同伴支持教育对前列腺癌术后患者疾病不确定感及自我管理效能的影响

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Abstract Objective To investigate the effect of peer support on disease uncertainty and self-management efficacy in postoperative patients with prostate cancer. Methods A total of 116 patients with prostate cancer underwent surgery in Wuxi People’s Hospital Affiliated to Nanjing Medical University from January 2017 to December 2019 were enrolled. They were divided into intervention group and control group by random number table method, with 58 cases in each group. There was two cases and six cases falling off in intervention group and control group respectively, 56 cases in intervention group and 52 cases in control group. Control group was given routine nursing intervention after prostate cancer surgery, and intervention group was combined with peer support education on the basis of control group. After six months of follow-up, the indicators of disease uncertainty, self-management efficacy and quality of life were compared between two groups. Results After six months of follow-up, the scores of uncertainty, inconsistency, complexity and unpredictability in two groups were lower than those before intervention, and the scores of uncertainty, inconsistency and unpredictability in intervention group were lower than those in control group (P < 0.05). After six months of follow-up, the scores of self-decision-making, positive attitude and self decompression in two groups were higher than those before intervention, and the scores of self-decision-making, positive attitude and self decompression in intervention group were higher than those in control group (P < 0.05). After six months of follow-up, the scores of physical function, emotional function, role function, cognitive function and social function in two groups were higher than those before intervention, and the scores of emotional function, cognitive function and social function in intervention group were higher than those in control group (P < 0.05). Conclusion Peer support education can help alleviate the disease uncertainty in patients with postoperative prostate cancer, promote the development of self-management efficacy, and improve the quality of life of patients.

Key words： Prostate cancer Peer support education Disease uncertainty Self-management efficacy

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	HUA Jianhong ZHU Lixia YAO Huiqin WANG Yong ZHOU Liqin▲

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HUA Jianhong ZHU Lixia YAO Huiqin WANG Yong ZHOU Liqin▲. Effect of peer support education on disease uncertainty and self-management efficacy in postoperative patients with prostate cancer[J]. 中国医药导报, 2020, 17(35): 189-192,196.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I35/189

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