健康信念模式对乳腺癌术后淋巴水肿干预效果的研究  

The health belief model for lymphedema after breast cancer operation intervention study

作　　者：叶克敏[1] 段艳芹[1] 

机构地区：[1]安徽医科大学第一附属医院乳腺外科,合肥230022

出　　处：《临床护理杂志》2011年第6期9-11,共3页Journal of Clinical Nursing

摘　　要：目的探讨健康信念模式对乳腺癌术后淋巴水肿发生率的干预效果。方法将符合纳入标准的乳腺癌患者215例,随机分为实验组109例和对照组106例。对照组采用常规健康教育方法。实验组在常规健康教育的基础上,采用健康信念模式指导下的健康教育对患者实施护理干预。分别在手术后第1、3、6、12个月进行随访,测量上肢周径,比较两组淋巴水肿的发生率。结果实验组术后12个月上肢淋巴水肿发生率为16.5%,对照组为37.7%,两组比较有显著性差异(P<0.05)。干预后12个月实验组淋巴水肿轻度18例,对照组轻度26例,中度6例,重度8例(P<0.01)。结论健康信念模式指导下的健康教育可降低乳腺癌患者腋窝淋巴清扫术后淋巴水肿的发生率,并减轻其症状。Objective To explore the intervention effects of health education in health belief model on the incidence of lymphedema after breast cancer surgery, Methods The patients with breast cancer chosen by inclusion criteria were randomly divided into the experimental group and the control group.The control group was treated with conventional health education and the experimental group,on the basis of conventional health education,was given nursing intervention of health education guided in health belief model.The research followed up patients in one,three,six and twelve months respectively after surgery,measuring the size of their upper limbs and making comparisons of the incidence of lymphedema between two groups of patients, ResultsIn the experimental group,the incidence of the upper limb lymphedema is 16.5% after axillary lymph cleansing and for patients of the control group,the incidence is 37.7%.18 patients are with mild lymphedema in the experimental group and in the control group 26 cases are mild,6 cases are moderate and 8,severe. Conclusion Health education in health belief model can reduce the incidence of lymphedema and relieve the symptoms of breast cancer patients who received axillary Lymph cleansing.

关 键 词：乳腺肿瘤/外科学 淋巴水肿 健康信念 

分 类 号：R737.9[医药卫生—肿瘤] R395.1[医药卫生—临床医学]