| Objective:To explore the effect of comprehensive nursing intervention based on the theory of health action process orientation on self-efficacy,self-management behavior,quality of life and radiation damage of patients with cervical cancer during the peri-radiotherapy period,with the aim of exploring new ideas for clinical self-management education of cancer patients Method:102 patients with cervical cancer treated with radiotherapy were selected by cluster sampling in the First Affiliated Hospital of Bengbu Medical College from January to August 2022.There were 51 patients in each group.Patients served as the control group from January to April and received routine health education;patients served as the intervention group from May to August and received self-management education based on HAPA theory and provided group teaching,peer support,skill operation guidance,online question-answering,one-to-one guidance.Self-efficacy,selfmanagement behavior,fatigue,quality of life,nutritional status,and radiation complications were evaluated in all patients before intervention,after radiotherapy,and3 months later.SPSS26.0 was used for statistical analysis,and the difference was statistically significant(P<0.05).Result:(1)Excluding withdrawal and loss of follow-up,there were 44 patients in the control group and 45 patients in the intervention group.The baseline data of the two groups were comparable,and the difference was not statistically significant(P > 0.05).(2)Self-efficacy: At the end of intervention and 3 months,the scores of selfefficacy in the intervention group were significantly higher than those before intervention(P<0.05),and the scores in the intervention group were significantly higher than those in the control group(P<0.05).(3)Self-management behavior: At the end of intervention and 3 months,the scores of self-management behavior in the intervention group were significantly different from those before intervention(P<0.05),and the effect of the intervention group was better than that of the control group(P<0.05).(4)Cancer-caused fatigue: At the end of the intervention,the fatigue level of patients in both groups increased compared with that before the intervention(P<0.05);At the 3 months,the fatigue level of patients in both groups was significantly lower than that at the end of the intervention(P<0.05),but the improvement effect of the intervention group was better than that of the control group(P<0.05).(5)Quality of life: The quality of life in both groups was significantly improved after intervention compared with before intervention(P<0.05).The effect of intervention group was significantly higher than that of control group(P<0.05).The interaction effect showed that the quality of life in the two groups increased over time(P<0.05).(6)Nutritional indexes: The albumin of the intervention group was significantly higher than that of the control group at the end of the intervention(P<0.05),and the hemoglobin,albumin and total protein of the intervention group were significantly higher than that of the control group at the 3 months(P < 0.05).Albumin and total protein in the intervention group showed an upward trend over time(P<0.05).(7)Radiation complications: At the end of intervention,there was no significant difference in the degree of radiation damage between the two groups(P>0.05).At 3months,the incidence of radiation dermatitis and enteritis in both groups was significantly lower compared with the end of intervention(P<0.05),the radiation damage in the intervention group was lower than that in the control group(P<0.05).Conclusion:Self-management education based on the theory of health action process approach can significantly improve the self-management behavior,enhance self-efficacy,reduce fatigue,as well as improve nutritional statue and radiological complications,and enhance the quality of life of cervical cancer patients during radiotherapy. |
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