Effect of integrated skill training of self-management on self-efficacy and negative emotions of cataract patients

Abstract

Objective To discuss the effect of integrated skill training of self-management on self-efficacy and negative emotions of cataract patients .Methods 68 cataract patients were randomly divided into the observation group （n=34）and the control group （n=34）.The control group was given routine postoperative nursing, while the observation group was provided with integrated skill training of self -management in addition , including orientation walking skill training , visual training and daily living skill training .HAMA, HAMD, self-efficacy and management scale , quality of life scale for low vision patients were used to compare negative emotions, self-efficacy, self-management and quality of life between two groups before and after intervention . Results There was no statistically significant difference of scores of HAMA , HAMD, self-efficacy and management scale or quality of life scale between two groups before intervention （P >0.05）.3 months after intervention , the scores of HAMA , HAMD, self-efficacy and management scale and quality of life scale were respectively （10.9 ±177;2.8）, （9.3 ±177;4.8）, （50.9 ±177;12.7）, （57.9 ±177;8.2）and （66.8 ±177;4.3）in the observation group, and patients’ negative emotions score dropped while self-efficacy score and quality of life score increased . The differences between two groups were statistically significant （ t =4.852, 3.985, 4.512, 4.986, 7.623, respectively;P<0.01）.Score of each dimension of self-efficacy and self-management scale and quality of life scale was also significantly different between two groups after intervention （P<0.01）.Conclusions Integrated skill training of self-management for cataract patients can increase their self-management and self-efficacy level , as well as improve their negative emotions and quality of life . Key words: Cataract; Negative emotions; Self-efficacy; Self-management; Integrated skill training