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目的探讨提高应对能力对妇科恶性肿瘤患者自我管理水平的影响,以提高临床护理水平。方法采用随机数字表法,将2014年1月1日至2015年6月30日住院的72例妇科恶性肿瘤患者随机分为对照组和实验组各36例。对照组仅接受常规治疗和护理,实验组在此基础上给予应对能力干预。干预6周后分别对两组患者采用心理一致感量表(SOC-13)进行应对能力评分和采用生活方式水平量表(Health Promoting Lifestyle Profile,HPLP)进行健康生活方式水平问卷调查,并评价效果。结果实验组患者的应对能力和生活方式水平得分均明显提高,与对照组比较,差异均具有显著意义(P均<0.05)。结论提高应对能力作为一种心理护理模式,可让患者掌握有效的应对方式,面对疾病的打击,从容以对,减轻心理压力,增强治病信心,提高生活方式和健康管理水平,促进康复。
Objective To explore the impact of coping skills on the self-management of patients with gynecologic malignancies in order to improve the level of clinical nursing. Methods 72 cases of gynecologic malignant tumors hospitalized from January 1, 2014 to June 30, 2015 were randomly divided into control group and experimental group with 36 cases in each group. The control group received routine treatment and nursing only, and the experimental group was given the response ability intervention on this basis. Six weeks after the intervention, two groups of patients were assessed by coping style using the psychosocial coercivity scale (SOC-13) and the Health Promoting Lifestyle Profile (HPLP) questionnaire, and the results were evaluated . Results The coping ability and life style score of the experimental group were significantly higher than those of the control group (all P <0.05). Conclusions Improving coping ability as a kind of psychological nursing model can help patients master the effective coping style, face the blow of disease, calm down, relieve psychological pressure, enhance confidence in treatment, improve life style and health management, and promote rehabilitation.