多元家庭参与计划在乳腺癌乳房重建术患者院外延续性护理中的应用  

Application of Multi-family Participation Program in Out-of-hospital Continuous Nursing of Patients with Breast Cancer Undergoing Breast Reconstruction

作　　者：陈伟婧[1] 王清[1] 陈静[1] 马莲[1] 徐敏[1] CHEN Weijing;WANG Qing;CHEN Jing;MA Lian;XU Min(Department of General Surgery of Women and Children,Jiangsu Provincial People's Hospital,Nanjing 210029,Jiangsu,China)

机构地区：[1]江苏省人民医院妇幼综合外科,江苏南京210029

出　　处：《中国美容医学》2024年第2期166-170,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:观察多元家庭参与计划在乳房重建术患者院外延续性护理中的应用效果。方法:以2020年9月笔者医院实施基于多元家庭参与计划的院外延续性护理干预模式为分界线,将2019年2月-2020年8月实施常规院外延续性护理的40例乳房重建术患者纳入对照组,将2020年9月-2022年3月实施基于多元家庭参与计划院外延续性护理的40例乳房重建术患者纳入观察组,比较两组患者干预前后认知偏差、体象、希望水平、生活质量及美学效果满意度。结果:干预后,两组认知偏差评分(对生命质量的影响、对他人评价、感知到的认知障碍及认知能力)均较干预前降低(P<0.05),且观察组各维度评分均低于对照组(P<0.05);干预后,两组体象评分(身体羞耻、疾病易感、身体关注、功能受限、患臂关注及透视)均较干预前降低(P<0.05),且观察组各维度评分均低于对照组(P<0.05);干预后,两组希望水平评分(未来和现实的积极态度、与他人保持亲密关系、采取积极行动)均较干预前升高(P<0.05),且观察组各维度评分均高于对照组(P<0.05);干预后,两组生活质量评分(心理状态、身体状态、性健康、假体满意度、乳房满意度、手术及信息满意度、医疗团队满意度)均较干预前升高(P<0.05),且观察组各维度评分均高于对照组(P<0.05);两组美学效果总满意率比较差异无统计学意义(P>0.05),但观察组满意率高于对照组(P<0.05)。结论:在乳房重建术患者院外延续性护理中应用多元家庭参与计划,能够有效改善患者心理状态,提高患者生活质量,值得临床推广。Objective To observe the application effects of multi-family participation program in the out-of-hospital continuous nursing of patients with breast reconstruction.Methods Taking the implementation of out-of-hospital continuous nursing intervention model based on multi-family participation program in September 2020 as the dividing line,40 patients with breast reconstruction who received routine out-of-hospital continuous nursing from February 2019 to August 2020 were classified as control group,and another 40 patients with breast reconstruction who underwent out-of-hospital continuous nursing based on multi-family participation program between September 2020 and February 2022 were enrolled as observation group.The cognitive bias,body-image,hope level,quality of life and aesthetic effect satisfaction were compared between the two groups before and after intervention.Results After intervention,the scores of cognitive bias(impact on quality of life,evaluation of others,perceived cognitive impairment and cognitive ability)of the two groups were reduced compared with those before intervention(P<0.05),and the scores of dimensions in observation group were significantly lower than those in control group(P<0.05).After intervention,the scores of body-image(body shame,disease susceptibility,physical concern,functional limitation,affected arm concern and fluoroscopy)in the two groups were decreased compared to before intervention(P<0.05),and the scores in observation group were significantly lower than those in control group(P<0.05).The scores of dimensions of hope level(positive attitudes towards future and reality,maintaining close relationships with others,taking positive actions)were enhanced in both groups after intervention than those before intervention(P<0.05),and the above scores in observation group were significantly higher than those in control group(P<0.05).After intervention,the quality of life scores(psychological state,physical state,sexual health,prosthesis satisfaction,breast satisfaction,surgery and infor

关 键 词：多元家庭参与计划 乳房重建术 延续性护理 生活质量 满意度 

分 类 号：R473.6[医药卫生—护理学]