摘要
目的 分析以赋能理论为基础行为转变护理用于乳腺癌术后化疗患者的效果.方法 选取 2020 年 3 月至2022 年 5 月期间许昌市立医院收治术后化疗的 86 例乳腺癌患者作为研究对象,经随机数字表法分成对照组(予以常规化的护理措施)、观察组(在对照组基础上采取以赋能理论为基础行为转变护理)各 43 例,观察两组干预前后的心理弹性量表(CD-RISC)、社会影响量表(SIS)及乳腺癌生活质量问卷(QLSBC)评分情况.结果 干预前,两组各项CD-RISC评分(坚韧性、乐观性、力量)及总分比较差异无统计学意义(P＞0.05);干预后,观察组各项CD-RISC评分及总分均高于对照组,差异有统计学意义(P＜0.05).干预前,两组SIS评分(社会排斥、社会隔离、内在羞耻感、经济不安全感)及总分比较差异无统计学意义(P＞0.05);干预后,观察组各项SIS得分及总分均低于对照组,差异有统计学意义(P＜0.05).干预前,两组各项QLSBC评分(躯体因子、信仰因子、社会因子、心理因子)及总分相比差异无统计学意义(P＞0.05);干预后,观察组各项QLSBC评分及总分均高于对照组,差异有统计学意义(P＜0.05).结论 以赋能理论为基础行为转变护理用于术后化疗乳腺癌患者能改善其心理弹性,减轻疾病耻辱感,提升生活质量,值得应用.
Abstract
Objective To analyze the effect of empowerment theory-based behavioral change nursing on postoperative chemotherapy patients with breast cancer.Methods A total of 86 postoperative chemotherapy patients with breast cancer treated at Xuchang City Hospital from March 2020 to May 2022 were selected as the research subjects.They were randomly divided into a control group(receiving routine nursing measures)and an observation group(receiving empowerment theory-based behavioral change nursing on top of routine nursing measures),with 43 cases in each group.The scores of the Connor-Davidson resilience scale(CD-RISC),Social Impact Scale(SIS),and The Quality-of-Life Scale for BC(QLSBC)were observed before and after the intervention in both groups.Results Before the intervention,there was no statistically significant difference in the CD-RISC scores(tenacity,optimism,strength)and total scores between the two groups(P＞0.05).After the intervention,the CD-RISC scores and total scores in the observation group were higher than those in the control group,with statistically significant differences(P＜0.05).Before the intervention,there was no statistically significant difference in the SIS scores(social exclusion,social isolation,internalized shame,economic insecurity)and total scores between the two groups(P＞0.05).After the intervention,the SIS scores and total scores in the observation group were lower than those in the control group,with statistically significant differences(P＜0.05).Before the intervention,there was no statistically significant difference in the QLSBC scores(physical factors,belief factors,social factors,psychological factors)and total scores between the two groups(P＞0.05).After the intervention,the QLSBC scores and total scores in the observation group were higher than those in the control group,with statistically significant differences(P＜0.05).Conclusion Empowerment theory-based behavioral change nursing for postoperative chemotherapy patients with breast cancer can improve their psychological resilience,reduce disease stigma,and enhance their quality of life,making it worthy of application.
维普
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