健康促进模式对乳腺癌术后患者心理应激状态及自我效能的影响  

Influences of health promotion model on the psychological stress and self-efficacy of breast cancer patients after surgery

作　　者：谭虹虹[1] 陈英[1] 李亭秀[1] 江锦芳[1] 李玲[1] 茅传兰[1] 农琪莉 TAN Honghong;CHEN Ying;LI Tingxiu;JIANG Jinfang;LI Ling;MAO Chuanlan;NONG Qili(Department of Breast Surgery,Affiliated Cancer Hospital of Guangxi Medical University,Nanning 530000,Guangxi,China)

机构地区：[1]广西医科大学附属肿瘤医院乳腺外科

出　　处：《癌症进展》2019年第21期2597-2601,共5页Oncology Progress

摘　　要：目的探究健康促进模式对乳腺癌术后患者心理应激状态及自我效能的影响。方法根据随机数字表法将120例乳腺癌术后患者分为观察组(n=60)与对照组(n=60)。对照组患者给予常规护理干预,观察组患者在常规护理干预的基础上给予健康促进模式教育。比较两组患者干预前后的健康促进行为、自我效能、心理应激状态及生活质量。结果观察组患者干预前后健康促进生活方式量表(HPLP)各维度评分及总评分差值均明显高于对照组(P﹤0.01)。干预前,两组患者的一般自我效能量表(GSES)评分比较,差异无统计学意义(P﹥0.05);干预1个月和干预3个月后,观察组患者的GSES评分均明显高于对照组(P﹤0.01)。干预前,两组患者的抑郁自评量表(SDS)、焦虑自评量表(SAS)评分及乳腺癌患者生命质量测定量表(FACT-B)中各维度评分和总评分比较,差异均无统计学意义(P﹥0.05);干预3个月后,观察组患者的SAS、SDS评分均低于对照组,FACT-B中各维度评分和总评分均高于对照组,差异均有统计学意义(P﹤0.05)。结论基于健康促进模式的健康教育可以有效缓解乳腺癌术后患者的不良心理状态,提高患者的自我效能,改善患者的生活质量。Objective To explore the effect of health promotion model on the psychological stress and self-efficacy of patients after breast cancer surgery.Method A total of 120 breast cancer patients who had received surgical treatment were enrolled in the study,and were subsequently randomized into study group(n=60)or control group(n=60)according to the random number table method,respectively.The control group received routine postoperative nursing care,while study group was given health promotion model-based nursing care in addition to routine postoperative nursing.The health-promoting behaviors,self-efficacy,psychological stress level and quality of life of the patients in both groups were evaluated and compared.Result The difference value score before and after intervention assessed using health promoting lifestyle profile(HPLP)scale regarding each dimension and overall score was significantly higher in study group compared to control group(P<0.01).Before intervention,the general self-efficacy scale(GSES)scores in the two groups showed no significant difference(P>0.05);while it was significantly higher in study group than in control group after intervention for 1 and 3 months,respectively(P<0.01).The self-rating anxiety scale(SAS),self-rating depression scale(SDS)and functional assessment of cancer therapy-breast(FACT-B)scores were similar before intervention in the two groups(P>0.05);while in 3 months after intervention,the SAS and SDS scores were lower,meanwhile the score of each dimension as well as overall score under FACT-B scale were higher in the study group compared to control group(P<0.05).Conclusion Applying health promotion model-based health education in the nursing care for breast cancer patients after surgery can significantly alleviate the their negative psychological stress,improving self-efficacy and better the quality of life.

关 键 词：乳腺癌 健康促进模式 自我效能 心理应激状态 生活质量 

分 类 号：R737.9[医药卫生—肿瘤]