【摘要】：目的探討OEC管理模式對腫瘤科出院患者自我效能的影響。方法選擇2014年1月至2015年12月該院178例腫瘤科患者作為研究對象,按照入院日期分為觀察組和對照組,每組89例,對照組采用常規(guī)護(hù)理,觀察組采用OEC管理模式護(hù)理,采用焦慮自評量表(SAS)、抑郁自評量表(SDS)對患者的心理狀態(tài)進(jìn)行評定,采用王才康等翻譯修訂的漢化版量表及中國癌癥患者生活質(zhì)量(QLQ-C30)核心問卷對患者的自我效能及生活質(zhì)量進(jìn)行測評。比較兩組患者干預(yù)前后的效果。結(jié)果觀察組干預(yù)后SAS評分[(22.65±8.67)分]和SDS評分[(36.67±8.60)分]明顯低于對照組[(29.52±7.90)分vs.(40.12±10.82)分],差異有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組自我護(hù)理(自護(hù))技能、自護(hù)責(zé)任感、自我概念、健康知識及護(hù)理能力總分均優(yōu)于對照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。觀察組生活質(zhì)量總評分顯著優(yōu)于對照組[(59.00±10.32)分vs.(46.21±12.35)分],功能量表軀體機(jī)能、角色功能、認(rèn)知功能、情緒功能及社會功能各項(xiàng)目評分均優(yōu)于對照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);癥狀子量表社會功能、疲乏、疼痛、惡心、嘔吐均優(yōu)于對照組,呼吸困難、失眠、食欲喪失評分均優(yōu)于對照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);同時觀察組滿意率為92.13%(82/89),對照組滿意率為75.28%(67/89),兩組比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論 OEC管理模式應(yīng)用于腫瘤科出院患者中效果顯著,對于患者自我效能及生活質(zhì)量的提升具有積極影響。
[Abstract]:Objective to investigate the effect of OEC management model on self-efficacy of discharged patients in oncology department. Methods from January 2014 to December 2015, 178 patients in oncology department of our hospital were divided into observation group (n = 89) and control group (n = 89) according to the date of admission. The control group was treated with routine nursing, the observation group was treated with OEC management mode nursing, and the psychological state of the patients was evaluated by self-rating anxiety scale (SAS),) self-rating depression scale (SDS). Wang Caikang's revised Chinese version scale and Chinese Cancer patients' quality of Life (QLQ-C30) Core questionnaire were used to evaluate the self-efficacy and quality of life of patients. The effects of the two groups before and after intervention were compared. Results after intervention, the SAS score [(22.65 鹵8.67)] and SDS score [(36.67 鹵8.60)] in the observation group were significantly lower than those in the control group [(29.52 鹵7.90) vs. (40.12 鹵10.82)], and the difference was statistically significant (P 0.05). The observation group was better than the control group in self-nursing skills, self-care responsibility, self-concept, health knowledge and total score of nursing ability, the difference was statistically significant (P 0.05). The total score of quality of life in the observation group was significantly better than that in the control group [(59.00 鹵10.32) vs. (46.21 鹵12.35)]. The scores of physical function, role function, cognitive function, emotional function and social function of the function scale were better than those of the control group (P 0.05). The scores of social function, fatigue, pain, nausea and vomiting of symptom subscale were better than those of control group, dyspnea, insomnia and appetite loss, the difference was statistically significant (P 0.05), and the satisfaction rate of observation group was 92.13% (82 鈮，

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