赋能激励式护理干预对乳腺癌患者疾病感知及心理应激反应的影响  

Effect of Empowering Motivational Nursing Intervention on Disease Perception and Psychological Stress Response in Breast Cancer Patients

作　　者：王秀秀[1] 汪丹丹[1] 周爱勤[1] WANG Xiuxiu;WANG Dandan;ZHOU Aiqin(Department of Oncology,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China)

机构地区：[1]郑州大学第二附属医院肿瘤科,河南郑州450014

出　　处：《河南医学研究》2025年第3期547-551,共5页Henan Medical Research

基　　金：2023年度河南省医学科技攻关计划联合共建项目(LHGJ20230343)。

摘　　要：目的 观察赋能激励式护理干预对乳腺癌患者疾病感知及心理应激反应的影响。方法 回顾性选取2020年1月至2023年10月在郑州大学第二附属医院接受赋能激励式护理干预的40例乳腺癌患者作为赋能组,选取同期年龄、体重指数与其相匹配的接受常规护理干预的40例乳腺癌患者作为常规组。评估两组自我管理能力量表(SUPPH)评分、Piper疲乏评分、简易疾病感知问卷(BIPQ)评分、心理应激反应评分、自我效能感量表(GSES)评分差异。结果 两组干预后正性态度、缓解压力、自我决策等SUPPH评分均较前升高,赋能组干预后较常规组更高(P<0.05);两组干预后行为、躯体、情感及认知等Piper疲乏评分均较前降低,赋能组干预后较常规组更低(P<0.05)。两组干预后抑郁自评量表(SDS)、BIPQ评分均较前降低,赋能组干预后较常规组更低(P<0.05);两组干预后GSES、成人心理弹性量表(RSA)评分均较前升高,赋能组干预后较常规组更高(P<0.05)。结论 赋能激励式护理干预可提高乳腺癌患者自我管理能力,降低疾病负性感知,减轻心理应激反应。Objective To observe the effects of empowering motivational nursing intervention on disease perception and psychological stress response in breast cancer patients.Methods Forty breast cancer patients who used empowering motivational nursing intervention in the Second Affiliated Hospital of Zhengzhou University from January 2020 to October 2023 were retrospectively selected as the empowerment group,and 40 breast cancer patients with age and body mass index matching their age and body mass index in the same period who used conventional nursing intervention were selected as the conventional group.Differences in strategies used by people to promote health(SUPPH)scores,Piper fatigue scores,brief illness perception questionnaire(BIPQ)scores,psychological stress response scores,and general self-efficacy scale(GSES)scores were assessed between the two groups.Results SUPPH scores of positive attitude,stress relief and self-decision-making were higher in both groups after the intervention than before,and were higher in the empowered group after the intervention than in the conventional group(P<0.05).Piper’s fatigue scores of behavioural,somatic,emotional and cognitive scores were lower in both groups after the intervention than before,and were lower in the empowered group after the intervention than in the conventional group(P<0.05).The self-rating depression scale(SDS)scores and BIPQ scores of both groups were lower than before after the intervention,and the empowerment group was lower than the conventional group after the intervention(P<0.05).The GSES scores and the psychological resilience scale for adults(RSA)of both groups were higher than before after the intervention,and the empowerment group was higher than the conventional group after the intervention(P<0.05).Conclusion Empowerment-motivational nursing intervention can improve breast cancer patients’self-management ability,reduce the ability to negatively perceive the disease,reduce psychological stress reactions,and improve the quality of survival.

关 键 词：乳腺癌 赋能激励式护理 心理应激反应 疾病感知 

分 类 号：R473.73[医药卫生—护理学]