授权赋能式健康教育对前列腺癌骨转移患者生活质量的影响

目的：探讨授权赋能式健康教育对前列腺癌骨转移患者的临床应用效果及其对生活质量的影响。方法将2012年6月—2013年6月收治的80例前列腺癌骨转移的患者，按随机数字表法随机分为对照组和干预组各40例，对照组进行传统健康教育，干预组在常规健康教育的基础上进行授权赋能式健康教育。于教育前、教育后6个月后采用一般自我效能感量表（ GSES）、简明生活质量量表（ SF-36）、抑郁自评量表（SDS）对两组患者进行评价。结果教育前干预组、对照组患者GSES评分分别为（19．90±2.17），（20．40±2．28）分，实施健康教育6个月后，两组评分分别为（32．90±1．41），（24．28±1．52）分，均高于教育前，差异具有统计学意义（t值分别为31．84，8．77；P＜0．05）；干预组评分高于对照组，差异有统计学意义（t＝26．32，P＜0．05）；实施健康教育6个月后SF-36评分中生理功能、躯体疼痛、总体健康、生命活力、情感职能和精神健康维度上得分，干预组均高于对照组，差异均有统计学意义（P＜0．05）；抑郁状态方面，干预组、对照组SDS评分分别为（50．15±2．11），（61．68±1．70）分，干预组评分低于对照组，差异有统计学意义（ t＝26．92，P＜0．05）。结论授权赋能式健康教育能有效提高患者的自我效能，缓解抑郁状态，明显提高患者生活质量。

Effect of delegating health education on the life quality of prostate cancer patients with bone metastases

Objective To study the effect of delegating health education on the life quality of prostate cancer patients with bone metastases.Methods Between June 2012 and June 2013, totals of 80 prostate cancer patients with bone metastases were recruited and randomly divided into observation group（n=40） and control group （n=40）.Patients in observation group received delegating health education, while control group received normal health education.Then, general self-efficacy scale（GSES） , concise health survey questionnaire（SF-36）, and self-rating depression scale（SDS） were used to assessment the effect of two groups at 6 months after the intervention.Results Before the intervention, the GSES scores of observation group and control group respectively were （19.90 ±2.17） and （20.40 ±2.28）, 6 months after the intervention, that scores respectively were （32.90 ±1.41） and （24.28 ±1.52）, and the differences between them were statistically significant（t=31.84,8.77,respectively;P〈0.05）;with observation group scores significantly higher than that of control group （t=26.32,P〈0.05）.SF-36 scores of observation group were significantly higher than that of control group such as dimensions scores of physiology function, body pain, total health, energy, mental function, spirit health（P〈0.05）.SDS scores of observation group were significantly lower than that of control group （50.15 ±2.11） vs （61.68 ±1.70）;t=26.92,〈0.05）].Conclusions Application of delegating health education in prostate cancer patients with bone metastases can improve their general self-efficacy, reduce depression mental,and improve their life quality.