规范化健康教育对食管癌放疗患者自我感受负担、应对方式、生活质量的影响
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摘要
目的探讨规范化健康教育对食管癌放疗患者自我感受负担(SPB)、应对方式及生活质量的影响。方法将80例食管磷状细胞癌放疗患者依据健康教育方式的不同分为对照组(接受常规健康教育)37例和干预组(接受规范化健康教育)43例,干预前后比较两组患者的SPB、医学应对方式问卷(MCMQ)、中国癌症患者化学生物治疗生活质量量表(QLQ-CCC)评分。结果干预前两组患者SPB各维度评分、MCMQ各维度评分、QLQCCC各维度评分比较,差异均无统计学意义(P﹥0.05)。干预后,干预组患者SPB各维度评分及MCMQ回避、屈服维度评分均低于对照组患者,MCMQ面对维度评分及QLQ-CCC各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。结论规范化健康教育可有效缓解食管癌放疗患者的SPB体验,有助于患者选择积极的应对方式,提高患者的生活质量。
Objective To explore the effect of standardized health education on the self-perceived burden(SPB), coping style and quality of life(QOL) of patients with esophageal cancer treated with radiotherapy. Method Analyzed the clinical data of 80 patients with esophageal cancer who underwent radiotherapy, these patients were stratified as control group(administered with conventional health education, n=37) and intervention group(with standardized health education, n=43) according to the different methods of health education, the SPB, medical coping modes questionnaire(MCMQ) and quality of life for Chinese cancer patients with chemobiotherapy(QLQ-CCC) scores were compared between the two groups before and after intervention. Result There was no significant difference in each domain of SPB,MCMQ and QLQ-CCC scores between the two groups before intervention(P>0.05). After intervention, the scores of SPB and its subscales, as well as the scores of avoidance and acceptance-resignation in MCMQ were lower in the intervention group than in the control group, while confrontation score in MCMQ and all domains of QLQ-CCC scores were higher in intervention group than in control group, demonstrating statistical significance(P<0.05). Conclusion Standardized health education can effectively alleviate the SPB of patients with esophageal cancer receiving radiotherapy, and may further help patients choose a positive way to cope with treatment and improve their quality of life.
Objective To explore the effect of standardized health education on the self-perceived burden(SPB), coping style and quality of life(QOL) of patients with esophageal cancer treated with radiotherapy. Method Analyzed the clinical data of 80 patients with esophageal cancer who underwent radiotherapy, these patients were stratified as control group(administered with conventional health education, n=37) and intervention group(with standardized health education, n=43) according to the different methods of health education, the SPB, medical coping modes questionnaire(MCMQ) and quality of life for Chinese cancer patients with chemobiotherapy(QLQ-CCC) scores were compared between the two groups before and after intervention. Result There was no significant difference in each domain of SPB,MCMQ and QLQ-CCC scores between the two groups before intervention(P>0.05). After intervention, the scores of SPB and its subscales, as well as the scores of avoidance and acceptance-resignation in MCMQ were lower in the intervention group than in the control group, while confrontation score in MCMQ and all domains of QLQ-CCC scores were higher in intervention group than in control group, demonstrating statistical significance(P<0.05). Conclusion Standardized health education can effectively alleviate the SPB of patients with esophageal cancer receiving radiotherapy, and may further help patients choose a positive way to cope with treatment and improve their quality of life.
引文
[1] McGuire S. World cancer report 2014. Geneva, Switzerland:World Health Organization, international agency for research on cancer, WHO press, 2015[J]. Adv Nutr, 2016, 7(2):418-419.
[2] Guttmann DM, Mitra N, Bekelman J, et al. Improved over-all survival with aggressive primary tumor radiotherapy for patients with metastatic esophageal cancer[J]. J Thorac Oncol, 2017, 12(7):1131-1142.
[3] Wilson KG, Curran D, McPherson CJ. A burden to others:a common source of distress for the terminally ill[J]. CognBehav Ther, 2005, 34(2):115-123.
[4]葛刘娜,章新琼,吴小婷,等.应对方式在食管癌患者心理一致感与主观幸福感间的中介作用[J].现代预防医学2019, 46(10):1825-1827.
[5]魏秀文,王丽艳,缪宇琴,等.规范化健康教育对胃癌患者术后并发症和生活质量的影响[J].中国医药科学, 2017, 7(12):130-132.
[6] Cousineau N, McDowell I, Hotz S, et al. Measuring chronic patients’feelings of being a burden to their caregivers:de velopment and preliminary validation of a scale[J]. Med Care, 2003, 41(1):110-118.
[7]沈晓红,姜乾金.医学应对方式问卷中文版701例测试报告[J].中国行为医学科学, 2000, 9(1):18.
[8]罗健,周生余.中国癌症患者化学生物治疗生活质量量表的编制[J].中华肿瘤杂志, 1997, 19(6):39-43.
