摘要
目的探讨知信行理论模式在乳腺癌家庭延续性护理中的临床价值。方法选择2017年4月-2019年1月本院收治的乳腺癌患者80例,按照随机数字法分为两组,各40例,对照组实施常规护理,观察组则在对照组基础上,联合知信行理论模式进行出院后的延续性护理。比较两组干预后3个月两组PFS、KPS和SF-36评分变化,并分析两组干预期间心理状况及睡眠状况变化情况。结果干预后3个月观察组PFS评分中各项目得分均明显低于对照组(P <0.05),干预后观察组KPS和SF-36评分均明显高于对照组(P <0.05),观察组心理状况中的焦虑抑郁,睡眠状况的睡眠障碍比例显著低于对照组(P <0.05)。结论针对乳腺癌患者,在知信行理论模式指导下进行院外延续性护理,能有效的提高患者生活质量,减轻癌性疲乏,改善睡眠质量。
Objective To explore the clinical value of knowledge, belief and practice theory model in nursing care of breast cancer after discharge from hospital. Methods 80 cases of breast cancer patients admitted in our hospital from April 2017 to January 2019 were randomly divided into two groups, 40 cases in each group. The control group were received routine nursing, while the observation group were received continuous nursing after discharge based on the control group combined with KAP theory. Then the changes of PFS, KPS and SF-36 scores in the two groups 3 months after the intervention were compared, and the changes of psychological status and sleep status in the two groups during the intervention were analyzed. Results The PFS scores in the observation group were significantly lower than those of the control group(P < 0.05) 3 months after the intervention. after the intervention, the KPS and SF-36 scores in the observation group were significantly higher than those of the control group(P < 0.05). the anxiety and depression in the psychological state in the observation group and the proportion of sleep disorders in the sleep state were significantly lower than those of the control group(P < 0.05). Conclusion For breast cancer patients, continuous nursing outside hospital under the guidance of KAP theory model can effectively improve the quality of life of patients, and it can reduce cancer fatigue and improve sleep quality.
作者
李瑞花
张倩
LI Ruihua;ZHANG Qian(Department of Breast Surgery,Peking University International Hospital,Beijing 102206,China)
出处
《中国继续医学教育》
2020年第14期181-182,共2页
China Continuing Medical Education
关键词
知信行理论模式
乳腺癌
出院后
延续性
心理状况
睡眠质量
knowledge,belief and behavior theory model
breast cancer
after discharge from hospital
continuous
mental status
sleep quality
