自我效能护理干预对脑垂体瘤术后患者心理弹性及应对方式的影响

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Abstract Objective To observe the effect of self-efficacy (SE) nursing intervention on psychological resilience and coping style of patients with pituitary tumor after surgery. Methods A total of 101 patients with pituitary adenoma who underwent surgical treatment in Hu’nan Brain Hospital from June 2017 to June 2020 were retrospectively analyzed, 51 patients from June 2017 to December 2018 were included as the control group, and the observation group included 50 cases from January 2019 to June 2020. The control group received routine nursing, and the observation group received combined SE nursing on the basis of routine nursing, before intervention and one day before discharge, connor davidson resilience scale (CD-RISC), medical coping modes questionnaire (MCMQ) and self-care ability (self-made questionnaire) were evaluated in the two groups; the incidence of postoperative complications and length of hospital stay were compared between the two groups. Results One day before discharge, CD-RISC score and self-care ability score in both groups were higher than those before intervention, and the observation group was higher than the control group (all P ＜ 0.05); the face dimension score of the two groups were higher than those before intervention, and the observation group was higher than the control group (P ＜ 0.05); the scores of avoidance and yield in the two groups were lower than those before intervention, and the observation group was lower than the control group (P ＜ 0.05). One day before discharge, there was no significant difference in the total incidence between the two groups (P ＞ 0.05), the average length of hospital stay in the observation group was shorter than that in the control group (P ＜ 0.05). Conclusion After pituitary tumor surgery, patients on the basis of conventional nursing combined with SE nursing intervention, compared with traditional nursing alone, is more beneficial to improve patients’ psychological resilience and self-care ability, can improve patients’ coping style to a certain extent, with high application value.

Key words： Pituitary adenoma Self-efficacy nursing Psychological resilienle Coping style Complications

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	ZHU Lili1 NIE Wei2▲ LI Fengwei2

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ZHU Lili1 NIE Wei2▲ LI Fengwei2. Effect of self-efficacy nursing intervention on the psychological resilience and coping style of patients after pituitary adenoma surgery[J]. 中国医药导报, 2021, 18(10): 184-188.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I10/184

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