基于行为改变理论的康复干预对乳腺癌患者上肢功能康复、自我效验及心理的影响  

Effect of rehabilitation intervention based on behavior change theory on upper limb function rehabilitation,self-efficacy and psychology of breast cancer patients

作　　者：刘丽娟[1] 杨艳[1] 邱亚娟[1] 陈玲[1] Liu Lijuan;Yang Yan;Qiu Yajuan;Chen Ling(Department of Breast Surgery WardⅠ,Affiliated Tumor Hospital of Xinjiang Medical University,Urumqi 830011,China)

机构地区：[1]新疆医科大学附属肿瘤医院乳腺外科一病区,乌鲁木齐830011

出　　处：《肿瘤综合治疗电子杂志》2022年第2期104-108,共5页Journal of Multidisciplinary Cancer Management(Electronic Version)

摘　　要：目的探讨基于行为改变理论的康复干预对乳腺癌患者上肢功能康复、自我效验及心理的影响。方法以新疆医科大学附属肿瘤医院2017年4月至2020年10月收治的106例乳腺癌患者为研究对象,根据随机数字表法将其分为研究组和对照组,每组各53例,两组患者均行乳腺癌改良根治术治疗,对照组患者接受围手术期常规干预,研究组患者接受基于行为改变理论的围手术期康复干预。比较两组患者术前、术后7 d、术后3个月Constant-Murley肩关节功能评分、一般自我效能感量表(general self-efficacy scale,GSES)、焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)评分变化。结果两组患者术后7 d、术后3个月Constant-Murley肩关节功能评分各维度评分及总分、GSES评分均显著高于本组术前(均P<0.05),SAS评分、SDS评分均显著低于本组术前(均P<0.05);研究组患者术后7 d、术后3个月Constant-Murley肩关节功能评分各维度评分及总分、GSES评分均显著高于同期对照组(均P<0.05),SAS评分和SDS评分均显著低于同期对照组(均P<0.05)。术后3个月,研究组患者上肢功能优良率显著高于对照组(P<0.05)。结论基于行为改变理论开展康复干预有助于促进乳腺癌患者术后上肢功能恢复、提高自我效验能力并改善其心理状态。Objective To analyze the influence of rehabilitation intervention based on behavior change theory on upper limb function rehabilitation,self-efficacy and psychology of breast cancer patients.Method A total of 106 breast cancer patients who were admitted to Affiliated Tumor Hospital of Xinjiang Medical University from April 2017 to October 2020 were selected and randomly divided into study group and control group,53 cases in each group.All patients received modified radical mastectomy.Control group patients received routine intervention during the perioperative period,and study group patients received perioperative rehabilitation intervention based on behavior change theory.Before operation,7 d after operation and 3 months after operation,the Constant-Murley shoulder function score,general self-efficacy scale(GSES),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores were compared between the two groups.Result The items and total scores of Constant-Murley shoulder function scores and GSES scores in the two groups 7 d and 3 months after operation were significantly higher than those before operation(all P<0.05),the SAS and SDS scores were significantly lower than those before operation(all P<0.05).The items and total scores of Constant-Murley shoulder function scores and GSES score in study group 7 d and 3 months after operation were significantly higher than those in control group at the same time(all P<0.05),the SAS scores and SDS scores were significantly lower than those in control group at the same time(all P<0.05).Three months after operation,the excellent and good rate of upper limb function in study group was significantly higher than that in control group(P<0.05).Conclusion Rehabilitation intervention based on behavior change theory is helpful to promote upper limb functional recovery,improve self-efficacy and psychological state of patients with breast cancer after operation.

关 键 词：行为改变理论 康复干预 乳腺癌 上肢功能 自我效验 

分 类 号：R737.9[医药卫生—肿瘤]