[9] Se?il Y, Ar?c??,?ncesu TK, et al. Dysphagia in Alzheimer'disease[J]. Neurophysiol Clin, 2016, 46(3):171-178.
[10]朱晓伟.不同教育管理对甲状腺癌术后患者自我管理行为的影响[J].中国医院统计, 2018, 25(5):373-375; 380.
[11] Tatsumi H, Yamamoto M, Yasui K, et al. Clinical signifi cance of cognitive rehabilitation and psychoeducational in tervention for family caregivers of patients with posteriocortical atrophy:a longitudinal study[J]. Psychogeriatrics,2018, 18(1):77-78.
[12]叶圣昌,刘敏.癌症患者自我感受负担相关影响因素调查及支持性心理治疗效果[J].中国医药导报, 2018, 15(31):176-180.
[13] Prasertsri N, Holden J, Keefe FJ, et al. Repressive coping style:relationships with depression, pain, and pain coping strategies in lung cancer outpatients[J]. Lung Cancer,2011, 71(2):235-240.
[14]刘霞,李林娟,吴逢清,等.团体人际心理干预减轻结直肠癌化疗患者自我感受负担的效果观察[J].国际精神病学杂志, 2016, 43(2):297-299.
[15]马艳会,白献红,杜平,等.营养状态和心理因素对食管癌患者放疗期间生活质量的影响[J].中国肿瘤临床与康复, 2016, 23(7):857-860.
[16]刘锦凯,裘秀月.健康信念模式对慢性阻塞性肺疾病患者自我护理、自我感受负担及应对方式的影响[J].工业卫生与职业病, 2018, 44(6):462-464; 467.
[17]张军红,李楠,赵丽曼.乳腺癌患者自我感受负担与生活质量的相关性研究[J].癌症进展, 2018, 16(15):1930-1932.
[2] Guttmann DM, Mitra N, Bekelman J, et al. Improved over-all survival with aggressive primary tumor radiotherapy for patients with metastatic esophageal cancer[J]. J Thorac Oncol, 2017, 12(7):1131-1142.
[3] Wilson KG, Curran D, McPherson CJ. A burden to others:a common source of distress for the terminally ill[J]. CognBehav Ther, 2005, 34(2):115-123.
[4]葛刘娜,章新琼,吴小婷,等.应对方式在食管癌患者心理一致感与主观幸福感间的中介作用[J].现代预防医学2019, 46(10):1825-1827.
[5]魏秀文,王丽艳,缪宇琴,等.规范化健康教育对胃癌患者术后并发症和生活质量的影响[J].中国医药科学, 2017, 7(12):130-132.
[6] Cousineau N, McDowell I, Hotz S, et al. Measuring chronic patients’feelings of being a burden to their caregivers:de velopment and preliminary validation of a scale[J]. Med Care, 2003, 41(1):110-118.
[7]沈晓红,姜乾金.医学应对方式问卷中文版701例测试报告[J].中国行为医学科学, 2000, 9(1):18.
[8]罗健,周生余.中国癌症患者化学生物治疗生活质量量表的编制[J].中华肿瘤杂志, 1997, 19(6):39-43.
[9] Se?il Y, Ar?c??,?ncesu TK, et al. Dysphagia in Alzheimer'disease[J]. Neurophysiol Clin, 2016, 46(3):171-178.
[10]朱晓伟.不同教育管理对甲状腺癌术后患者自我管理行为的影响[J].中国医院统计, 2018, 25(5):373-375; 380.
[11] Tatsumi H, Yamamoto M, Yasui K, et al. Clinical signifi cance of cognitive rehabilitation and psychoeducational in tervention for family caregivers of patients with posteriocortical atrophy:a longitudinal study[J]. Psychogeriatrics,2018, 18(1):77-78.
[12]叶圣昌,刘敏.癌症患者自我感受负担相关影响因素调查及支持性心理治疗效果[J].中国医药导报, 2018, 15(31):176-180.
[13] Prasertsri N, Holden J, Keefe FJ, et al. Repressive coping style:relationships with depression, pain, and pain coping strategies in lung cancer outpatients[J]. Lung Cancer,2011, 71(2):235-240.
[14]刘霞,李林娟,吴逢清,等.团体人际心理干预减轻结直肠癌化疗患者自我感受负担的效果观察[J].国际精神病学杂志, 2016, 43(2):297-299.
[15]马艳会,白献红,杜平,等.营养状态和心理因素对食管癌患者放疗期间生活质量的影响[J].中国肿瘤临床与康复, 2016, 23(7):857-860.
[16]刘锦凯,裘秀月.健康信念模式对慢性阻塞性肺疾病患者自我护理、自我感受负担及应对方式的影响[J].工业卫生与职业病, 2018, 44(6):462-464; 467.
[17]张军红,李楠,赵丽曼.乳腺癌患者自我感受负担与生活质量的相关性研究[J].癌症进展, 2018, 16(15):1930-1932.