基于社会认知理论的反馈式教育在乳腺癌术后康复中的应用  

The application of feedback-based education based on social cognitive theory in postoperative rehabilitation of breast cancer

作　　者：陆光蕾 徐伟民[1] 陈文静 LU Guanglei;XU Weimin;CHEN Wenjing(Department of General Surgery,The Second Hospital of Anhui Medical University,Hefei 230601,China)

机构地区：[1]安徽医科大学第二附属医院普外二科,合肥230601

出　　处：《医学新知》2025年第3期281-288,共8页New Medicine

基　　金：安徽省卫生健康科研项目(AHWJ2023BAc20034)。

摘　　要：目的探索基于社会认知理论的反馈式教育对乳腺癌患者术后康复的疗效。方法收集2021年1月至2024年1月于安徽医科大学第二附属医院普外二科接受改良乳腺癌根治术的患者,分为反馈干预组(基于社会认知理论的反馈式教育干预联合常规护理)和对照组(仅常规护理)。干预14 d后收集并比较两组患者基线特征、上肢淋巴水肿情况、术后康复情况、康复锻炼依从性、护理满意度和术后并发症发生情况。结果共纳入234名患者,反馈干预组、对照组各117例,两组患者基线资料可比。干预14 d后,反馈干预组上肢周径差和上肢功能评定量表评分均显著低于对照组(P<0.05);术后进食时间、康复锻炼时间、下床活动时间和住院时间均较对照组显著缩短(P<0.05);在康复锻炼依从性评分和纽卡斯尔护理服务满意度量表评分方面均显著高于对照组(P<0.05);两组患者在术后并发症发生率上差异无统计学意义(P>0.05)。结论基于社会认知理论的反馈式教育可改善乳腺癌患者术后患肢急性淋巴水肿程度,有效缩短术后康复时间,提高康复锻炼依从性和护理满意度并具有较好的安全性。Objective To explore the efficacy of feedback-based education based on social cognitive theory in the postoperative rehabilitation of breast cancer patients.Methods Patients who underwent modified radical mastectomy at the Second Department of General Surgery,Second Affiliated Hospital of Anhui Medical University between January 2021 and January 2024 were included and divided into the feedback intervention group(feedback-based education intervention combined with routine nursing care)and the control group(routine nursing care only).Baseline characteristics,upper limb lymphedema,postoperative rehabilitation parameters,rehabilitation exercise compliance,nursing satisfaction,and postoperative complications were collected and compared between the two groups after 14 days of intervention.Results A total of 234 patients were enrolled,with 117 patients in each group.The baseline characteristics between two groups were comparable.After 14 days of intervention,the feedback group showed significantly lower upper limb circumference difference and scores of Disability of the Arm,Shoulder and Hand(DASH)compared to the control group(P<0.05).The feedback group also demonstrated significantly shorter time to postoperative eating,rehabilitation exercise initiation,ambulation,and hospital stay(P<0.05).Moreover,the feedback group achieved significantly higher scores in rehabilitation exercise compliance and Newcastle Satisfaction with Nursing Scale(P<0.05).No significant difference was observed in postoperative complication rates between two groups(P>0.05).Conclusion Feedback-based education founded on social cognitive theory effectively improves acute lymphedema of affected limbs,shortens postoperative rehabilitation time,enhances rehabilitation exercise compliance and nursing satisfaction,while maintaining good safety in breast cancer patients.

关 键 词：社会认知理论 反馈式教育 乳腺癌 改良乳腺癌根治术 术后康复 

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