基于Heider平衡理论的健康教育在肝癌根治术患者中的应用

目的探讨基于Heider平衡理论的健康教育在肝癌根治术患者中的应用效果。方法采用便利抽样法,于2019年7月—2020年10月选取在山西医科大学第一医院行根治手术治疗的肝癌患者为研究对象。按照随机数字表将患者分为观察组(n=51)和对照组(n=52)。对照组给予常规护理,观察组在对照组基础上给予基于Heider平衡理论的健康教育。采用压力感知量表(PSS)、抑郁-焦虑-压力自评量表(DASS)、Mishel疾病不确定感量表评估干预的效果。结果干预2个月后观察患者PSS、DASS评分均低于对照组,差异有统计学意义(P<0.01)。干预2个月后观察组患者Mishel疾病不确定感量表总分及各维度评分均低于对照组,差异有统计学意义(P<0.01)。结论基于Heider平衡理论的健康教育可降低患者感知压力,改善患者疾病不确定感,值得临床推广应用。

Effect of health education based on Heider balance theory in patients undergoing radical resection of liver cancer

Objective To explore the effect of health education based on Heider's balance theory in patients undergoing radical resection of liver cancer.Methods From July 2019 to October 2020,convenience sampling was used to select liver cancer patients who underwent radical surgery in the First Hospital of Shanxi Medical University as the research object.According to the random number table,the patients were divided into the observation group(n=51)and the control group(n=52).The control group conducted routine nursing,and the observation group carried out health education according to the Heider balance theory on the basis of the control group.The effects of intervention were evaluated with the Perceived Stress Scale(PSS),Depression Anxiety Stress Scale(DASS)and the Mishel Uncertainty in Illness Scale.Results After two months of intervention,the PSS and DASS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.01).After two months of intervention,the total score and the scores of all dimensions of the Mishel Uncertainty in Illness Scale in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.01).Conclusions Health education based on Heider's balance theory can reduce patients'perceived stress and improve patients'disease uncertainty,and it is worthy of clinical application.