| Objective(1)To investigate the current status of self-efficacy and post-traumatic growth of patients with laryngeal cancer,and analyze the influencing factors of post-traumatic growth of the groups.(2)To explore the intervention effect of empowerment education on self-efficacy,post-traumatic growth and quality of life in patients with laryngeal cancer,so as to provide reference for the perioperative nursing of patients with laryngeal cancer.Methods(1)A convenience sampling was used to recruit 162 patients who diagnosed laryngeal cancers from a top three hospital in Xiangyang City,Hubei Province from January to December 2019.Using the general Information questionnaire,Chinese-strategies used by people to promote health(C-SUPPH)and Chinese-posttraumatic growth inventory(PTGI)questionnaire,to understand the self-efficacy and post-traumatic growth level,and to analyze the influencing factors of post-traumatic growth.(2)A convenience sampling was used to recruit 86 patients first diagnosed laryngeal cancers as the study objects from a top three hospital in Xiangyang City,Hubei Province from April to September 2020.The patients were randomly divided into the intervention group(42 people)and the control group(41 people)by using the random number table method.According to the risk factors,the empowerment education intervention was developed.The control group received routine health education,and the intervention group received empowerment education intervention on the basis of routine health education.The intervention was continued for 3 months,and the differences of self-efficacy,post-traumatic growth and quality of life between the two groups were compared at baseline,1and 3months after out of the hospital.SPSS 22.0 was used for data analysis and frequency,percentage(%),mean±standard deviation((?)±s)were used for statistical description.Single factor analysis of variance,t/t’test,X~2 test,Pearson correlation analysis,multiple regression analysis,repeated measurement analysis of variance were used for statistical analysis,P<0.05,indicating statistical significance.Results(1)The total score of self-efficacy was 77.46±20.25.The total score was3.03±0.97.The scores of each dimension from high to low were:self-decision,positive attitude and self-decompression.(2)The total score of post-traumatic growth was 55.68±8.90.The total score was 2.79±1.06.The scores of each dimension from high to low were:spiritual change,personal strength,appreciation of life,relationships,and new possibilities.(3)Self-efficacy was positively correlated with post-traumatic growth,the difference was statistically significant(P<0.001).The correlations from high to low with all dimensions of post-traumatic growth were:relationships(0.675),spiritual change(0.642),personal strength(0.604),new possibilities(0.582),appreciation of life(0.498).Self-efficacy,complications,surgical methods,and education were the influencing factors for post-traumatic growth which explained 47.20%variance of posttraumatic growth condition.(4)The scores and total scores of self-efficacy in the experience group were higher than those in the control group.There were statistically significant differences in the inter-group effect of self-efficacy(P<0.001),and the main effect of intervention time and the interaction effect were statistically significant(P<0.001).The total scores of self-efficacy were both increased with time goes by and the decrease of the score in the experience group were higher than that in the control group.(5)The scores and total scores of post-traumatic growth in the experience group were higher than those in the control group.There were statistically significant differences in the inter-group effect of post-traumatic growth(P<0.001),and the main effect of intervention time and the interaction effect were statistically significant(P<0.001),while the interaction effect were no statistically significant in the spiritual change(P>0.05).The total scores of post-traumatic growth were both increased with time goes by and the decrease of the score in the experience group were higher than that in the control group.(6)The score of quality of life in the experience group were higher than those in the control group.There were statistically significant differences in the inter-group effect of that(P<0.001),and the main effect of intervention time and the interaction effect were statistically significant(P<0.001).The total scores of quality of life were both increased with time goes by and the decrease of the score in the experience group were higher than that in the control group.Conclusions(1)The self-efficacy of patients with laryngeal cancer surgery was lower than the medium level,and the post-traumatic growth belonged to the medium level.(2)There was the positively correlated relationship between self-efficacy and post-traumatic growth.Self-efficacy,complications,surgical methods,and education were the influencing factors for post-traumatic growth.(3)Empowerment education can improve self-efficacy of patients with laryngeal cancer in the perioperative nursing,promote post-traumatic growth,and improve postoperative quality of life. |
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