沃森人文关怀理论对乳腺癌患者主观幸福感、自我护理能力及状态自尊的影响  

Effect of Watson’s theory of human caring on subjective well-being,self-care ability,and state self-esteem in breast cancer patients

作　　者：龙瑶瑶 谢绍菊[1] 李乔[1] 王娜 张友才 蓝倩[2] LONG Yaoyao;XIE Shaoju;LI Qiao;WANG Na;ZHANG Youcai;LAN Qian(Department of Oncology,Deyang People’s Hospital,Sichuan Province,Deyang618000,China;Department of Psychosomatic Medicine,Deyang People’s Hospital,Sichuan Province,Deyang618000,China)

机构地区：[1]四川省德阳市人民医院肿瘤科,四川德阳618000 [2]四川省德阳市人民医院心身医学科,四川德阳618000

出　　处：《中国医药导报》2023年第6期157-160,共4页China Medical Herald

基　　金：四川省心理健康教育研究中心项目(XLJKJY202113B);四川省德阳市科技计划项目(2021SZZ086)。

摘　　要：目的观察沃森人文关怀理论对乳腺癌患者主观幸福感、自我护理能力及状态自尊的影响。方法选择四川省德阳市人民医院2021年5月至2022年5月收治的200例乳腺癌患者为研究对象,根据随机数字表法将其分对照组和观察组,各100例。对照组采取常规护理,观察组采取沃森人文关怀理论护理。干预后,比较两组主观幸福感、自我护理能力及状态自尊情况。结果整体分析发现:组间比较、时间点比较及交互作用比较,差异均有统计学意义(P<0.05)。进一步两两比较,组内比较:两组干预1周、干预2周、干预1个月后主观幸福感评分高于干预前,差异有统计学意义(P<0.05);组间比较:观察组患者干预1周、2周及1个月后的主观幸福感评分均明显高于对照组(P<0.05)。干预后,两组自我护理能力量表各项评分及总分均较干预前升高,且观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组社会自尊量表各项评分及总分均较干预前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论沃森人文关怀理论能提高患者主观幸福感和自我护理能力,改善状态自尊水平,有助于患者康复。Objective To observe the effect of Watson’s theory of human caring on subjective well-being,self-care ability,and state self-esteem in breast cancer patients.Methods A total of 200 breast cancer patients admitted to Deyang People’s Hospital in Sichuan Province from May 2021 to May 2022 were selected as the study objects,according to random number table method,the patients were divided into control group and observation group,with 100 cases in each group.The control group took routine nursing,the observation group took Watson’s theory of human caring.After intervention,subjective well-being,self-care ability,and state self-esteem were compared between the two groups.Results The overall analysis showed that there were significant differences among groups,time points and interactions(P<0.05).Further pair comparison,intra-group comparison:the subjective well-being scores of the two groups after one week,two weeks and one month of intervention were higher than those before intervention,and the differences were statistically significant(P<0.05).Inter-group comparison:the subjective well-being scores of observation group were significantly higher than those of control group after one week,two weeks and one month(P<0.05).After intervention,the scores of exercise of self-care agency and total scores of both groups were higher than before intervention,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).After intervention,the social self-esteem scale scores and total scores of both groups were increased compared with before intervention,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).Conclusion Watson’s theory of human caring can improve patients’subjective well-being and self-care ability,improve state self-esteem,and contribute to patients’rehabilitation.

关 键 词：沃森人文关怀理论 乳腺癌 主观幸福感 自我护理能力 状态自尊 

分 类 号：R774.5[医药卫生—眼科]