| Objective:In the present study,we established a peer education program for patients with hepatocellular carcinoma(HCC)after the transcatheter arterial chemoembolization(TACE)treatment to explore the impact of peer education on negative emotions and coping styles of patients,and provide theoretical basis for the establishment of an effective education intervention.Methods:From June 2016 to June 2017,110 patients who underwent TACE were selected by the convenience sampling method.The patients were divided into the control group(55 cases)and the observation group(55 cases).After all patients received the routine TACE health education and guidance,the observation group received the peer educator education activities,while the control group did not.Hospital anxiety and depression measurement table(HADS),general self-efficacy scale(GSES)and medical coping style scale(MCMQ)were used to all patients before and one month after the peer education intervention.SPSS 21.0 software was used for statistical analysis.Independent sample t-test and chi square test were used for the comparison between the groups.Paired t-test was used for the comparison within each group.Results:1.There were no statistically significant differences in the socio-demographic data between the two groups,including age,sex,marital status,residence,number of children and educational level(p>0.05).There were no statistically significant differences in patients’ conditions between the two groups,including the severity of disease,the payment method,and the presence or absence of complications or complications(p>0.05).Therefore,the two groups can be comparable.2.The comparison between the two groups before the peer education programBefore the intervention,the mean anxiety scores of the observation group and the control group were 9.24±2.15 and 8.92±2.00,respectively.The mean depression scores were 7.72±1.28 and 7.54±1.08,respectively.The mean self-efficacy scores were 2.13±0.26 and 2.13±0.24,respectively.The mean face scores in coping style were 20.04±1.26 and 20.04±1.40,respectively.The mean avoidance scores were 14.17±1.27 and 14.14±1.43,respectively.The mean yield scores were 9.00±1.67 and 8.85±1.38,respectively.There were no statistically significant differences in the scores of each scale before the intervention between the two groups(p>0.05).3.The comparison between the two groups after interventionAfter the intervention,the mean anxiety scores of the observation group and the control group were 8.22±1.01 and 8.921±1.40,respectively.The mean depression scores were 7.15±0.99 and 7.60±1.05,respectively.The mean self-efficacy scores were 2.36±0.156 and 2.21±0.17,respectively.The mean face scores in coping style were 20.85±1.10 and 19.92±1.40,respectively.The avoidance scores were 13.30±1.53 and 13.89±1.26,respectively.The mean yield scores were 7.80±1.38 and 8.42±1.51,respectively.The scores of anxiety and depression,avoidance and yield in coping style in the observation group were significantly lower than those in the control group,and the scores of self-efficacy and face in coping style were significantly higher than those in the control group(p>0.05).4.The comparison of scores between before and after the intervention in the observation groupThe mean anxiety scores of the observation group before and after intervention were 9.24±2.15 and 8.22±1.01,respectively.The mean depression scores were 7.72±1.28 and 7.15±0.99,respectively.The mean self-efficacy scores were 2.13±0.26 and 2.36±0.16,respectively.The mean face scores in coping style were 20.04±1.26 and 20.85±1.10,respectively.The mean avoidance scores were 14.17±1.27 and 13.3011.53,respectively.The mean yield scores of the observation group were 9.00±1.67 and 7.80±1.38,respectively.The scores of anxiety and depression,avoidance in coping style and yield in the observation group were significantly lower after intervention than before intervention,and the scores of self-efficacy and coping style were significantly higher after intervention than before intervention(p<0.05).5.The comparison of scores in the control groupThe mean anxiety scores before and after intervention in the control group were 8.92±2.00 and 8.92±1.40,respectively.The mean depression scores were 7.54±1.08 and 7.60±1.05,respectively.The mean self-efficacy scores were 2.13±0.24 and 2.21±0.17,respectively.The mean face scores in coping style were 20.04±1.40 and 19.92±1.40,respectively.The mean avoidance scores were 14.14±1.43 and 13.8911.26,respectively.The mean yield scores were 8.85±1.38 and 8.42±1.51,respectively.After the intervention,the scores of anxiety and depression,self-efficacy,face,avoidance and yield in the coping style of the control group were not statistically significant(p>0.05).Conclusion:1.Anxiety and depression,low self-efficacy,and ineffective coping styles are common problems in patients with HCC after TACE,which need to be solved urgently.2.The peer education program can significantly improve anxiety,depression,patients’ self-efficacy,and their ability to cope with diseases with a more positive attitude.3.Peer education is a continuous health education mode,which can make up for the deficiency of nursing after discharge.It can be an effective method in the clinical nursing practice for patients with HCC after TACE,and can be a beneficial supplement to patients’ health education. |
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