多学科协作健康教育对乳腺癌放化疗患者自我效能和心理状况的影响  

Effects of multidisciplinary collaborative health education on self-efficacy and psychological status of breast cancer patients undergoing chemoradiotherapy

作　　者：吴军[1] 崔伟燕[1] 李平[1] 邓翠琴 张青凤 WU Jun;CUI Weiyan;Li Ping;DENG Cuiqin;ZHANG Qingfeng(Oncology Department,Guangdong Second Provincial General Hospital,Guangzhou 510317,China)

机构地区：[1]广东省第二人民医院肿瘤一科,广州510317

出　　处：《当代护士（中旬刊）》2021年第4期137-140,共4页Modern Nurse

摘　　要：目的探讨多学科协作健康教育对乳腺癌放化疗患者自我效能和心理状况的影响。方法将200例乳腺癌放化疗患者按住院时间随机分为观察组(2019年1月—2019年6月)102例和对照组(2018年7月—2018年12月)98例,对照组实施常规健康教育,观察组实施多学科协作健康教育,采用自我效能评价量表(GSES)、焦虑和抑郁自评量表(SAS、SDS)对两组患者干预前后自我效能感、心理状态进行评价。结果两组干预前后自我效能评分、焦虑和抑郁评分差异均有统计学意义(P<0.05);干预后,观察组自我效能评分高于对照组(P<0.05),焦虑及抑郁评分均低于对照组(P<0.05)。结论多学科协作健康教育能有效提高乳腺癌放化疗患者自我效能感,改善患者焦虑、抑郁状况。Objective To explore the effect of multidisciplinary collaborative health education on self-efficacy and psychological status of breast cancer patients undergoing chemoradiotherapy.Methods A total of 200 breast cancer patients were randomly divided into observation group and control group according to length of stay.The control group received conventional health education,while the observation group received multidisciplinary cooperative health education.General Self-Efficacy Scale(GSES),Self-Rating Anxiety Scale(SAS)and Self-rating depressionscale(SDS)were used to evaluate the self-efficacy and psychological state of patients in the two groups before and after the intervention.Results Self-efficacy scores、anxiety and depression scores were statistically significant in both groups before and after the intervation.After intervention,self-efficacy scores in the observation group were higher than those in the control group(P<0.05).The scores of anxiety and depression in the observation group were lower than those in the control group(P<0.05).Conclusion Multidisciplinary collaborative health education can effectively improve the self-efficacy of patients,improving anxiety and depression in breast cancer radiotherapy patients.

关 键 词：多学科协作 健康教育 乳腺癌 放化疗 自我效能 心理状况 

分 类 号：R473.73[医药卫生—护理学]