese version scale and Chinese Cancer patients' quality of Life (QLQ-C30) Core questionnaire were used to evaluate the self-efficacy and quality of life of patients. The effects of the two groups before and after intervention were compared. Results after intervention, the SAS score [(22.65 卤8.67)] and SDS score [(36.67 卤8.60)] in the observation group were significantly lower than those in the control group [(29.52 卤7.90) vs. (40.12 卤10.82)], and the difference was statistically significant (P 0.05). The observation group was better than the control group in self-nursing skills, self-care responsibility, self-concept, health knowledge and total score of nursing ability, the difference was statistically significant (P 0.05). The total score of quality of life in the observation group was significantly better than that in the control group [(59.00 卤10.32) vs. (46.21 卤12.35)]. The scores of physical function, role function, cognitive function, emotional function and social function of the function scale were better than those of the control group (P 0.05). The scores of social function, fatigue, pain, nausea and vomiting of symptom subscale were better than those of control group, dyspnea, insomnia and appetite loss, the difference was statistically significant (P 0.05), and the satisfaction rate of observation group was 92.13% (82 鈮，
本文编号：2511318
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