CAJ | 학술논문

目的：探讨自我效能对宫颈癌患者遵医行为的影响。方法选择2012年11月—2013年11月确诊为宫颈癌并行手术治疗的患者153例，从中选取符合条件的患者86例，随机分为观察组和对照组，每组43例。对照组实施常规护理，观察组在常规护理的基础上进行自我效能护理干预。干预前及干预结束后分别采用一般自我效能表进行问卷调查对自我效能感进行评价，采用遵医行为评价表进行遵医行为评价。结果干预前两组患者的我效能感评分差异无统计学意义（t＝0．158，P＞0．05）；干预后观察组患者为（35．15±5．21）分，高于对照组的（21．26±8．26）分，差异有统计学意义（ t＝15．684，P＜0．01）。干预前后观察组患者的自我效能感评分差异有统计学意义（t＝15．124，P＜0．01），对照组差异无统计学意义（ t＝1．245，P＞0．05）。干预后观察组遵医用药、合理休息、按时复查、合理饮食、戒烟戒酒、合理锻炼、预防感染及总评分分别为（2．85±0．41），（2．92±0．56），（2．81±0．44），（2．75±0．46），（1．87±0．41），（2．79±0．54），（2．88±0．39），（18．75±1．65）分，均明显高于对照组，差异有统计学意义（t值分别为5．124，6．235，5．842，4．963，4．698，5．148，6．398，5．458；P＜0．01）。结论自我效能护理干预能提高宫颈癌患者的自我效能感，增强患者自我管理的水平，增强坚持健康行为和应对疾病的信心，提高患者的遵医行为。
목적：탐토자아효능대궁경암환자준의행위적영향。방법선택2012년11월—2013년11월학진위궁경암병행수술치료적환자153례，종중선취부합조건적환자86례，수궤분위관찰조화대조조，매조43례。대조조실시상규호리，관찰조재상규호리적기출상진행자아효능호리간예。간예전급간예결속후분별채용일반자아효능표진행문권조사대자아효능감진행평개，채용준의행위평개표진행준의행위평개。결과간예전량조환자적아효능감평분차이무통계학의의（t＝0．158，P＞0．05）；간예후관찰조환자위（35．15±5．21）분，고우대조조적（21．26±8．26）분，차이유통계학의의（ t＝15．684，P＜0．01）。간예전후관찰조환자적자아효능감평분차이유통계학의의（t＝15．124，P＜0．01），대조조차이무통계학의의（ t＝1．245，P＞0．05）。간예후관찰조준의용약、합리휴식、안시복사、합리음식、계연계주、합리단련、예방감염급총평분분별위（2．85±0．41），（2．92±0．56），（2．81±0．44），（2．75±0．46），（1．87±0．41），（2．79±0．54），（2．88±0．39），（18．75±1．65）분，균명현고우대조조，차이유통계학의의（t치분별위5．124，6．235，5．842，4．963，4．698，5．148，6．398，5．458；P＜0．01）。결론자아효능호리간예능제고궁경암환자적자아효능감，증강환자자아관리적수평，증강견지건강행위화응대질병적신심，제고환자적준의행위。
Objective To explore the influence of the self-efficacy nursing on compliance behavior of patients with cervical cancer.Methods Totals of 153 patients from November 2012 to November 2013 diagnosed as uterine cervical neoplasms and treated by surgical procedure were selected, within which 86 patients joined the research and were divided into observation group and control group, 43 cases in each group. The control group was given the routine nursing care, and the observation group was given the self-efficacy nursing intervention on the basis of conventional nursing.The self-efficacy and compliance behavior were surveyed before and after the intervention.Results The scores of self-efficacy before the intervention had no statistically significant difference (t=0.158,P>0.05).After the intervention, the score of the observation group was (35.15 ±5.21), which was significantly higher than (21.26 ±8.26) of the control group ( t=15.684,P<0.01) .The score of self-efficacy of the observation group before and after the intervention were statistically significant (t=15.124,P<0.01), while the self-efficacy in the control group before and after the intervention had no statistically significant difference (t=1.245,P>0.05).After the intervention, the scores of compliance of medication, reasonable break, regular examination, healthy diet, abstain from tobacco and drink, reasonable exercise, prevention of infection and the total score were (2.85 ±0.41), (2.92 ±0.56), (2.81 ±0.44), (2.75 ±0.46), (1.87 ±0.41), (2.79 ±0.54), (2.88 ±0.39) and (18.75 ±1.65), which were significantly higher than those of the control group ( t=5.124, 6.235, 5.842, 4.963, 4.698, 5.148, 6.398, 5.458, respectively;P<0.01).Conclusions Self-efficacy nursing intervention can improve the self-efficacy of uterine cervical neoplasms patients, enhance patients’ self-management level, and enhance confidence on health compliance behavior.