沈燕 施新燕 鲍丽超 陈苏红

[摘要] 目的 探讨自我效能模式在提升肠造口患者自我管理能力中的应用效果。 方法 选择2019年1月至2020年6月于湖州市中心医院行手术治疗的肠造口患者120例，根据对数表法将其分为两组，干预组和对照组各60例。对照组患者给予常规护理，干预组在常规护理的基础上应用自我效能模式。比较两组患者自我管理能力、自我效能水平[造口自我效能量表（SSES）]、心理状态[焦虑、抑郁自评量表（SAS、SDS）]及生活质量（EORTCQLQ-C30）。 结果 干预前，两组患者自我管理能力、自我效能水平心理状态及生活质量评分比较，差异无统计学意义（P>0.05）;干预后，干预组患者我自我管理能力评分及自我效能水平评分显著高于对照组，差异有统计学意义（P<0.05）;干预后，干预组患者焦虑、抑郁症状评分显著低于对照组，差异有统计学意义（P<0.05）;干预后，干预组患者生活质量评分显著高于对照组，差异有统计学意义（P<0.05）。 结论 自我效能模式可有效提升肠造口患者的自我效能水平、自我管理能力及生活质量，同时可以缓解患者焦虑、抑郁症状，值得临床推广。

[关键词] 自我效能;肠造口患者;自我管理能力;生活质量

[中图分类号] R473.73          [文献标识码] B          [文章編号] 1673-9701（2021）30-0172-04

[Abstract] Objective To explore the application effect of self-efficacy model in improving the self-management ability in enterostomy patients. Methods A total of 120 enterostomy patients who underwent surgeries in the Huzhou Central Hospital from January 2019 to June 2020 were selected. They were divided into two groups as the intervention group and the control group using logarithmic table method， with 60 patients in each group. The control group were given routine care， and the intervention group were given self-efficacy model and routine care. The self-management ability， self-efficacy level （SSES）， mental state [anxiety， depression self-rating scale （SAS， SDS）] and quality of life （EORTCQLQ-C30） were compared between the two groups. Results Before intervention， there were no significant differences in self-management ability， self-efficacy level and quality of life score between the two groups（P>0.05）. After intervention， the self-management ability score and self-efficacy level in the intervention group were significantly higher than those in the control group， the difference was statistically significant（P<0.05）. After intervention， the anxiety and depression scores in the intervention group were significantly lower than those in the control group， the difference was statistically significant（P<0.05）. After intervention， the quality of life score in the intervention group was significantly higher than that in the control group， the difference was statistically significant（P<0.05）. Conclusion The self-efficacy model can effectively improve the self-efficacy， self-management ability， and quality of life， and alleviate the anxiety and depression symptoms in enterostomy patients. It is worthy of clinical promotion.

[Key words] Self-efficacy; Patients with enterostomy; Self-management ability; Quality of life

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