基于自我效能理论的干预模式对甲状腺癌术后患者自我效能感、焦虑抑郁水平和癌因性疲乏的影响
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国家自然科学基金项目(82202375);


Effect of intervention model based on self-efficacy theory on self-effica-cy,anxiety and depression and cancer-related fatigue in patients with thy-roid cancer after operation
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    摘要:

    目的:探讨基于自我效能理论的干预模式对甲状腺癌术后患者自我效能感、焦虑抑郁水平和癌因性疲乏的影响。方法:选取100例甲状腺癌患者为研究对象,按照术后护理干预方式不同分为对照组和观察组,每组各50例。对照组患者予以常规护理干预;观察组患者予以基于自我效能理论的护理干预,均干预至出院后3个月。比较两组患者自我效能感[癌症自我管理效能感量表(SUPPH)]、焦虑抑郁情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、癌因性疲乏[癌因性疲乏量表(CFS)]及生活质量[癌症生活质量核心量表(QLQ-C30)评分]。结果:干预后,相较于对照组,观察组SUPPH、QLQ-C30中各项评分均更高(P<0.05);SAS、SDS及CFS中各项评分均更低,差异均有统计学意义(P<0.05)。结论:基于自我效能理论的干预模式可提高甲状腺癌术后患者的自我效能感水平,降低焦虑抑郁及癌因性疲乏水平,并提高其生活质量。

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    Objective:To explore the effect of intervention model based on self-efficacy theory on self-efficacy,anxiety and depression and cancer-related fatigue in patients with thyroid cancer after operation.Methods:100 patients with thyroid cancer were divided into control group and observation group according to different intervention methods,50 cases in each group.The control group received routine nursing intervention,and the observation group received nursing intervention based on self-effica-cy theory,all of which lasted until 3 months after discharge.The scores of cancer self-management efficacy scale(SUPPH),self-rating anxiety scale(SAS),self-rating depression scale(SDS),cancer-related fatigue scale(CFS)and cancer quality of life core scale(QLQ-C30)were compared between the two groups before and after intervention.Results:After intervention,com-pared with the control group,the scores of SUPPH and QLQ-C30 in the observation group were higher(P<0.05),and the scores of SAS,SDS and CFS were lower(P<0.05).Conclusion:The intervention model based on self-efficacy theory can im-prove the patients? self-efficacy level who with thyroid cancer after operation,reduce the level of anxiety,depression and cancer-related fatigue,and improve their quality of life.

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王云婷;王萍萍;薛峰杰;刘明;.基于自我效能理论的干预模式对甲状腺癌术后患者自我效能感、焦虑抑郁水平和癌因性疲乏的影响[J].川北医学院学报,2025,40(10):1357-1360.

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  • 在线发布日期: 2025-11-03
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