治疗性沟通方案对乳腺癌手术患者自尊及希望水平的影响  

Effect of therapeutic communication on the self-esteem status and hope level of surgical patients withbreast cancer

作　　者：于志梅[1] 田宏[1] 孙海微 

机构地区：[1]哈尔滨医科大学附属第一医院综合病房,150001

出　　处：《中华现代护理杂志》2014年第9期999-1003,共5页Chinese Journal of Modern Nursing

基　　金：国家临床重点专科建设项目（2012-649）

摘　　要：目的探讨治疗性沟通对乳腺癌手术患者自尊状况与希望水平的影响。方法将126例乳腺癌手术患者按照随机数字表法分为对照组和观察组，每组63例，对照组患者给予常规护理，观察组患者在常规护理的基础上给予治疗性沟通，分别于术前、术后15d进行状态自尊量表（SS—ES）与Herth希望量表（HHI）评估。结果干预前，两组患者的自尊程度和希望水平均为中等水平；干预后，观察组患者的高自尊、高希望水平分别为59，60例，显著多于对照组的4，5例，差异有统计学意义（z分别为-9．259，-9．518；P〈0．01）。干预前，两组患者的SS—ES、HHI各项评分差异均无统计!学意义（P〉0．05）；干预后，观察组的自尊总分及行为自尊、社会自尊与外表自尊三因子分分别为（66．524±10．46），（23．144-3．27），（24．084±3．17），（19．414±1．95）分，显著高于对照组的（55．374±9．95），（19．844±4．06），（19．744±3．55），（16．954±2．24）分，差异有统计学意义（t分别为6．130，5．024，7．238，6．575；；P〈0．01）；观察组的希望水平总分及三因子分分别为（38．264-2．96），（12．87±1．52），（12．954±1．36），（13．74±1．28）分，显著高于对照组的（31．29±2．86），（10．314±1．57），（10．384±1．42），（12．074±1．30）分，差异有统计学意义（t分别为13．441，9．298，10．375，7．015；P〈0．01）。结论治疗性沟通能够提高乳腺癌手术患者的自尊与希望水平，提高患者的心理健康，有利于患者的术后康复。Objective To evaluate the effect of therapeutic communication on the self-esteem and hopelevel of surgical patients with breast cancer. Methods Totals of 126 patients with breast cancer were randomly divided into control group （n = 63） that received routine nursing and observation group （ n = 63 ） that received therapeutic communication and routine nursing. They were evaluated by Herth hope index （HHI） and State Self- Esteem Scale （SS-ES） before operation and after operation 15days. Results The self-esteem level and hope level of patients of two groups were medium level before the intervention. After intervene, the population distribution of high self-esteem （59 vs 4） and high hope level （60 vs 5 ） in observation group was significantly more than that in control group （Z = -9. 259, -9. 518, respectively; P 〈 0.01 ）. Before the intervention, patients of two groups with SS-ES, the HHI scores showed no significant differences （ P 〉 0. 05 ）. After intervene, the scores of SS-ES （66.52 ±10.46 ）, behavior self-esteem （ 23.14 ± 3.27 ）, social self-esteem （24.08 ± 3.17）, and appearance self-esteem （19.41 ± 1.95 ） in observation group were significantly higher than that of control group （55.37 ± 9.95 ）, （ 19.84 ±4.06）, （ 19.74 ± 3.55 ）, （ 16.95± 2.24）, and the differences were statistically significant （t = 6. 130,5. 024,7. 238,6. 575, respectively;P 〈 0.01 ）. The score of HI-II （38.26 ±2.96） and three factors scores （12.87 ± 1.52）, （12.95 ±1.36）, （13.74 ±1.28） in observation group were higher than that in control group after intervene （31.29 ± 2.86）, （ 10.31± 1.57）, （ 10.38 ± 1.42 ）, （ 12.07 ± 1.39 ）, and the differences were statistically significant （ t = 13. 441,9. 298, 10.375,7. 015, respectively ;P 〈 0.01 ）. Conclusions Therapeutic communication can improve the self-esteem level and hope level of patients with breast cancer, and promote their mental health. It is beneficial to postoperative

关 键 词：乳腺肿瘤 护理 治疗性沟通 自尊状况 希望水平 

分 类 号：R47[医药卫生—护理学]