摘要
目的探讨"院内—院外"的延续护理模式对乳腺癌根治术后化疗患者健康行为及情感状况的影响。方法选择本院肿瘤内科于2012年3月至2014年2月收治的40例乳腺癌根治术后化疗患者,设为对照组;选择本院肿瘤内科于2014年3月至2016年2月收治的40例乳腺癌根治术后化疗患者,设为研究组,对照组患者采用传统住院常规护理及出院指导,研究组患者采用"院内—院外"的延续护理模式。比较两组患者干预前及干预后第2个月末健康促进生活方式评定量表(health promotion lifestyle rating scale,HPLS-Ⅱ)、焦虑自评量表(self rating anxiety scale,SAS)和抑郁自评量表(self rating depression scale,SDS)测评情况。结果两组患者干预前健康行为总分及各维度评分与焦虑、抑郁评分比较,差异无统计学意义(均P>0.05);两组患者干预后健康行为总分及各维度评分与焦虑、抑郁评分比较,差异具有统计学意义(均P<0.05),研究组患者健康行为总分及各维度评分明显高于对照组,焦虑、抑郁评分明显低于对照组。结论 "院内—院外"延续护理模式应用于乳腺癌根治术后化疗患者,有利于帮助患者调整自我情绪,且能改善其健康行为。
Objective To explore the effect of ”in- and out-hospital” continued nursing care on emotional state and health behavior of breast cancer patients undergoing chemotherapy after radical mastectomy. Methods Forty breast cancer patients undergoing radical chemotherapy in the oncology department of our hospital during March 2012 to February 2014 were put into the study group and another forty patients from the same department during March 2014 to February 2016 into the control group. The control group received traditional nursing care, while the study group ”in - and out-hospital” continued nursing care mode. The health promotion lifestyle assessment scale （HPLP- II）,self rating anxiety scale （SAS） and self rating depression scale （SDS） were used for the evaluation before intervention and 2 months after the intervention. Results After intervention, there were no significant differences in the total scores on health behaviors and the dimensions,anxiety and depression （P〉0.05）. Two moths after intervention,the scores on health behaviors and the dimensions in the study were all significantly higher than those in the control group and the scores on anxiety and depression were significantly lower （P〈0.05）. Conclusion The “in- and out-hospital” continued nursing mode is beneficial for the breast cancer patients undergoing chemotherapy after radical mastectomy to adjust their emotions and improve their health behaviors.
出处
《现代临床护理》
2016年第12期50-55,共6页
Modern Clinical Nursing
基金
上海市卫生局青年科研项目
项目编号2011144
关键词
乳腺癌
“院内—院外”延续性护理
健康行为
焦虑
抑郁
breast cancer
＂in-and out -hospital＂ continued nursing
health bealth behavior
anxiety
depression
