自我管理模式对乳腺癌患者希望水平、心理困扰及应对方式的影响  

Effect of self-management model on the level of hope,psychological distress and coping style in patients with breast cancer

作　　者：刘颖[1] 秦烨[1] 郭爱宁[1] 赵芳[2] 

机构地区：[1]西安交通大学第二附属医院,陕西西安710004 [2]西安交通大学医学院肿瘤病院

出　　处：《齐鲁护理杂志》2016年第1期8-10,共3页Journal of Qilu Nursing

摘　　要：目的:探讨自我管理模式对乳腺癌患者术后希望水平、心理困扰及应对方式的影响。方法:将120例乳腺癌患者随机分为观察组和对照组各60例,对照组给予常规护理,观察组给予自我管理模式,干预前后应用Herth希望量表、心理困惑管理量表(DM)及Jalowies应对方式量表对两组希望水平、心理困扰及应对方式进行评价。结果:观察组干预后希望水平评分高于对照组干预后(P<0.05),心理困扰评分低于对照组干预后(P<0.05),观察组干预后姑息、逃避、宿命、依靠自我、乐观、面对、寻求支持、情感宣泄评分与对照组比较差异有统计学意义(P<0.05)。结论:自我管理模式能有效改善乳腺癌患者术后心理困扰,提高患者积极应对疾病的能力及希望水平,有利于提高患者生活质量。Objective： To explore the effect of self- management model on the level of hope,psychological distress and coping style in patients with breast cancer. Methods： 120 breast cancer patients were randomly divided into the observation group and the control group（ 60 cases in each group）. The routine nursing care was taken in the control group and the self- management model was adopted in the observation group. The Herth hope scale,psychological distress management scale（ DM） and Jalowies coping style scale were used to evaluate the level of hope,psychological distress and coping style of the patients in the two groups. Results： The score of the level of hope of the patients was higher in the observation group than the control group after the intervention（ P〈0. 05）; the score of psychological distress was lower in the observation group than the control group after the intervention（ P〈0. 05）; there were statistically significant differences in the comparison of appeasement,avoidance,foreordination,emotional catharisis,etc. between the two groups（ P〈0. 05）. Conclusion： The self- management model can effectively relieve the psychological distress of patients with breast cancer and improve their ability of coping with the disease and the level of hope.

关 键 词：自我管理模式 乳腺癌 希望水平 应对方式 心理困扰 

分 类 号：R473.73[医药卫生—护理学]