标题：保护动机理论对宫颈癌化疗期间患者应对方式及自我效能的影响

      作者：柴海丽，张芳    上海市松江区中心医院妇产科，上海 201600

      卷次： 2021年32卷24期

      【摘要】 目的 研究保护动机理论对宫颈癌化疗期间患者应对方式及自我效能的影响。方法 选取2015年6月至2020年6月在上海市松江区中心医院接受化疗的110例宫颈癌患者作为研究对象，采取随机数表法将其分为观察组和对照组，每组55例，对照组患者采取宫颈癌化疗常规护理流程，观察组患者在此基础上应用保护动机理论。护理 3个月后比较两组患者的护理满意度，护理前后医学应对方式问卷(MCMQ)评分、自我管理效能感量表(SUPPH)评分，以及化疗期间的不良反应发生情况。结果 观察组患者对治疗总体满意度为90.91%，明显高于对照组的76.36%，差异有统计学意义(P<0.05)；护理后，观察组患者的面对评分为(22.81±4.24)分，明显高于对照组的(20.25±3.58)分，回避及屈服评分分别为(13.21±2.26)分、(7.96±1.79)分，明显低于对照组的(14.71±2.08)分、(8.76±1.46)分，差异均有统计学意义(P<0.05)；护理后，观察组患者的正性态度、自我决策、自我减压评分分别为(40.89±5.04)分、(12.24±2.15)分、(28.43±4.24)分，明显高于对照组的(38.67±4.96)分、(11.13±2.07)分、(26.04±3.29)分，差异均有统计学意义(P<0.05)；化疗期间，观察组患者的不良反应总发生率为23.64%，略低于对照组的34.55%，但差异无统计学意义(P>0.05)。结论 保护动机理论应用于宫颈癌患者化疗期间护理可明显促进患者采取医学应对中的面对维度来应对化疗，提高其自我管理效能。
      【关键词】 保护动机理论；宫颈癌；医学应对；自我效能；护理
      【中图分类号】 R737.33 【文献标识码】 A 【文章编号】 1003—6350（2021）24—3201—04

Influence of protection motivation theory on coping style and self-efficacy of patients with cervical cancer duringchemotherapy.
CHAI Hai-li, ZHANG Fang. Department of Obstetrics and Gynecology, Shanghai Songjiang DistrictCentral Hospital, Shanghai 201600, CHINA
【Abstract】 Objective To study the influence of protection motivation theory on the coping style and self-effi-cacy of patients with cervical cancer during chemotherapy. Methods A total of 110 patients with cervical cancer whoreceived chemotherapy in Shanghai Songjiang District Central Hospital from June 2015 to June 2020 were selected asthe research objects, and they were divided into an observation group and a control group by random number table meth-od, with 55 patients in each group. Patients in the control group were given routine nursing care for cervical cancer che-motherapy, and patients in the observation group were given the protection motivation theory on the basis of the controlgroup. After 3 months of nursing, the nursing satisfaction of the two groups were compared, as well as the medical cop-ing modes questionnaire (MCMQ) scores and the strategies used by people to promote health (SUPPH) scores beforeand after nursing, and the occurrence of adverse reactions during chemotherapy. Results The overall satisfaction of pa-tients in the observation group was 90.91%, which was significantly higher than 76.36% in the control group (P<0.05).After nursing, the Facing score was significantly higher in the observation group (22.81±4.24) than in the control group(20.25±3.58); and the Avoiding and Yielding scores in the observation group were 13.21±2.26 and 7.96±1.79, respective-ly, which were significantly lower than corresponding 14.71±2.08 and 8.76±1.46 in the control group (P<0.05). Afternursing, the scores of positive attitude, self-decision and self-decompression were significantly higher in the observationgroup than in the control group, i.e. positive attitude score (40.89±5.04) vs (38.67±4.96), P<0.05; self-decision score(12.24±2.15) vs (11.13±2.07), P<0.05; and self-decompression score (28.43±4.24) vs (26.04±3.29), P<0.05; all differenc-es were statistically significant (P<0.05). During chemotherapy, the total incidence of adverse reactions in the observa-tion group was 23.64%, which was slightly lower than 34.55% in the control group, and there was no statistically signifi-cant difference (P>0.05). Conclusion The application of protection motivation theory to the nursing of patients withcervical cancer during chemotherapy can significantly promote patients to adopt the Facing dimension to cope with che-motherapy and improve their self-management efficiency.
      【Key words】 Protection motivation theory; Cervical cancer; Medical coping; Self-efficacy; Nursing