自我效能健康教育对妇科肿瘤手术患者婚姻质量与心理状态的影响

目的：探讨自我效能健康教育方案对妇科肿瘤手术患者婚姻质量和心理状态的影响。方法选取2010年5月—2013年5月86例妇科肿瘤患者作为研究对象，分为对照组和观察组，每组43例。对照组患者给予常规健康教育，观察组患者在此基础上加强自我效能的健康教育，所有患者教育6个月后进行自我效能感量表、婚姻质量量表和抑郁自评量表的评价比较。结果健康教育6个月后，观察组自我效能感量表评分为（29．14＆#177;6．12）分，对照组为（22．76＆#177;6．27）分，差异有统计学意义（ t＝4．716，P＜0．05）。观察组婚姻状况评分中角色平等（37．39＆#177;5．67）、夫妻交流（35．41＆#177;6．06）、性生活（38．19＆#177;5．73）和婚姻美满度（37．52＆#177;5．49）分与对照组相应分值（30．15＆#177;5．22），（28．47＆#177;5．87），（32．63＆#177;5．91），（30．16＆#177;4．96）分]比较差异有统计学意义（t值分别为3．519，4．117，2．399，4．826；P＜0．05）。健康教育6个月后，观察组抑郁自评量表评分为（47．87＆#177;5．02）分，与对照组（55．54＆#177;4．95）分比较，差异有统计学意义（ t＝6．384，P＜0．05）。结论自我效能健康教育方案不仅可以提高患者的婚姻质量，还可以有效改善患者的心理状态，值得临床推广。

Influence of self-efficacy health education on marriage quality and mental state of patients with gynecological tumor

Objective To explore the influence of self-efficacy health education on marriage quality and mental state of patients with gynecological tumor.Methods Totals of 86 patients with gynecologic cancer in our hospital from May 2010 to May 2013 were selected as the research objects and were divided into the observation group and the control group, with 43 patients in each group.The control group was given routine health education, while patients in the observation group were given enhanced self-efficacy health education based on the routine health education.After six months, self-efficacy health education, self-efficacy scale, marriage quality scale and depression scale were compared between the two groups.Results After six months, the scores of self-efficacy of the observation group and the control group were （29.14 ±6.12） and （22.76 ±6.27）, respectively, which were significantly different （t=4.716,P〈0.05）.The scores of marriage quality of equal roles, exchange between husband and wife, sexual life and marriage satisfaction in the observation group were （37.39 ±5.67）, （35.41 ±6.06）, （38.19 ±5.73） and （37.52 ±5.49）, which were significantly higher than those in the control group （30.15 ±5.22）, （28.47 ±5.87）, （32.63 ±5.91） and （30.16 ±4.96）]＆amp;nbsp;（t=3.519, 4.117, 2.399, 4.826, respectively;P〈0.05）.The scores of Self-rating Depression Scale in the observation group and the control group were （47.87 ±5.02） and （55.54 ±4.95）, respectively, which were significantly different （t=6.384,P〈0.05）.Conclusions Self-efficacy health education scheme can not only improve the marital quality of patients, but also effectively improve the psychological status of the patients, and it is worthy of clinical promotion.