Application effects of health education model nursing based on protection motivation theory in postoperative patients with breast cancer
Objective:To observe the application effect of health education model nursing based on protection motivation theory(PMT)in postoperative patients with breast cancer.Methods:A prospective study was conducted on 98 patients with breast cancer were admitted to the hospital from June 2020 to June 2022.According to the random number table method,they were divided into control group and observation group,49 cases in each group.The control group was given routine nursing,while the observation group was given PMT-based health education model nursing.The exercise compliance rate,the self-efficacy[strategies used by people to promote health(SUPPH)]score,the shoulder joint function[Constant-Murley shoulder scoring scale(CMS)]score before and after the nursing,and the incidence of complications were compared between the two groups.Results:The exercise compliance rate of the observation group was 95.92%(47/49),which was higher than 83.67%(41/49)of the control group,and the difference was statistically significant(P<0.05).After the nursing,the SUPPH scores of self-decompression,self-decision score and positive attitude in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the CMS scores of muscle strength,pain,functional activity and shoulder range of motion in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 4.08%(2/49),which was lower than 18.37%(9/49)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The PMT-based health education model in the patients after breast cancer surgery can improve their exercise compliance rate and the self-efficacy,promote the recovery of shoulder joint function,and reduce the incidence of complications.Moreover,it is superior to the routine nursing.
Protection motivation theoryHealth education model nursingBreast cancerSelf-efficacyShoulder joint function