基于自我效能理论的延续性干预对乳腺癌患者术后康复的影响  

Effect of continuous intervention based on self-efficacy theory on postoperative rehabilitation of breast cancer patients

作　　者：曹彤欣 张颖艳[1] 刘静雅 CAO Tongxin;ZHANG Yingyan;LIU Jingya(Department of General Surgery,Beijing Jishuitan Hospital,Beijing 100096,China)

机构地区：[1]北京积水潭医院普外科,100096

出　　处：《河北医药》2023年第4期565-568,共4页Hebei Medical Journal

摘　　要：目的 探究并分析基于自我效能理论的延续性干预对乳腺癌患者术后康复的影响研。方法 选取2019年8月至2020年8月收治的87例乳腺癌患者,按照随机数字表法将其分为观察组(n=43例)和对照组(n=44例)。对照组患者采用常规护理干预,观察组患者采用基于自我效能理论的护理干预,记录2组患者一般资料(年龄、病变部位、肿瘤大小、神经侵犯及肿瘤分期),干预前、干预后3个月肩关节活动度,干预前、干预后1个月、3个月生活质量评分,干预后1个月、3个月SCL-90评分,干预后3个月满意度评分。结果 2组患者干预前肩关节活动度比较差异无统计学意义(P>0.05),干预后3个月2组患者患者肩关节活动度较干预前显著降低(P<0.05),干预后3个月观察组患者肩关节活动度显著高于对照组(P<0.05);经重复方差分析,2组患者干预前后生活质量比较差异有统计学意义(P<0.05),2组患者干预前生活质量评分比较差异无统计学意义(P>0.05),2组患者干预后1个月、3个月生活质量评分较干预前显著升高(P<0.05),观察组患者干预后1个月、3个月生活质量评分显著高于对照组(P<0.05);经重复方差分析,2组患者干预前后SCL-90评分比较差异有统计学意义(P<0.05),2组患者干预前SCL-90评分比较差异无统计学意义(P>0.05),2组患者干预后1个月、3个月SCL-90评分较干预前显著降低(P<0.05),观察组患者干预后1个月、3个月SCL-90评分显著低于对照组(P<0.05);观察组患者健康教育、工作态度、心理支持、主动服务及总体服务满意度明显高于对照组,差异有统计学意义(P<0.05)。结论 基于自我效能理论的护理干预能有助于乳腺癌患者术后康复,改善患者术后心理状态,提高患者生活质量以及护理满意度,值得临床推广。Objective To analyze the effect of continuous intervention based on self-efficacy theory on postoperative rehabilitation of breast cancer patients.Methods A total of 87 breast cancer patients admitted in our hospital from August 2019 to August 2020 were randomly allcated to observation group(n=43)and control group(n=44).Patients in the control group were given to routine nursing intervention,while those in the observation group were given to nursing intervention based on self-efficacy theory.The general information(age,tumor location,tumor size,invasion of nerves and tumor staging)of the two groups were recorded.The shoulder range of motion before and 3 months after the intervention,the score of the quality of life,and Symptom Checklist-90(SCL-90)before and 1 month and 3 months after the intervention,satisfaction score at 3 months after intervention were compared.Results There was no significant difference in the shoulder range of motion between the two groups before intervention(P>0.05).It was significantly improved in both groups at 3 months after intervention(P<0.05),which was more pronounced in the observation group than that in control group(P<0.05).By repeated analysis of variance,there was a significant difference in the quality of life between the two groups before and after intervention(P<0.05),and there was no significant difference in the score of quality of life between the two groups before intervention(P>0.05).The scores of the quality of life at 1 month and 3 months after intervention were significantly enhanced in both groups,which were significantly higher in the observation group than those of control group(P<0.05).After repeated analysis of variance,there was a significant difference in SCL-90 scores between the two groups before and after intervention(P<0.05),and there was no significant difference in SCL-90 scores between the two groups before intervention(P>0.05).At 1 month and 3 months after intervention,SCL-90 scores of the two groups were significantly reduced,which were significantly low

关 键 词：基于自我效能理论 术后康复 护理干预 SCL-90评分 生活质量 

分 类 号：R737.9[医药卫生—肿瘤]