“六位一体”乳腺癌慢性病自我管理模式的构建及实施  

Construction and implementation of the"six-in-one"breast cancer chronic disease self-management model

作　　者：薛淑枝[1] 李东辉[1] 何莉[1] 王英[1] XUE Shuzhi;LI Donghui;HE Li;WANG Ying(Shanxi People's Hospital,Xi'an,710068,China)

机构地区：[1]陕西省人民医院,陕西省西安市710068

出　　处：《护理实践与研究》2023年第22期3400-3405,共6页Nursing Practice and Research

基　　金：陕西省人民医院2021年科技发展孵化基金项目(编号:2021HL-9)。

摘　　要：目的构建“六位一体”乳腺癌慢性病自我管理模式,并分析其实施效果。方法以患者为中心组建慢性病自我管理团队。对护士进行培训,优化工作流程和制度。搭建信息化沟通平台,联动居家患者及家属,构建并实施医院-居家联动乳腺癌患者慢性病自我管理模式。选择2020年2月—2022年3月收治的148例乳腺癌患者为研究对象,按照组间基线资料匹配的原则分为对照组和观察组,各74例。对照组实施常规管理模式,观察组实施“六位一体”自我管理模式。采用自我管理能力量表、健康促进生活方式量表(HPLP)、中文版乳腺癌患者生命质量测定量表(FACT-B)分别评价两组出院时、出院3个月时自我管理水平、健康行为状况、生活质量。结果出院3个月时,观察组自我管理能力评分、HPLP评分、FACT-B各维度评分及总分均高于对照组,组间比较差异具有统计学意义(P<0.05)。结论对乳腺癌患者开展“六位一体”自我管理,可提高患者自我管理水平和健康行为水平,提高其生活质量。Objective To construct a"six-in-one"breast cancer chronic disease self-management model and analyze its implementation effects.Methods A patient-centered chronic disease self-management team was established.Provide training to nurses to optimize work processes and systems.Build an information communication platform to connect patients and their families at home,and build and implement a hospital-home linkage chronic disease self-management model for breast cancer patients.A total of 148 breast cancer patients treated from February 2020 to March 2022 were selected as the research subjects.According to the principle of matching basic information between groups,they were divided into a control group and an observation group,with 74 cases in each group.The control group implemented the conventional management model,and the observation group implemented the"six-in-one"self-management model.self-management ability scale,health promoting lifestyle profi le(HPLP),and the Chinese version of the quality of life assessment scale for breast cancer patients(FACT-B)were used to evaluate the self-management level,health behavior status,and quality of life of the two groups at discharge and 3 months after discharge.Results Three months after discharge,the observation group's self-management ability score,HPLP score,and dimension scores and total scores of FACT-B were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Carrying out"six-in-one"self-management for breast cancer patients can improve patients'selfmanagement level and health behavior level,and improve their quality of life.

关 键 词：乳腺癌 六位一体 自我管理模式 健康行为 生活质量 

分 类 号：R473.73[医药卫生—护理学]