循证护理对乳腺癌化疗患者自尊水平和应对方式的影响  

Influence of Evidence-based Nursing on Self-respect Degree and Coping Modes of Mammary Cancer Patients Undergoing Chemotherapy

作　　者：王丽[1] 何丽娟[1] 朱玉芹[1] 

机构地区：[1]东南大学医学院附属江阴医院肿瘤内科二科,江苏江阴214400

出　　处：《西部中医药》2014年第11期134-136,共3页Western Journal of Traditional Chinese Medicine

摘　　要：目的:探讨循证护理对乳腺癌化疗患者自尊水平和应对方式的影响。方法:将乳腺癌术后化疗患者58例随机均分为观察组和对照组,对照组采用常规护理,观察组给予循证护理。观察护理前后2组患者的自尊水平(自卑感量表,FIS)评分和应对方式(医学应对问卷量表,MCMQ)评分变化情况。结果:护理前2组患者FIS和MCMQ各项评分均无明显差异(P>0.05);护理后2组患者FIS各项评分均明显增加,观察组评分较对照组增加显著(P<0.05);观察组MCMQ评分明显高于对照组(P<0.05),而回避、屈服评分显著低于对照组(P<0.05)。结论:循证护理能显著提高乳腺癌化疗患者的自尊水平,改善应对方式。Objective： To explore the effects of evidence-based nursing on self-respect degree and coping mode of mammary cancer patients undergoing chemotherapy. Methods： Fifty-eight patients were randomly divided into the observation group and the control group. The patients in the control group were given with routine care and the observation group with evidence-based nursing. The scores of self-respect degree（the feelings of inadequacy scale,FIS） and coping modes（medical coping modes questionnaire, MCMQ） in both groups were observed before and after the nursing. Results： There was no obvious difference in FIS and MCMQ scales between both groups before nursing（P 〉0.05）; FIS scores of both groups were increased remarkably after nursing, the increase of the observation group was more evident than that of the control group（P〈0.05）; the observation group was higher than the control group remarkably in MCMQ scales（P〈0.05）, lower than the control group in avoidance and yield scores（P〈0.05）.Conclusion： Evidence-based nursing could raise self-respect degree and improve coping styles of mammary cancer patients undergoing chemotherapy apparently.

关 键 词：乳腺癌 化疗 自尊水平 应对方式 循证护理 

分 类 号：R471[医药卫生—护理学]