康复医学互联网多元化教育在新发乳腺癌患者中的应用效果  

Application of Internet diversified rehabilitation medicine education in newly diagnosed breast cancer patients

作　　者：杨艳[1] 孙萌[1] 李艳京[1] 刘庚[1] 朱雪丹 王子函[1] 屈翔[1] Yang Yan;Sun Meng;Li Yanjing;Liu Geng;Zhu Xuedan;Wang Zihan;Qu Xiang(Department of General Surgery,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院普外科,北京100050

出　　处：《国际外科学杂志》2022年第3期181-187,共7页International Journal of Surgery

基　　金：首都卫生发展科研专项(2020-2-1112);首都医科大学附属北京友谊医院科研启动基金(yyqdkt2019-55)。

摘　　要：目的探讨康复医学互联网多元化教育对新发乳腺癌患者自我效能及生活质量的影响。方法采用前瞻性研究方法,选取2020年2月—2021年2月首都医科大学附属北京友谊医院收治的130例行乳腺癌根治术的新发乳腺癌患者。按照随机数字表法将患者分为对照组和干预组,每组各65例。对照组患者应用常规治疗方案,干预组患者在常规治疗方案的基础上加入康复医学互联网多元化教育的干预。比较两组患者的一般资料。采用一般自我效能量表(GSES)及癌症患者生活质量测定量表(QLQ-C30)比较两组患者术前、术后4个月及术后8个月的自我效能水平,评估其生活质量。计量资料以均数±标准差(±s)表示,组间比较采用t检验;计数资料组间比较采用χ^(2)检验。结果术前,两组患者的一般资料、GSES评分、QLQ-C30评分中各功能领域及总体生活质量评分比较,差异均无统计学意义(P>0.05)。术后4个月,干预组和对照组患者的GSES评分[(27.39±4.68)分比(25.91±3.18)分]、躯体功能评分[(65.50±4.34)分比(63.07±5.42)分]、认知功能评分[(67.63±10.32)分比(63.29±11.36)分]、角色功能评分[(50.82±10.80)分比(45.59±13.94)分]、总体生活质量评分[(63.47±6.98)分比(59.26±7.98)分]等比较,差异均具有统计学意义(P<0.05);情绪功能评分[(57.60±11.72)分比(55.53±10.61)分]、社会功能评分[(49.86±12.11)分比(46.13±10.25)分]等比较,差异均无统计学意义(P>0.05)。术后8个月,干预组和对照组患者的GSES评分[(28.82±3.31)分比(26.73±3.06)分]、QLQ-C30评分中各功能领域及总体生活质量评分比较,差异均具有统计学意义(P<0.01)。结论康复医学互联网多元化教育对新发乳腺癌患者自我效能的改善有显著作用,能更大提高患者的生活质量。Objective:To explore the influence of Internet diversified rehabilitation medicine education on self-efficacy and quality of life in newly diagnosed breast cancer patients.Methods:A prospective study was performed in 130 newly diagnosed breast cancer patients admitted to Beijing Friendship Hospital,Capital Medical University from February 2020 to February 2021.According to the method of randomly number table,these patients were divided into control group and intervention group,65 cases in each group.The control group was treated with routine treatment scheme,and the intervention group added the intervention of Internet diversified education of rehabilitation medicine on the basis of routine treatment scheme.Compared the general data of the two groups,the General Self-Efficacy Scale(GSES)and the cancer patients′Quality of Life Questionnaire-Core 30(QLQ-C30)were used to compare the self-efficacy levels of the two groups before operation,4 months and 8 months after operation,evaluate the quality of life.Measurement data were expressed as mean±standard deviation(±s),and t-test was used for comparison between groups;Chi-square test was used for comparison of enumeration data between groups.Results:Before operation,there was no significant difference in general data,GSES score and QLQ-C30 score between the two groups(P>0.05).Four months after operation,GSES scores[(27.39±4.68)score vs(25.91±3.18)score],somatic function[(65.50±4.34)score vs(63.07±5.42)score],cognitive function[(67.63±10.32)score vs(63.29±11.36)score],role function[(50.82±10.80)score vs(45.59±13.94)score],and total quality of life[(63.47±6.98)score vs(59.26±7.98)score]were compared between the intervention group and the control group,the difference was statistically significant(P<0.05).There was no significant difference in the scores of emotional function[(57.60±11.72)score vs(55.53±10.61)score]and social function[(49.86±12.11)score vs(46.13±10.25)score](P>0.05).Eight months after operation,the GSES score[(28.82±3.31)score vs(26.73±3

关 键 词：康复 互联网 教育 乳腺肿瘤 

分 类 号：R473.73[医药卫生—护理学]