首页|基于保护动机理论的健康教育模式在乳腺癌术后患者中的应用效果

基于保护动机理论的健康教育模式在乳腺癌术后患者中的应用效果

扫码查看
目的:观察基于保护动机理论(PMT)的健康教育模式在乳腺癌术后患者中的应用效果.方法:选取 2020 年 6 月至2022 年 6 月该院收治的 98 例乳腺癌术后患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各 49 例.对照组给予常规护理,观察组给予基于PMT的健康教育模式.比较两组锻炼依从性,护理前后自我效能[健康促进策略量表(SUPPH)]评分、肩关节功能[Constant-Murley肩关节功能评分量表(CMS)]评分,以及并发症发生率.结果:观察组锻炼依从率为 95.92%(47/49),高于对照组的83.67%(41/49),差异有统计学意义(P<0.05);护理后,两组自我减压、自我决策评分及正面态度等各项SUPPH评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组肌力、疼痛、功能活动、肩关节活动度等各项CMS评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为 4.08%(2/49),低于对照组的 18.37%(9/49),差异有统计学意义(P<0.05).结论:基于PMT的健康教育模式应用于乳腺癌术后患者,可提高其锻炼依从性和自我效能,促进肩关节功能恢复,降低并发症发生率,效果优于常规护理.
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

王彦芳、王旋、袁小芳

展开 >

南阳市第二人民医院乳腺外科,河南 南阳 473000

保护动机理论 健康教育模式护理 乳腺癌 自我效能 肩关节功能

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(6)
  • 13