健康教育及行为干预对胃肠道恶性肿瘤患者临终阶段自我感受负担的影响.docxVIP

生国塞届坦理塞盍2Q!垒生垒月!旦星3Q鲞筮!Q期￡h鱼』堕鲤丛坠堕，纯亘!!垫!垒：Y丛13Q，塑Q!!Q·13··科研之窗·健康教育及行为干预对胃肠道恶性肿瘤患者临终阶段自我感受负担的影响李江华孙玉倩赵立辉【摘要】目的探讨健康教育及行为干预对改善胃肠道恶性肿瘤患者临终阶段自我感受负担的效果。方法2012年3月至2013年4月在唐山市5家三级综合医院抽取70例生存期预计在6个月内的胃肠道恶性肿瘤患者，将70例患者随机分为干预组和对照组各35例。干预组和对照组在治疗阶段均接受常规护理并按照处方服用药物，干预组实施健康教育及行为干预措施，在干预前后分别应用癌症患者自我感受负担量表(sPBS．CP)进行测评。结果干预后，干预组在照护负担、心理，情感负担和治疗负担等3个维度的得分均低于自身干预前和同期对照组水平。结论健康教育及行为干预方法可有效减轻胃肠道恶性肿瘤患者临终阶段的自我感受负担。【关键词】自我感受负担；健康教育；行为干预；临终阶段Study on the effect of health education and behavioral intervention on the self’perceived burden of patients with gastrointestinal malignant tumor at end—stage Li删∞，Sun Yuqian+，Zhao Lihui．4co如萨ofNursing and Rehabilitation，Hebei United University，Tangshan 063000，China Corresponding author：Sun Yuqian，Email：syq_tt@126．com[Abstract]Objective To investigate the effect of health education and behavioral intervention on the self-perceived burden of patients with gastrointestinal malignant tumor at end-stage．Methods From March 2012 to April 2013，70 patients with gastrointestinal malignant tumor whose lifetime was esti-mated to be within 6 months were extracted from five general hospitals in Tangshan．70 patients were randomly divided into the intervention group and the control group with 35 cases in each group．The two groups samely received routine nursing cam，while the intervention group w鹪舀Ven health education and be— havioral intervention．Both groups were evaluated by SPBS-CP before and after intervention．Results The scores of the intervention group after intervention were lower than before intervention and the controlgroup，which were reflected in 3 dimensions such as care burden，psychological and emotional burden and treatment burden．Conclusions Health education and behavioral intervention Can effectively reEeve self-perceived burden of patients with gastrointestinal malignant tumor at end-stage．[Key words】Self-perceived burden；Health education；Behavioral intervention；End—stage目前，我国胃肠道恶性肿瘤的发病率呈上升趋临终阶段的自我感受负担不仅影响着患者的生存质势，80％的胃肠道恶性肿瘤患者在确诊时已处于癌症量，同时影响着疾病的治疗决