健康信念模式教育对乳腺癌术后淋巴水肿预防行为及生活质量的影响  

Effects of health belief model on prevention of lymphedema and life quality of patients following breast cancer surgery

作　　者：贾爱群[1] 史发兰 陈丽霞[1] JIA Aiqun;SHI Falan;CHEN Lixia(Chemotherapy Section,Rugao People′s Hospital,Rugao 226500,China)

机构地区：[1]如皋市人民医院化疗一区,江苏如皋226500

出　　处：《皖南医学院学报》2018年第6期608-611,共4页Journal of Wannan Medical College

基　　金：如皋市社会发展科技计划项目(GJZ16039)

摘　　要：目的:探讨健康信念模式(HBM)健康教育对乳腺癌术后淋巴水肿预防行为及生活质量的影响。方法:选取2015年3月～2016年3月我院收治的行常规健康教育的乳腺癌患者54例作为对照组,再选取2016年4月～2017年4月我院收治的行HBM健康教育的乳腺癌患者54例作为观察组。两组均进行3个月观察,对比两组预防行为、生活质量。结果:观察组术后6、12个月的淋巴水肿发生率均低于对照组;观察组避免上肢压迫、避免极端温度、皮肤护理、生活方式执行率均高于对照组;观察组护理3个月后各生活质量评分均高于对照组,差异有统计学意义(P<0. 05)。结论:HBM健康教育应用于乳腺癌患者效果显著,可有效改善患者淋巴水肿预防行为,提高生活质量,值得推广。Objective:To investigate the effect of health education by health belief model(HBM)on prevention of lymphedema and quality of life in patients of breast cancer after surgery.Methods:Fifty-four patients with breast cancer,admitted to and treated in our hospital between March of 2015 and 2016,undergone conventional health education modality were included in the control group,and another fifty-four patients of breast cancer,admitted to and treated in our hospital between April of 2016 and 2017,received health education on HBM basis were recruited in the observational group.Patients in the two groups were observed for 3 months,and compared concerning the prevention behavior and outcomes of quality of life.Results:Patients in the observational group had lower incidence of lymphedema by the 6 th and 12 th month after operation,yet better performance in prevention of upper limb compression and extreme temperature as well as skin care and lifestyle implementation than those in the control group.The scoring for the quality of life was higher in the observational group than in the control group(P<0.05).Conclusion:HBM may be clinically recommended for its effectiveness in caring the patients of breast cancer and better prevention of the incidence of lymphedema as well as improvement of the quality of life of the patients.

关 键 词：健康信念模式 健康教育 乳腺癌 淋巴水肿 预防行为 生活质量 

分 类 号：R473.73[医药卫生—护理学]