强化健康教育在乳腺癌根治术患者自我形象重塑中的应用效果  

Application effects of intensive health education on self-image reshaping of patients undergoing radical mastectomy

作　　者：陈保菊[1] 王璐[1] 王文颖[1] 孙敏[1] CHEN Baoju;WANG Lu;WANG Wenying(The First Affiliated Hospital of Zhengzhou University,Henan Zhengzhou 450052,China)

机构地区：[1]中国·郑州大学第一附属医院,河南郑州450052

出　　处：《中国健康心理学杂志》2020年第8期1182-1186,共5页China Journal of Health Psychology

基　　金：河南省科技攻关计划(编号:201703211)。

摘　　要：目的:研究强化健康教育在乳腺癌根治术后患者自我形象重塑中的应用效果。方法:选取2016年2月至2019年2月我院乳腺癌根治术后自我形象紊乱的患者82例为研究对象,采用随机数字表法均分为两组各41例,术后均给予常规放化疗等综合治疗,同时实施基础健康教育、心理干预和康复训练,观察组在此基础上进行强化健康教育,干预时间均为1个月,比较两组干预前后自护能力、自我形象、心理状态和生活质量变化。结果:干预后,两组SUPPH量表积极态度(t=-11.010,-7.329;P<0.05)、自我减压(t=-16.255,-12.692;P<0.05)、自我决策评分(t=-17.144,-15.652;P<0.05)及总分(t=-14.748,-10.245;P<0.05)均明显升高,且观察组积极态度(t=2.007,P<0.05)、自我减压(t=3.122,P<0.05)、自我决策评分(t=2.169,P<0.05)及总分(t=2.582,P<0.05)均高于对照组,差异有统计学意义;两组BIBCQ量表易感性(t=7.751,4.207;P<0.05)、羞耻感(t=10.486,6.131;P<0.05)、限制性(t=9.848,5.279;P<0.05)、身体关注度(t=-9.532,5.835;P<0.05)、透视度(t=11.286,6.021;P<0.05)和患肢关注度(t=13.472,9.633;P<0.05)评分及总分(t=10.577,6.915;P<0.05)均明显降低,且观察组易感性(t=3.058,P<0.05)、羞耻感(t=2.578,P<0.05)、限制性(t=3.418,P<0.05)、身体关注度(t=2.439,P<0.05)、透视度(t=3.736,P<0.05)和患肢关注度(t=2.504,P<0.05)评分及总分(t=3.068,P<0.05)均低于对照组,差异有统计学意义;两组SAS(t=13.645,9.036;P<0.05)和SDS(t=11.117,8.741;P<0.05)评分均明显降低,且观察组SAS(t=2.100,P<0.05)和SDS(t=2.309,P<0.05)评分低于对照组,差异有统计学意义;两组FACT-B量表社会/家庭(t=-13.963,-8.842;P<0.05)、生理(t=-14.153,-10.055;P<0.05)、功能(t=-9.271,-6.233;P<0.05)、情感(t=-19.102,-14.102;P<0.05)及附加关注(t=-15.385,-10.414;P<0.05)评分均明显升高,且观察组社会/家庭(t=3.859,P<0.05)、生理(t=3.016,P<0.05)、情感(t=3.146,P<0.05)及附加关注(t=2.669,P<0.05)评分均高于对照组,差异有统计学意义Objective:To study the application effects of intensive health education on self-image reshaping of patients after radical mastectomy.Methods:A total of 82 patients with self-image disorder after radical mastectomy in our hospital from February 2016 to February 2019 were selected for the study and were divided into two groups according to the random number table method,with 41 cases in each group.All patients were given conventional comprehensive therapy of radiotherapy and chemotherapy,and given basic health education,psychological intervention and rehabilitation training after operation,and observation group was given intensive health education on this basis,and they were intervened for 1 month.The self-care ability,self-image,psychological states and quality of life were compared the two groups before and after intervention.Results:After intervention,the scores of positive attitude(t=-11.010,-7.329;P<0.05),self-decompression(t=-16.255,-12.692;P<0.05)and self-decision(t=-17.144,-15.652;P<0.05)and total score(t=-14.748,-10.245;P<0.05)of SUPPH scale in the two groups were significantly increased,and the scores of positive attitude(t=2.007,P<0.05),self-decompression(t=3.122,P<0.05)and self-decision(t=2.169,P<0.05)and total score(t=2.582,P<0.05)in observation groups were higher than those in control group.The scores of susceptibility(t=7.751,4.207,P<0.05),shame(t=10.486,6.131;P<0.05),restriction(t=9.848,5.279;P<0.05),body attention(t=-9.532,5.835;P<0.05),perspective(t=11.286,6.021;P<0.05)and affected limb attention(t=13.472,9.633;P<0.05)and total score(t=10.577,6.915;P<0.05)of BIBCQ scale in the two groups were significantly decreased,and the scores of susceptibility(t=3.058,P<0.05),shame(t=2.578,P<0.05),restriction(t=3.418,P<0.05),body attention(t=2.439,P<0.05),perspective(t=3.736,P<0.05)and affected limb attention(t=2.504,P<0.05)and total score(t=3.068,P<0.05)in observation groups were lower than those in control group.The scores of SAS(t=13.645,9.036;P<0.05)and SDS(t=11.117,8.741;P<0.05)in the two groups were si

关 键 词：乳腺癌根治术 自我形象紊乱 健康教育 重塑 

分 类 号：R749.92[医药卫生—神经病学与精神病学]