健康信念模式教育对乳腺癌择期手术患者认知水平、心理健康及术后肢体功能的影响  

Effects of health belief model education on cognitive level,mental health and postoperative limb function of breast cancer patients undergoing elective surgery

作　　者：刘珊[1] 王惠芬[1] 景婧[1] 郑利媛 黄小程 LIU Shan;WANG Huifen;JING Jing;ZHENG Liyuan;HUANG Xiaocheng(Hubei Cancer Hospital,Wuhan 430079,China)

机构地区：[1]湖北省肿瘤医院,武汉430079

出　　处：《中国健康心理学杂志》2023年第6期842-846,共5页China Journal of Health Psychology

基　　金：湖北省科技攻关计划项目(编号:WJ2021M191)。

摘　　要：目的:探讨基于健康信念模式教育对乳腺癌择期手术患者认知水平、心理健康及术后肢体功能的影响。方法:选取2017年1月-2019年1月期间某院收治的乳腺癌择期手术患者106例为研究对象,根据随机数字表法分为观察组(n=53)和对照组(n=53)。对照组采用传统健康教育模式干预,观察组在对照组基础上采用基于健康信念模式的健康教育干预。比较两组干预后的认知水平、干预前后焦虑自评量表(SAS)和抑郁自评量表(SDS)评分、自我管理行为量表评分、术后肢体功能。结果:干预后,观察组的认知水平明显优于对照组(Z=4.867,P<0.05);干预后,观察组SAS、SDS评分均低于对照组,差异有统计学意义(t=-4.821,-2.870;P<0.05);干预后,观察组认知性症状管理、运动锻炼、与医生沟通行为及总分均高于对照组,差异有统计学意义(t=5.585,6.772,2.166,7.491;P<0.05);术后,观察组的肢体功能改善情况显著优于对照组,差异有统计学意义(Z=4.921,P<0.05);出院后6、12个月,观察组FACT-B评分高于对照组,差异有统计学意义(t=3.629,3.790;P<0.05)。结论:健康信念模式的健康教育干预乳腺癌择期手术患者,能有效提高患者对疾病的认知水平,改善患者的负性情绪及患者自我管理行为,有助于促进患者术后肢体功能恢复,提高术后生活质量。Objective:To investigate the effects of health belief model education on cognitive level,mental health and postoperative limb function of breast cancer patients undergoing elective surgery.Methods:A total of 106 patients with breast cancer undergoing elective surgery in our hospital from January 2017 to January 2019 were selected as the study subjects,and were divided into observation group(n=53)and control group(n=53)according to random number table method.The control group received traditional health education intervention,and the observation group received health education intervention based on health belief.The cognitive level after intervention,self-rating Anxiety Scale(SAS)and self-rating Depression Scale(SDS)scores before and after intervention,self-management behavior scale score,and postoperative limb function of the two groups were compared.Results:After intervention,the cognitive level of observation group was significantly better than that of control group(Z=4.867,P<0.05).After intervention,SAS and SDS scores in the observation group were lower than those in the control group,the differences were statistically significant(t=-4.821,-2.870;P<0.05).After intervention,cognitive symptom management,exercise,communication with doctors and total scores in the observation group were higher than those in the control group,with statistically significant differences(t=5.585,6.772,2.166,7.491;P<0.05).After surgery,the improvement of limb function in the observation group was significantly better than that in the control group,and the difference was statistically significant(Z=4.921,P<0.05).At 6 and 12 months after discharge,FACt-B score in the observation group was higher than that in the control group,the difference was statistically significant(t=3.629,3.790;P<0.05).Conclusion:Health education based on health belief model can effectively improve patients'cognitive level of the disease,improve patients'negative emotions and self-management behavior,contribute to the recovery of patients'limb function and improve

关 键 词：健康信念模式 乳腺癌 认知水平 心理状态 自我管理行为 肢体功能 

分 类 号：R749.92[医药卫生—神经病学与精神病学]