双维度四位一体式护理对乳腺癌放疗患者依从性、疾病应对方式的影响分析  

Effect of Two-dimensional Four-in-one Nursing Strategy on Treatment Compliance and Disease Coping Style of Patients with Breast Cancer Undergoing Radiotherapy

作　　者：陈艳[1] 杨雪 王华[1] 江雪梅 程平[1] Chen Yan;Yang Xue;Wang Hua;Jiang Xuemei;Cheng Ping(Sichuan Cancer Hospital, Chengdu 610041, China)

机构地区：[1]四川省肿瘤医院,成都610041

出　　处：《成都医学院学报》2022年第2期201-203,207,共4页Journal of Chengdu Medical College

基　　金：四川省科技厅应用基础研究计划项目(No:2016YFS0315)。

摘　　要：目的探讨双维度四位一体式护理对乳腺癌放疗患者依从性、疾病应对方式的影响。方法回顾性分析2018年3月至2019年11月于四川省肿瘤医院治疗的108例乳腺癌患者的临床资料,根据不同护理干预模式分为试验组(n=58,双维度四位一体式护理)与对照组(n=50,常规护理)。比较两组患者依从性、疾病应对方式以及心理状态。结果试验组患者依从率(91.38%)高于对照组患者(76.00%),差异有统计学意义(P<0.05)。与干预前比较,干预后两组医学应对问卷(MCMQ)中的面对评分升高,而回避、屈服评分下降,其中试验组评分变化更明显,差异有统计学意义(P<0.05)。与干预前比较,干预后两组患者抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均下降,其中试验组下降更明显,差异有统计学意义(P<0.05)。结论对乳腺癌放疗患者应用双维度四位一体式护理进行干预,可提高患者治疗依从性,促进患者积极治疗,减轻患者负面情绪。Objective To analyze the effect of two-dimensional four-in-one nursing strategy on treatment compliance and disease coping style of patients with breast cancer undergoing radiotherapy.Methods The clinical data of 108 patients with breast cancer treated in Sichuan Cancer Hospital from March 2018 to November 2019 were retrospectively analyzed.According to different nursing intervention modes,the patients were divided into experimental group(n=58,two-dimensional four-in-one nursing strategy)and control group(n=50,conventional nursing).Treatment compliance,disease coping style,and mental state were compared between the two groups.Results The compliance rate of patients in the experimental group(91.38%)was higher than that in the control group(76.00%),and the difference was statistically significant(P<0.05).Compared with those before intervention,the scores of confronting in medical coping modes questionnaire(MCMQ)increased significantly while the scores of avoidance and submission decreased in both groups after intervention,especially in the experimental group,and the differences were statistically significant(P<0.05).Compared with those before intervention,the scores of self-rating depression scale(SDS)and self-rating anxiety scale(SAS)of patients in both groups decreased after intervention,especially in the experimental group,and the differences were statistically significant(P<0.05).Conclusion Intervention of the two-dimensional four-in-one nursing strategy for patients with breast cancer undergoing radiotherapy not only improves their treatment compliance and promotes active treatment,but also effectively reduces their negative emotions.

关 键 词：双维度四位一体式护理 乳腺癌放疗 依从性 疾病应对方式 

分 类 号：R737.9[医药卫生—肿瘤]