强化自我效能护理对乳腺癌术后患者自我效能感和创伤后成长的影响  

The effect of intensive self-efficacy nursing on self-efficacy and post-traumatic growth of postoperative patients with breast cancer

作　　者：叶西西 舒美春[1] 潘莘莘[1] 柳琼 YE Xixi;SHU Meichun;PAN Xinxin;LIU Qiong(Department of Thyroid and Breast Surgery,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325015,China)

机构地区：[1]温州医科大学附属第一医院甲乳外科,浙江温州325015

出　　处：《温州医科大学学报》2020年第9期765-768,共4页Journal of Wenzhou Medical University

基　　金：温州市科技计划项目(Y20180473)。

摘　　要：目的:强化自我效能的护理干预措施对乳腺癌术后患者自我效能感水平、创伤后成长水平的影响。方法:按纳入和排除标准选入81位乳腺癌术后患者,采用随机数字表法将其分为观察组40例和对照组41例,对照组按甲乳外科护理常规护理;观察组在对照组的基础上,针对疾病特点,依据自我效能理论增加护理干预措施。在实施干预措施2个月后,比较不同组间患者自我效能感水平、创伤后成长水平的差异。结果:干预前观察组和对照组患者的自我效能感水平和创伤后成长水平差异无统计学意义(P>0.05),干预护理后观察组患者的自我效能感水平和创伤后成长水平明显高于对照组(P<0.05)。结论:以强化自我效能模式的临床护理措施能使患者的自我效能感水平和创伤后成长水平得到有效提升。Objective:To observe the effect of intensive self-efficacy nursing interventions on self-efficacy level and post-traumatic growth level of postoperative patients with breast cancer.Methods:According to the sodium discharge standard,81 postoperative patients with breast cancer were chosen.Then they were randomly divided into two groups,40 patients in the observation group and 41 patients in the control group.The control group was treated with the routine nursing of the thyroid and breast-surgery while according to the characteristics of the disease and the theory of self-efficacy.Two months after the intervention,the differences in self-efficacy level and post-traumatic growth level between the two groups were compared.Results:Before the interventions,there was no statistical difference in self-efficacy level and post-traumatic growth level between the observation group and the control group(P>0.05).However,after intensive interventions,the observation group was significantly higher in the self-efficacy level and post-traumatic growth level than those of the control group(P<0.05).Conclusion:The clinical nursing mode of intensive self-efficacy can effectively improve the patients’self-efficacy level and post-traumatic growth level.

关 键 词：自我效能 乳腺癌术后 创伤后成长 护理 

分 类 号：R473[医药卫生—护理学]