CAJ | 학술논문

目的：探讨团体活动式延续护理对宫颈癌患者自我效能的影响。方法选择2013年10月—2014年3月34例确诊为宫颈癌并行综合治疗的患者作为为观察组,2013年1—6月34例确诊为宫颈癌并行综合治疗的患者作为对照组。对照组患者实施常规护理,观察组在常规护理的基础上进行团体活动式延续护理。干预前后分别采用一般自我效能感量表( GSES)对自我效能感进行评价；采用乳腺癌生存质量量表(EORTC QLQ-C30)测定患者生活质量。结果干预前观察组患者的自我效能感评分为(30.41±5.54)分,对照组为(30.22±6.14)分,差异无统计学意义(t=0.241,P>0.05)。干预后观察组患者的自我效能感评分(46.24±5.33)分,高于对照组的(33.35±8.45)分,差异有统计学意义( t=14.145,P<0.01)。两组患者在躯体功能、角色功能、气促3个维度评分比较,差异无统计学意义( t值分别为-0.985,-1.314,0.238；P>0.05)；观察组患者其余12个维度评分均优于对照组,差异有统计学意义(t值分别为3.957,-8.747,-7.654,4.215,14.864,4.156,-39.169,3.759,2.996,2.878,3.344,14.621；P<0.05)。结论团体活动式延续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及坚持健康行为的能力,提高患者的生活质量。
목적：탐토단체활동식연속호리대궁경암환자자아효능적영향。방법선택2013년10월—2014년3월34례학진위궁경암병행종합치료적환자작위위관찰조,2013년1—6월34례학진위궁경암병행종합치료적환자작위대조조。대조조환자실시상규호리,관찰조재상규호리적기출상진행단체활동식연속호리。간예전후분별채용일반자아효능감량표( GSES)대자아효능감진행평개；채용유선암생존질량량표(EORTC QLQ-C30)측정환자생활질량。결과간예전관찰조환자적자아효능감평분위(30.41±5.54)분,대조조위(30.22±6.14)분,차이무통계학의의(t=0.241,P>0.05)。간예후관찰조환자적자아효능감평분(46.24±5.33)분,고우대조조적(33.35±8.45)분,차이유통계학의의( t=14.145,P<0.01)。량조환자재구체공능、각색공능、기촉3개유도평분비교,차이무통계학의의( t치분별위-0.985,-1.314,0.238；P>0.05)；관찰조환자기여12개유도평분균우우대조조,차이유통계학의의(t치분별위3.957,-8.747,-7.654,4.215,14.864,4.156,-39.169,3.759,2.996,2.878,3.344,14.621；P<0.05)。결론단체활동식연속호리간예능제고궁경암환자적자아효능감,증강환자자아관리적수평급견지건강행위적능력,제고환자적생활질량。
Objective To study the effect of transitional care program involving group activities on self-efficacy in patients with cervical cancer. Methods A total of 34 cases from October 2013 to March 2014 in our hospital diagnosed with cervical cancer in parallel comprehensive treatment were selected as the observation group patients, and 34 cases from January to June in 2013 in our hospital diagnosed with cervical cancer in parallel comprehensive treatment were selected as control group. The control group was given routine nursing, while the observation group was given the transitional care program involving group activities. The general self-efficacy table ( GSES) and the EORTC QLQ-C30 were compared between the two groups. Results The scores of self-efficacy before intervention were (30. 41 ± 5. 54) in the observation group and (30. 22 ± 6. 14) in the control group, which had no significant difference (t =0. 241,P >0. 05). The scores of self-efficacy after intervention were (46. 24 ± 5. 33) in the observation group, which was significantly higher than (33. 35 ± 8. 45) in the control group (t=14. 145,P<0. 01). There were no significant differences in the physical function, role function and shortness of breath between the two groups ( t = -0. 985, -1. 314, 0. 238, respectively;P >0. 05). The rest 12 domain of the observation group were significantly better than those in the control group (t=3. 957, -8. 747, -7. 654, 4. 215, 14. 864, 4. 156, -39. 169, 3. 759, 2. 996, 2. 878, 3. 344, 14. 621, respectively;P<0. 05). Conclusions The transitional care program involving group activities can improve the self-efficacy of cervical cancer patients, enhance patients self-management level and the ability to adhere to health behaviors, and improve the quality of life of the patients.