出院计划对全喉切除患者负性情绪及自我效能的影响*

目的：探讨出院计划服务对全喉切除患者负性情绪及自我效能的影响。方法：将104例全喉切除患者使用随机数字表法分为对照组51例和干预组53例。对照组实施常规护理，干预组在常规护理的基础上实施出院计划。应用焦虑抑郁自评量表和一般自我效能感量表在入院时、出院时及出院后1个月对两组患者进行评估。结果：入院时两组患者的焦虑抑郁评分和一般自我效能感评分差异无统计学意义（P＞0.05）；干预组患者出院时、出院后1个月的焦虑评分，低于对照组，差异具有统计学意义（P＜0.05）；抑郁评分低于对照组，差异具有统计学意义（P＜0.05）；一般自我效能感评分高于对照组差异具有统计学意义（P＜0.05）。结论：出院计划能有效缓解全喉切除患者的负性情绪，提高患者的自我效能感。

The effect of discharge planning on the negative emotion and self-efficacy in total laryngectomy patients

Objective: To evaluate the effectiveness of discharge planning on the negative emotion and self-efficacy in patients undergoing total laryngectomy. Methods: 104 patients were randomly divided into control group (51 cases) and intervention group （53 cases）. The control group received routine nursing, while the intervention group received discharge planning based on routine nursing. Self-rating anxiety and depression scale and general self-efficacy Scale were applied to evaluate the effect of intervention at admission, at discharge and 1 month after discharge. Results: There was no statistical difference in anxiety and depression score and self-efficacy score between the two groups at admission （P＞0.05）. The scores of anxiety and depression in the intervention group at discharge and 1 month after discharge were significantly lower than those of the control group respectively （P＜0.05）. The self-efficacy scores in the intervention group at discharge and 1 month after discharge were significantly higher than those of the control group and 1 month after discharge （P＜0.05）. Conclusion: Discharge planning can alleviate the negative emotion and improve the self-efficacy in patients undergoing total laryngectomy.