多学科协作管理模式对改善乳腺癌化疗患者失志症候群、希望水平及社会支持的影响  

Effect of multidisciplinary cooperative management model on improving demoralization syndrome hope level and social support in breast cancer patients undergoing chemotherapy

作　　者：木巴拉克·依克拉木 曹艳[2] 张翠萍[3] Mubarak Ekram;CAO Yan;ZHANG Cuiping(College of Nursing,Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi830000,China;Daytime Chemotherapy Ward,Affiliated Tumor Hospital of Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi830000,China;Department of Nursing,Affiliated Tumor Hospital of Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi830000,China)

机构地区：[1]新疆医科大学护理学院,新疆乌鲁木齐830000 [2]新疆医科大学附属肿瘤医院日间病房,新疆乌鲁木齐830000 [3]新疆医科大学附属肿瘤医院护理部,新疆乌鲁木齐830000

出　　处：《中国医药导报》2021年第32期163-166,共4页China Medical Herald

基　　金：新疆维吾尔自治区自然科学基金项目(2019D01 C255)。

摘　　要：目的探讨多学科协作管理模式对乳腺癌化疗患者失志症候群、希望水平及社会支持的影响。方法选取2020年9月至2021年4月新疆医科大学附属肿瘤医院日间病房行化疗的乳腺癌患者122例为研究对象,按随机数字表法将患者分为对照组和观察组,每组各61例。对照组给予常规护理,观察组给予多学科协作管理模式,于干预前、干预后3个月评估两组失志量表、希望水平及社会支持评分情况。结果两组干预后无意义感、情绪不安感、沮丧感、无助感、失败感评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。两组干预后积极态度、积极行动、亲密关系评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。两组干预后主观支持、客观支持、社会支持利用度评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论多学科协作管理模式可以有效缓解乳腺癌化疗患者失志症候群,提升患者社会支持与希望水平,具有良好的干预效果,值得临床推广应用。Objective To investigate the effects of multidisciplinary cooperative management model on demoralization syndrome,hope level and social support in breast cancer patients undergoing chemotherapy.Methods A total of 122 breast cancer patients receiving chemotherapy in the day ward of the Affiliated Tumor Hospital of Xinjiang Medical University from September 2020 to April 2021 were selected as the research subjects.According to the random number table method,the patients were divided into control group and observation group,with 61 cases in each group.The control group was given routine nursing care,and the observation group was given multidisciplinary cooperative management mode.The dejection scale,hope level and social support score were assessed before and three months after intervention.Results The scores of the scores of meaninglessness,emotional upset,frustration,helplessness and failure in the two groups after intervention were lower than before,and in the observation group were lower than those in the control group,with statistical significance(P<0.05).The positive attitude,positive action and intimate relationship scores of the two groups after intervention were higher than before,and the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).The subjective support,objective support and social support utilization score of the two groups after intervention was higher than that before intervention,and the observation group were higher than those of the control group,with statistical significance(P<0.05).Conclusion Multidisciplinary collaborative management model can effectively alleviate the deja syndrome of breast cancer patients undergoing chemotherapy,improve the level of social support and hope of patients,and has good intervention effect,which is worthy of clinical application.

关 键 词：多学科协作管理 乳腺癌 化疗 失志症候群 社会支持 希望水平 

分 类 号：R473[医药卫生—护理学]