Abstract:

Objective To evaluate the effect of a self-management behavior intervention program based on positive or negative information framing in patients after pituitary adenoma surgery，aiming to improve specialized nursing care quality. Methods From January to April 2025，using convenience sampling，patients who underwent transsphenoidal pituitary adenoma resection in the neurosurgery department of a tertiary hospital in Zhengzhou were selected as study participants. They were randomly divided into 3 groups using a random number table，with 28 patients in each group. The experimental groups received a self-management behavior intervention based on information framing effects（the positive group received interventions based on positive information frames, while the negative group received interventions based on negative information frames），while the control group received routine postoperative health education. Differences in chronic disease self-management levels，patient activation，and quality of life among the 3 groups were compared before and after the intervention. Results A total of 80 patients completed the study （27 in the positive framing group，27 in the negative framing group，and 26 in the control group）. The negative framing group showed significantly better self-management levels than both the positive framing group and the control group （both P<0.001）. Patient activation was also higher in the negative framing group compared to the other 2 groups （both P<0.05）. Regarding quality of life，the experimental groups scored better in “future uncertainty” than the control group （H=9.676，P=0.008），and the negative framing group had better outcomes for“visual disorder”（both P<0.05）. Conclusion A negative information framing approach is more effective in enhancing self-management，patient activation，and visual outcomes post-surgery，offering a valuable strategy for optimizing rehabilitation.

Key words: Postoperative Pituitary Adenoma, Information Framing Effect, Self-Management, Quality of Life, Nursing Care

摘要：

目的 探讨基于积极与消极信息框架的自我管理行为干预方案对垂体瘤术后患者的应用效果，以期对提升专科护理质量提供参考。方法 于2025年1—4月，采用便利抽样法，选取郑州市某三级甲等医院神经外科行经鼻蝶垂体瘤切除术的患者作为研究对象，按随机数字表法将其分为3组，每组各28例。试验组采用基于信息框架效应的自我管理行为干预（积极组按照积极信息框架进行干预，消极组按照消极信息框架进行干预），对照组接受常规术后健康教育。比较干预前后3组慢性病自我管理水平、患者积极度及患者生活质量的差异。结果 共80例患者完成研究（积极组27例，消极组27例，对照组26例）。干预后，消极组慢性病自我管理水平优于积极组和对照组（均P<0.001）；消极组积极度优于积极组和对照组（均P<0.05）；试验组生活质量“未来不确定性”维度水平优于对照组（H=9.676，P=0.008），消极组生活质量“视觉障碍”维度水平优于积极组和对照组（均P<0.05）。结论 基于消极信息框架的自我管理行为干预更有利于提升垂体瘤术后患者的自我管理水平、积极度，改善视觉障碍，可为优化垂体瘤术后康复管理提供有效的干预策略。

关键词: 垂体瘤术后, 信息框架效应, 自我管理, 生活质量, 护理