基于Swanson关怀理论的干预在乳腺癌患者中的应用  

Application of intervention based on Swanson's caring theory in patients with breast neoplasms

作　　者：马黛卿 侯晓丽[1] 张芬[1] 鲁杰[1] 李明艳 Ma Daiqing;Hou Xiaoli;Zhang Fen;Lu Jie;Li Mingyan(Nursing Department,People's Hospital of Zhengzhou,Zhengzhou 450000,China;Department of Oncology,People's Hospital of Zhengzhou,Zhengzhou 450000,China)

机构地区：[1]郑州人民医院护理部,450000 [2]郑州人民医院肿瘤内科,450000

出　　处：《中华现代护理杂志》2020年第23期3239-3242,共4页Chinese Journal of Modern Nursing

摘　　要：目的:探讨基于Swanson关怀理论的干预方案对乳腺癌患者自我效能和生命质量的影响。方法:采用便利抽样法,2018年3月—2019年11月,选取在郑州人民医院接受乳腺癌改良根治术的患者为研究对象。将其随机分为对照组(n=45)和观察组(n=50)。对照组采用常规护理方法,观察组在常规护理的基础上采用基于Swanson关怀理论制定的干预措施。分别于患者入院24 h内、出院前对两组患者进行中文版癌症自我管理效能感量表、中文版乳腺癌患者生命质量测定量表的评定。结果:出院前观察组患者自我管理效能感量表各维度得分均高于对照组,差异有统计学意义(P<0.05)。出院前观察组患者生命质量测定量表中社会/家庭状况、情感状况、功能状况、附加的关注领域得分高于对照组,差异有统计学意义(P<0.05);两组患者躯体状况得分差异无统计学意义(P>0.05)。结论:基于Swanson关怀理论制定的干预方案能够提高乳腺癌患者的自我管理效能水平和生命质量,但其对于患者躯体状况的影响较小。Objective To explore the effect of intervention program based on Swanson's caring theory on self-efficacy and quality of life of patients with breast neoplasms.Methods The convenient sampling method was adopted to select patients who received modified radical mastectomy in People's Hospital of Zhengzhou from March 2018 to November 2019 as the research objects.They were randomly divided into the control group(n=45)and the observation group(n=50).The control group was given routine nursing measures,while the observation group was given intervention measures based on Swanson's caring theory on the basis of routine nursing.The Chinese version of Strategies Used by People to Promote Health(C-SUPPH)and the Chinese version of Functional Assessment of Cancer Therapy-Breast(FACT-B)were used to assess within 24 hours of admission and before discharge.Results The scores of all dimensions of C-SUPPH of the observation group before discharge were higher than those of the control group,and the differences were statistically significant(P<0.05).The scores of social or family status,emotional status,functional status and additional areas of concern in FACT-B in the observation group before discharge were higher than those in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in body condition score between the two groups(P>0.05).Conclusions Intervention programs based on Swanson's caring theory can improve the self-management efficiency and quality of life of patients with breast neoplasms,but their effect on the physical status of patients is small.

关 键 词：乳腺肿瘤 Swanson关怀理论 自我效能 生命质量 

分 类 号：R473.73[医药卫生—护理学]