阅读疗法在乳腺肿瘤患者围术期中的应用效果  

Application effect of reading therapy in perioperative period of patients with breast cancer

作　　者：王正梅[1] 孙春霞[1] 李巧群[2] 张群[2] 杨瑛[3] 朱霞[3] 高健[4] 王伟杰[5] 

机构地区：[1]南京医科大学附属淮安第一医院护理部,223300 [2]南京医科大学附属淮安第一医院图书馆,223300 [3]南京医科大学附属淮安第一医院甲乳科,223300 [4]南京医科大学附属淮安第一医院统计室,223300 [5]南京医科大学附属淮安第一医院神经科,223300

出　　处：《中华现代护理杂志》2016年第3期339-342,共4页Chinese Journal of Modern Nursing

基　　金：江苏省图书馆学会2014年度学术研究课题项目(14YB12) 2014 Annual Academic Resarch Subject Project of Jiangsu Library Academy

摘　　要：目的 开展阅读疗法,丰富健康教育内容,满足临床患者住院期间知识需求,增强患者治疗疾病信心,从而提高患者心理状况及满意度.方法 选择2014年1—12月乳腺肿瘤住院手术患者,按照随机数字法分成两组,对照组采用传统的健康教育方式,干预组在围术期及康复期采用阅读科研小组提供的相关阅读资料、辅导、信息平台及沙龙,应用＂以阅读为中心和交互式阅读疗法＂相结合的方法 进行阅读疗法干预.结果 入院时两组焦虑自评量表（SAS）和抑郁自评量表（SDS）评分比较,差异无统计学意义（P〉0.05）,运用阅读疗法后干预组SAS得分为（44.02±4.81）分,SDS得分为（45.66±3.78）分,均低于对照组的（64.52±6.89）,（63.67±4.92）分,两组比较差异有统计学意义（t值分别为17.25,18.25;P〈0.05）.干预组患者及家属的满意度为（97.6±2.1）分,高于对照组的（91.4±1.2）分,两组比较差异有统计学意义（t=-18.13,P〈0.05）.结论 在乳腺肿瘤患者围术期创新性开展阅读疗法,符合现代生物心理社会医学模式,为健康教育、心理护理提供有效措施,丰富了健康教育形式与内容,明显提高了患者及家属术前、术后、康复期心理状况及满意度,使肿瘤患者的心理护理更具有可行性.Objective Conducting reading therapy to enrich the content of health education, to meet the knowledge needs of the patients during hospitalization and to enhance the patients＇confidence with diseases, thus to improve patients＇ the quality of life and satisfaction. Methods Patients with breast cancer who had surgery were selected between January 2014 to December 2014. They were randomly divided into the control group （ traditional health education ） and the intervention group according to the random number method. Patients in the intervention group read the related information provided by the research team, coached, information platform and salon during perioperative and rehabilitation period. They selected the method of＂read-centric and interactive reading therapy＂ which is combined with each as intervention. Results No statistic difference was found between the scores of SAS and SDS on admission （P〉0. 05）. After the reading therapy, scores of SAS and SDS were （44. 02 ± 4. 81）, （45. 66 ± 3. 78） and were all lower than those in the control group （64.52 ±6.89） and （63.67 ±4.92） （t=17.25, 18.25;P〈0.05）. The satisfactions of the patients and their families in the intervention group were （97. 6 ± 2. 1）, which were higher than that in the control group （91.4 ± 1. 2）. The difference was statistically significant （t = -18. 13,P 〈0. 05）. Conclusions Using reading therapy in breast cancer patients during perioperative period can be in line with modern ＂biology-psychology-social medicine＂ model, provide effective measures for health education and psychological care, enrich the forms and content of health education, significantly improve patients＇ and their families＇ satisfaction and mental state during perioperative and rehabilitation period. And it makes psychological care of cancer patients more feasible.

关 键 词：乳腺肿瘤 围术期护理 阅读疗法 生活质量 满意度 

分 类 号：R473.73[医药卫生—护理学]