分期自我管理干预结合赋能跟进护理在乳腺癌术后患者中的应用效果  

Application Effect of Self Management by Stages Intervention Combined with Empowerment Follow-up Nursing in Patients after Breast Cancer Surgery

作　　者：韦玮 严桂枝[1] 蓝丽华 WEI Wei;YAN Guizhi;LAN Lihua(The First Affiliated Hospital of Fujian Medical University,Fuzhou 350005,China;不详)

机构地区：[1]福建医科大学附属第一医院,福建福州350005

出　　处：《中外医学研究》2023年第12期84-88,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:观察分期自我管理干预结合赋能跟进护理在乳腺癌术后患者中的应用效果。方法:选取2020年6月—2021年7月就诊于福建医科大学附属第一医院的100例乳腺癌术后患者。根据随机数表法将其分为试验组与对照组,各50例。对照组给予常规护理,试验组在此基础之上给予分期自我管理干预结合赋能跟进护理。比较两组护理前后自我管理能力、自我效能感、医学应对方式、生活质量。结果:护理后,试验组正性态度、缓解压力、自我决策评分均高于对照组,差异有统计学意义(P<0.05)。护理后,试验组自我效能感评分高于对照组,差异有统计学意义(P<0.05)。护理后,试验组面对评分高于对照组,回避、屈服评分均低于对照组,差异有统计学意义(P<0.05)。护理后,试验组功能、总体健康状况评分均高于对照组,症状、特异性评分均低于对照组,差异有统计学意义(P<0.05)。结论:分期自我管理干预结合赋能跟进护理可提高乳腺癌术后患者自我管理能力与自我效能感,改善其医学应对方式与生活质量。Objective:To observe application effect of self management by stages intervention combined with empowerment follow-up nursing in patients after breast cancer surgery.Method:From June 2020 to July 2021,100 patients after breast cancer surgery who treated in the First Affiliated Hospital of Fujian Medical University were selected.According to the random number table method,they were divided into experimental group and control group,50 cases in each group.The control group was given routine nursing,and the experimental group was given self management by stages intervention combined with empowerment follow-up nursing on this basis.The self-management ability,self-efficacy,medical coping style and quality of life were compared between the two groups before and after nursing.Result:After nursing,the scores of positive attitude,stress relief and self-decision-making in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the self-efficacy score of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).After nursing,the face score of the experimental group was higher than that of the control group,and the avoidance and yield scores were lower than those of the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of function and overall health condition of the experimental group were higher than those of the control group,and the scores of symptoms and specificity were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:The self management by stages intervention combined with empowerment follow-up nursing can improve the self-management ability and self-efficacy of patients after breast cancer surgery,and improve their medical coping style and quality of life.

关 键 词：分期护理 自我管理 赋能护理 跟进护理 乳腺癌 医学应对 

分 类 号：R473.73[医药卫生—护理学]