网络干预模式对年轻乳腺癌保乳术后患者自我形象的影响  

Effect of network-model intervention on self-image of young breast cancer patients after breast-conserving surgery

作　　者：王晴[1] 贾辛婕 张志娟[1] 杨晓燕[1] 

机构地区：[1]天津医科大学肿瘤医院,天津300060

出　　处：《天津护理》2016年第6期482-484,共3页Tianjin Journal of Nursing

摘　　要：目的:探讨建立以网络信息技术为媒介的网络干预模式,提高年轻乳腺癌保乳术后患者自我形象水平。方法:选取2014年8月-2015年06月期间在天津肿瘤医院乳腺科即将出院的年轻乳腺癌保乳术后患者,随机分为干预组50例,对照组50例,对干预组给予6个月的网络模式的护理干预,对照组接受常规护理。分别于出院前、出院后2个月、6个月测评两组患者自我形象水平,评价干预效果。结果:患者在羞耻感、身体关注度的时间主效应有统计学意义(P<0.01),在身体关注度、透视度、患肢关注度及BIBCCQ总分的干预主效应差异有统计学意义(P<0.05),在易感性、羞耻感、限制性、透视度、患肢关注度及BIBCCQ总分的时间和干预方法之间的交互作用均有统计学意义(P<0.05)。结论:网络干预模式可增加乳腺癌患者的疾病相关知识,提高身心健康和社会适应能力,进而提高患者自我形象水平,是一种科学的、有效的干预模式。Objective：To explore the effect of network-model intervention on self-image of young breast cancer patients after breast-conserving surgery. Methods：Young breast cancer patients after breast-conserving surgery were chosen from Tianjin Medical University Cancer Institute and Hospital from August 2014 to June 2015. These patients were randomly divided into intervention group（50 cases） and control group（50cases）. Patients of the intervention group were given a supportive nursing intervention for 6 months, while patients of the control group received routine nursing care. These two groups were assessed by the body image after breast cancer questionnaire（BIBCQ） before discharge,2and 6 months after discharge separately to evaluate the effect of the nursing intervention. Results：There were significant differences（P〈0.01）in body stigma and body concerns. There were differences（P〈0.05） in body concerns, transparency, arm concerns and the total scores of IBCCQ.There were statistically differences in vulnerability, body stigma, limitations, transparency, arm concerns and interaction between time and intervention methods of total scores of IBCCQ（P〈0.05）. Conclusion：The network-model intervention is scientific and personalized, it may improve both the physical and psychological health and social adaptability of breast cancer patients, thus elevating their self-imaging level.

关 键 词：年轻乳腺癌 保乳术后 自我形象 网络干预 

分 类 号：R473.73[医药卫生—护理学]