CAJ | 학술논문

目的：基于自我效能护理干预方式应用于胸肺肿瘤术后护理对患者生存质量的影响进行研究，证实护理干预的临床价值。方法：以我院2010年3月至2012年3月采用手术治疗的胸肺肿瘤患者96例为研究对象，对其护理方式进行回顾性分析。采用随机数字表法将研究对象分为两组，每组48例。一组研究对象按常规护理方式进行护理，为对照组；一组研究对象在常规护理的基础上，使用基于自我效能护理干预方式进行护理，为观察组。护理3个月后，采用自我效能评价量表（GSES）、生活质量核心问卷、抑郁自评量表（SDS）和焦虑自评量表（SAS）对两组研究对象的生活质量及心理状态进行评价，比较及统计学分析。结果观察组研究对象抑郁自评量表和焦虑自评量表评分的比较中均高于对照组，且差异具有显著性（P ＜0．05）；在自我效能评分、生存质量核心问卷评分的比较中，观察组研究对象高于对照组，且差异具有显著性（P ＜0．05）。结论：基于自我效能护理干预方式应用于胸肺肿瘤术后的护理，能够显著改善患者术后症状及心理状态，提升自我效能，对其生存质量有显著的改善，应用于临床具有重要的价值。
목적：기우자아효능호리간예방식응용우흉폐종류술후호리대환자생존질량적영향진행연구，증실호리간예적림상개치。방법：이아원2010년3월지2012년3월채용수술치료적흉폐종류환자96례위연구대상，대기호리방식진행회고성분석。채용수궤수자표법장연구대상분위량조，매조48례。일조연구대상안상규호리방식진행호리，위대조조；일조연구대상재상규호리적기출상，사용기우자아효능호리간예방식진행호리，위관찰조。호리3개월후，채용자아효능평개량표（GSES）、생활질량핵심문권、억욱자평량표（SDS）화초필자평량표（SAS）대량조연구대상적생활질량급심리상태진행평개，비교급통계학분석。결과관찰조연구대상억욱자평량표화초필자평량표평분적비교중균고우대조조，차차이구유현저성（P ＜0．05）；재자아효능평분、생존질량핵심문권평분적비교중，관찰조연구대상고우대조조，차차이구유현저성（P ＜0．05）。결론：기우자아효능호리간예방식응용우흉폐종류술후적호리，능구현저개선환자술후증상급심리상태，제승자아효능，대기생존질량유현저적개선，응용우림상구유중요적개치。
Objective To investigate the effects of self-efficacy-oriented nursing intervention on postoperative quality of life of lung tumor patients. Methods Ninety patients with lung tumors undergoing chest surgery in our hospital from March 2010 to March 2012 , involved in the study. The nursing data were retrospectively analyzed for investigation of the nursing strategies. The patients were randomized into two group with random digits table in equal number: The control group received routine nursing and the intervention group with self-efficacy-oriented nursing intervention beside routine nursing care. 3 months after nursing intervention , the two groups were compared by Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS) in terms of quality of life and psychological state. Results The scores of the intervention group by SDS and SAS were both significantly higher than those of the control group (P < 0.05). The scores of the intervention group on self efficacy and quality of life were significantly higher than those of the control (P < 0.05). Conclusion The self-efficacy-oriented nursing intervention applied in the postoperative nursing care to lung cancer patients can significantly improve the postoperative symptoms and psychological status. It can also improve their self efficacy and then enhance their quality of life.