FCC模式对乳腺癌改良根治术后患者心理韧性及生存质量的影响  

Influence of FCC Model on mental Toughness and Quality of Life of Patients after modified radical Mastectomy for Breast Cancer

作　　者：柳光霞[1] 柳光春 LIU Guangxia;LIU Guangchun(Department of General Surgery,First Affiliated Hospital of Nanyang Medical Vocational School,Nanyang Henan 473000,China)

机构地区：[1]南阳医学高等专科学校第一附属医院普通外科三病区,河南南阳473000

出　　处：《临床研究》2022年第2期153-156,共4页Clinical Research

摘　　要：目的探究以家庭为中心(FCC)护理模式对乳腺癌改良根治术后患者心理韧性及生存质量的影响。方法选取南阳医学高等专科学校第一附属医院86例乳腺癌患者(2017年1月至2020年12月)为研究对象,按随机数字表法分成观察组(n=43)、对照组(n=43)。两组均行乳腺癌改良根治术,对照组接受常规护理干预,观察组于对照组基础上予以FCC模式护理干预。比较两组干预前、出院时中文版癌症自我管理效能感量表(SUPPH)、心理弹性量表(CDRISC)、生活质量综合评定问卷(GQOLI-74)评分、焦虑、抑郁状态、护理满意度。结果观察组出院时SUPPH、CDRISC、GQOLI-74评分较对照组高,SAS、SDS评分较对照组低(P<0.05);观察组护理满意度为100%,高于对照组83.72%(P<0.05)。结论FCC模式应用于乳腺癌改良根治术后患者可有效调节心理韧性,提升自我效能感,提高生存质量,还能改善患者心理状态,提高护理满意度。Objective To explore the effect of family-centered(FCC)nursing model on resilience and quality of life of patients after modified radical mastectomy.Methods A total of 86 patients with breast cancer from January 2017 to December 2020 in the First Affiliated Hospital of Nanyang Medical Vocational School were randomLy divided into observation group(N=43)and control group(N=43).Two groups were treated with modified radical mastectomy,the control group received routine nursing intervention,and the observation group received FCC model Nursing Intervention based on the control group.The scores of self-management efficacy scale(SUPPH),psychological flexibility scale(CD-RISC),quality of life questionnaire(GQOLI-74),anxiety,depression status and nursing satisfaction before and after the intervention were compared between the two groups.Results The scores of SUPPH,CD-RISC and GQOLI-74 in the observation group were higher than those in the control group at the time of discharge,and the scores of SAS and SDS were lower than those in the control group(P<0.05).The nursing satisfaction of the observation group was 100%,higher than that of the control group(P<0.05).Conclusion The application of FCC model in breast cancer patients after modified radical mastectomy can effectively regulate mental toughness,improve self-efficacy,improve quality of life,improve the mental state of patients and improve nursing satisfaction.

关 键 词：以家庭为中心护理模式 乳腺癌 生存质量 自我效能 

分 类 号：R473[医药卫生—护理学]