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目的探讨基于自我管理导向的5A护理模式在子宫颈癌患者中的应用。方法选取2014年7月至2016年7月间四川省眉山市妇幼保健院收治的67例晚期子宫颈癌患者,采用随机数表法将患者分为实验组与对照组,实验组34例,对照组33例。实验组患者在常规护理的基础上增加基于自我管理导向的5A护理模式干预,对照组患者采用常规护理。护理3个月后,采用自我效能感量表评价患者的自我管理效能,采用SF-36量表评价患者的生存质量,采用我院自制的满意度量表对患者的护理满意度进行评价。结果护理3个月后,实验组患者自我管理效能高于对照组,实验组患者并发症发生率为5.9%,低于对照组患者的18.2%,差异均有统计学意义(均P<0.05)。干预后,实验组患者总生存质量评分为(62.6±4.6)分,高于对照组患者的(54.6±3.7)分,差异有统计学意义(P<0.05)。实验组患者的护理满意度为94.1%,高于对照组患者的81.8%,差异有统计学意义(P<0.05)。结论基于自我管理导向的5A护理模式能够提高患者的生存质量,增强患者的自我管理效能,提高患者的满意度,值得临床推广。
Objective To explore the application of 5A nursing model based on self-management in patients with cervical cancer. Methods A total of 67 patients with advanced cervical cancer admitted to Meishan City MCH Hospital of Sichuan Province from July 2014 to July 2016 were randomly divided into experimental group and control group using random number table method. Group of 33 cases. In the experimental group, interventions based on self-management-oriented 5A nursing model were added on the basis of routine nursing care while those in the control group were treated with routine nursing care. After 3 months of nursing, self-efficacy scale was used to evaluate the self-management efficacy of patients, and the quality of life of the patients was evaluated by SF-36 scale. Satisfaction degree of patients was evaluated by self-made satisfaction scale in our hospital. Results After 3 months of nursing, the self-management efficacy of the experimental group was higher than that of the control group. The incidence of complications in the experimental group was 5.9%, which was lower than that of the control group (18.2%) (all P <0.05) . After intervention, the overall quality of life score of the experimental group was (62.6 ± 4.6) points higher than that of the control group (54.6 ± 3.7), the difference was statistically significant (P <0.05). The satisfaction rate of nursing in the experimental group was 94.1%, which was higher than that in the control group (81.8%), the difference was statistically significant (P <0.05). Conclusion The self-management-oriented 5A nursing model can improve the quality of life of patients, enhance self-management efficacy and improve patient satisfaction, which is worthy of clinical promotion.