“门诊—病区—手术室”三位一体宣教模式对乳腺癌患者焦虑标志物水平的影响  

Effectiveness of preoperative information support strategy on the anxiety marker in breast cancer patients

作　　者：郭阳阳[1] 张倩[1] 严丽洁[1] 尹月青 潘红[2] GUO Yangyang;ZHANG Qian;YAN Lijie;YIN Yueqing;PAN Hong(The Maternal and Child Operating Room,Jiangsu Province Hospital,Nanjing,Jiangsu 210000,China;不详)

机构地区：[1]江苏省人民医院妇幼手术室,江苏南京210000 [2]江苏省人民医院乳腺外科,江苏南京210000

出　　处：《中国临床研究》2024年第3期473-476,480,共5页Chinese Journal of Clinical Research

基　　金：国家自然科学基金(82172683)。

摘　　要：目的 探索术前信息支持策略对乳腺癌患者唾液皮质醇水平的影响。方法 选取2022年3月至2023年2月江苏省人民医院于乳腺外科住院拟行手术治疗的女性乳腺癌患者72例,按照随机数字表法分为对照组36例,接受常规术前宣教,观察组36例,在常规宣教基础上接受“门诊—病区—手术室”三位一体术前信息支持策略。干预前后检测患者唾液皮质醇水平,采用焦虑自评量表(SAS)评估患者焦虑程度。结果 干预前,两组患者唾液皮质醇水平和SAS评分差异无统计学意义(P>0.05),干预后,观察组患者唾液皮质醇水平和SAS评分明显低于对照组,且较干预前显著下降(P<0.05)。结论 “门诊—病区—手术室”三位一体术前信息支持策略保证患者获得关注和所需的信息支持,能够有效降低乳腺癌患者唾液皮质醇水平,缓解术前焦虑程度。Objective To explore the effect of preoperative information support strategies on salivary cortisol levels in patients with breast cancer.Methods From March 2022 to February 2023,72 female patients with breast cancer who were hospitalized in Breast Surgery Department and planned to receive surgical treatment were selected.According to the random number table method,36 patients were divided into the control group,who received routine preoperative disease education,and 36 patients in the observation group,who received the trinity preoperative information support strategy of “outpatient-ward-hand operating room” on the basis of routine education.Measure the salivary cortisol level of patients before and after intervention,and evaluate the patient's anxiety level using the Self-rating Anxiety Scale(SAS).Results Before the intervention,there was no statistically significant difference in salivary cortisol levels and SAS scores between the two groups of patients(P>0.05).After the intervention,the salivary cortisol levels and SAS scores of the observation group were significantly lower than those of the control group(P<0.05),and significantly decreased compared to before the intervention(P<0.05).Conclusion The “outpatient-ward-operating room” trinity preoperative information support strategy ensures that patients receive attention and needed information support,which can effectively reduce the salivary cortisol level of breast cancer patients and alleviate preoperative anxiety.

关 键 词：乳腺癌 信息支持 焦虑 唾液皮质醇 焦虑自评量表 三位一体 术前宣教 门诊—病区—手术室 

分 类 号：R737.9[医药卫生—肿瘤] R473.73[医药卫生—临床医学]