首页|外源社会支持结合内驱激发对乳腺癌保乳术患者自我感受负担的影响

外源社会支持结合内驱激发对乳腺癌保乳术患者自我感受负担的影响

Effect of exogenous social support combined with internal drive stimulation on self-perceived burden of breast cancer patients undergoing breast-conserving surgery

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目的 分析外源社会支持结合内驱激发对乳腺癌保乳术患者自我感受负担的影响,为临床管理提供参考.方法 选取普外科收治的 110 例乳腺癌保乳术患者为研究对象,随机分为对照组和观察组各 55 例,对照组予以常规护理管理,观察组予以外源社会支持结合内驱激发干预,对比 2 组患者干预前后自我感受负担、恐惧疾病进展程度、社会支持水平及心理社会适应能力.结果 干预前,2 组自我感受负担量表(SPBS)、恐惧疾病进展简化量表(FoP-Q-SF)、领悟社会支持量表(PSSS)、乳腺癌心理社会适应问卷得分比较,差异均无统计学意义(均P>0.05).干预后,2 组SPBS、FoP-Q-SF得分均较干预前降低,且观察组低于对照组;2 组PSSS、乳腺癌心理社会适应问卷得分均较干预前提高,且观察组高于对照组;差异均有统计学意义(均P<0.05).结论 外源社会支持结合内驱激发干预,不仅可缓解乳腺癌保乳术患者的自我感受负担与恐惧疾病进展程度,而且还能提高其社会支持水平及心理社会适应能力.
Objective To investigate the impact of external social support and internal drive stimulation on the self-perceived burden of breast cancer patients who are undergoing breast-conserving surgery.The findings of this study will provide valuable insights for clinical management.Methods A total of 110 breast cancer patients who underwent breast-conserving surgery were selected for the study.They were admitted to the Department of General Surgery and randomly divided into two groups:55 cases in the control group and 55 cases in the observation group.The routine nursing care was given to the control group,while the observation group received exogenous social support combined with endogenous stimulation interventions.The study compared the burden of self-feeling,the degree of fear of disease progression,the level of social support,and the ability of psychosocial adaptability of the two groups before and after the interventions.Results Before the intervention,we compared the scores of the Self-Perceived Burden Scale(SPBS),Fear of Disease Progression Simplified Scale(FoP-Q-SF),Perceived Social Support Scale(PSSS),and Psychosocial Adaptation to Breast Cancer Questionnaire of the two groups.We found no statistically significant differences between the groups(all P>0.05).Following the intervention,both groups showed a decrease in SPBS and FoP-Q-SF scores compared to before the intervention.Additionally,the observation group had lower scores than the control group.Conversely,both groups showed an increase in PSSS and psychosocial adaptation questionnaire scores for breast cancer compared to before the intervention.Furthermore,the observation group had higher scores than the control group.All differences were statistically significant(P<0.05).Conclusions Combining external social support with internal drive intervention can not only alleviate the self-perceived burden and fear of disease progression in breast cancer patients undergoing breast-conserving surgery,but it can also improve their social support level and ability to adapt psychosocially.

exogenous social supportendogenous motivationbreast cancer breast-conserving surgeryself-perceived burdendegree of fear of disease progression

李艳、张秋梅、王迎春

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南阳市第一人民医院 普外科,河南 南阳 473000

外源社会支持 内驱激发 乳腺癌保乳术 自我感受负担 恐惧疾病进展程度

2024

健康研究
杭州师范大学

健康研究

影响因子:0.823
ISSN:1674-6449
年,卷(期):2024.44(1)
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