团体生活方式延续护理对宫颈癌病人生存质量与自我效能的影响

目的:研究团体生活方式延续护理对宫颈癌病人生存质量和自我效能的影响。方法:随机选择2013年1月至2014年8月确诊为宫颈癌并进行综合治疗的45例病人作为对照组，采用常规护理方法；另选择2014年10月至2015年12月确诊为宫颈癌并进行综合治疗的45例病人作为观察组，在常规护理的基础上实施团体生活方式延续护理方法。比较2组病人的生存质量量表评分和自我效能感量表评分。结果:2组病人治疗后躯体功能、角色功能和气促3个维度评分差异均无统计学意义（P>0.05），观察组其他生活质量评价指标均优于对照组（P<0.05~P<0.01）。2组病人干预前自我效能评分差异无统计学意义（P>0.05），干预后观察组病人的自我效能评分明显高于干预前（P<0.01），干预后对照组的效能感评分与干预前差异无统计学意义（P>0.05）。结论:团体生活方式延续护理能够明显改善宫颈癌病人的生存质量，提高病人的自我效能感和自我管理水平，对于病人预后具有非常积极的作用。

Effect of group lifestyle transitional care on the quality of life and self-efficacy in cervical cancer patients

Objective:To investigate the effects of group lifestyle transitional care on the quality of life and self-efficacy in cervical cancer patients.Methods:Forty-five cervical cancer patients treated with comprehensive method from August 2013 to December 2014 were nursed with routine care(control group).Forty-five cervical cancer patients treated with comprehensive method from January 2015 to December 2015 were nursed with group lifestyle transitional care based on the routine care(observation group).The scores of the quality of life scale and self-efficacy scale between two groups were compared.Results:There was no statistical significance in the scores of physical function,role function,and shortness of breath between two groups(P>0.05),and the score of quality of life in observation group was significantly better than that in control group(P<0.05 to P<0.01).Before the intervention,the difference in the score of self-efficacy between two groups was not statistically significant(P>0.05).After the intervention,the score of self-efficacy in observation group was significantly higher than before intervention(P<0.01),and the difference of the score of self-efficacy in control group between before and after intervention was not statistically significant(P>0.05).Conclusions:The group lifestyle transitional care can significantly improve the quality of life,self-efficacy and self-management in cervical cancer patients,which plays a very active role on the prognosis of patients.