问题导向模式指导下的认知行为护理在乳腺癌增强磁共振成像检查患者中的应用效果  

Application effects of problem-oriented model-guided cognitive behavioral nursing in patients with breast cancer undergoing enhanced magnetic resonance imaging

作　　者：段磊[1] 张莉[1] 孙勇[1] DUAN Lei;ZHANG Li;SUN Yong(Magnetic Resonance Room of Zhoukou Central Hospital,Zhoukou 466000 Henan,China)

机构地区：[1]周口市中心医院磁共振室,河南周口466000

出　　处：《中国民康医学》2024年第20期176-179,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察问题导向模式指导下的认知行为护理在乳腺癌增强磁共振成像检查患者中的应用效果。方法:回顾性分析2020年7月至2022年7月该院收治的87例乳腺癌增强磁共振成像检查患者的临床资料,按护理方法不同将其分为研究组(n=43)与对照组(n=44)。对照组实施常规护理,研究组在对照组基础上采用问题导向模式指导下的认知行为护理,比较两组护理满意度,护理前后疾病认知、应对方式[简易应对方式问卷(SCSQ)]和舒适度[Kolcaba的舒适状况量表(GCQ)]评分。结果:研究组护理满意度为100.00%,高于对照组的84.09%,差异有统计学意义(P<0.05);护理后,两组检查基本知识、注意事项、心理健康、健康行为等疾病认知评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);两组积极应对评分均高于护理前,且研究组高于对照组,两组消极应对评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);两组GCQ评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用问题导向模式指导下的认知行为护理可提高乳腺癌增强磁共振成像检查患者的护理满意度、疾病认知评分和舒适度评分,以及改善应对方式评分的效果优于单纯常规护理。Objective:To observe application effects of problem-oriented model-guided cognitive behavioral nursing in patients with breast cancer undergoing enhanced magnetic resonance imaging.Methods:The clinical data of 87 patients with breast cancer undergoing enhanced magnetic resonance imaging admitted to this hospital from July 2020 to July 2022 were retrospectively analyzed.According to different nursing methods,they were divided into study group(n=43)and control group(n=44).The control group was given routine nursing,while the study group was given the problem-oriented model-guided cognitive behavioral nursing on the basis of that of the control group.The nursing satisfaction,the disease cognition score,the coping style[simplified coping style questionnaire(SCSQ)]score,and the comfort[Kolcaba’s comfort questionnaire(GCQ)]score were compared between the two groups before and after the nursing.Results:The nursing satisfaction of the study group was 100.00%,which was higher than 84.09%of the control group,and the difference was statistically significant(P<0.05).After the nursing,the cognitive scores of basic knowledge,precautions,mental health,and health behavior in the two groups were higher than those before the nursing,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the positive coping scores of the two groups were higher than those before the nursing,and that in the study group was higher than that in the control group;the negative coping scores of the two groups were lower than those before the nursing,and that in the study group was lower than that in the control group;and the differences were statistically significant(P<0.05).Further,after the nursing,the GCQ scores of the two groups were higher than those before the nursing,that in the study group was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the problem-oriented

关 键 词：问题导向模式指导 认知行为护理 乳腺癌 增强磁共振成像检查 应对方式 护理满意度 舒适度 

分 类 号：R473.73[医药卫生—护理学]