配偶同步赋能教育对乳腺癌PICC化疗患者早期自我效能与生活质量的影响  

Effects of a synchronous spouse empowerment education program on self-efficacy and quality of life of breast cancer patients with a PICC line in the early stage of chemotherapy

作　　者：阳红娟[1] 何小霞[1] 严银英[1] 潘宝莹[1] 李宁宁 Yang Hongjuan;He Xiaoxia;Yan Yinying;Pan Baoying;Li Ningning(Second Department of Surgery,The Third Affiliated Hospital of Guangzhou Medical University,Guangzhou 510150,China)

机构地区：[1]广州医科大学附属第三医院普外二区,广东广州510150

出　　处：《护理学杂志》2020年第6期72-75,共4页Journal of Nursing Science

基　　金：广东省医学科学技术研究基金项目(A2016441)。

摘　　要：目的探讨配偶同步赋能教育对乳腺癌PICC化疗患者早期自我效能与生活质量的影响。方法选择2016年10月至2018年10月在我院行PICC置管并化疗的乳腺癌患者,按PICC置管先后顺序分为对照组和干预组各38例,对照组采用赋能教育模式,干预组在此基础上实施配偶同步赋能教育。分别于干预前、出院前、第2次化疗前和第3次化疗前进行调查,比较化疗早期两组患者的自我效能与生活质量水平的差异。结果自我效能和生活质量得分的组间效应、时间效应及交互效应差异有统计学意义(均P<0.05),干预组在干预后不同时间点的自我效能和生活质量得分显著高于对照组(均P<0.01)。结论配偶同步赋能教育模式应用于乳腺癌PICC化疗患者,有助于在化疗早期提升患者的自我效能和生活质量水平,相比对患者单独实施赋能教育的效果更具优势。Objective To investigate the effects of a synchronous spouse empowerment education program on self-efficacy and quality of life of breast cancer patients with a PICC line in the early stage of chemotherapy.Methods From October 2016 to October 2018,breast cancer patients who received chemotherapy through a PICC line were chronologically divided into 2 groups of 38 cases each according to the order of PICC insertion.The control group patients were given empowerment education,while for the intervention group,a synchronous empowerment education program involving the patients and their spouses was carried out.Data were collected before the intervention,before discharge,and before the second and the third chemotherapy cycles.Self-efficacy and quality of life of the two groups in the early stage of chemotherapy were compared.Results There were significant differences in the group,time,and time by group effects in self-efficacy and quality of life scores(P<0.05 for all).The self-efficacy and quality of life scores of the intervention group at different time points after intervention were significantly higher than those of the control group(P<0.05 for all).Conclusion The synchronous spouse empowerment education program helps to improve self-efficacy and quality of life in the early stage of chemotherapy in breast cancer patients with a PICC line.

关 键 词：乳腺癌 PICC 配偶 赋能教育 家庭系统理论 自我效能 生活质量 

分 类 号：R473.73[医药卫生—护理学] R193[医药卫生—临床医学]