Effect of Intervention Based on Spousal Support on Stigma and Self-efficacy in Patients with Breast Cancer After Surgery
Objective To analyze the effects of spousal support based intervention on stigma and self-efficacy in patients with breast cancer after surgery.Methods A total of 96 patients with breast cancer after surgery who were treated in the breast surgery department of Henan Provincial People's Hospital from July 2020 to September 2022 were included in the study,and were divided into the experimental group and the control group by random number table method,with 48 cases in each group.The experimental group received spousal support based intervention and the control group received routine intervention from admission to the hospital until 6 months after surgery.Stigma,self-efficacy,shoulder function,psychological stress before and after intervention and complications during intervention were compared between the two groups.Results Compared with before intervention,the scores of social exclusion,economic discrimination,intrinsic shame,social isolation,self-rating anxiety scale(SAS),self-rating depression scale(SDS)in the two groups were lower,and those in the experimental group were lower after intervention(P＜0.05).Compared with before intervention,scores of strategic effectiveness,resilience effectiveness,motivational effectiveness,executive effectiveness,range of motion,pain,activity of daily living,joint local morphology,muscle strength score and Connor-Davidson resilience scale(CD-RISC)both groups increased,and the experimental group was higher than the control group after intervention(P＜0.05).During the intervention period,the complication rate in the experimental group was lower in both groups(P＜0.05).Conclusion Spousal support based intervention could reduce stigma,improve self-efficacy,enhance shoulder joint function,relieve psychological stress and reduce complications in patients with breast cancer after surgery.
breast cancerspouse supportsurgerystigmaself-efficacyshoulder joint functionpsychological stress
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