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基于手机微信的干预模式对乳腺癌根治术后患者自护能力及自我表露的影响 被引量:13

Influence of mobile phone WeChat-based intervention model on self-care ability and self-disclosure of patients after radical mastectomy
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摘要 目的探讨基于手机微信的干预模式对乳腺癌根治术后患者自护能力及自我表露的影响。方法选择2018年10月—2019年10月南通大学附属医院收治的268例乳腺癌患者作为研究对象,根据随机数字表法分为对照组和观察组,各134例。两组均实施乳腺癌根治术,对照组于术后实施常规干预,观察组于术后实施常规干预结合基于手机微信的干预。分别于干预前、干预3个月后,评估并比较两组自护能力[采用自我护理能力测定量表(ESCA)评估]、自我表露状况[采用朱拉德自我表露问卷(JSDQ)评估]。结果干预3个月后,两组ESCA、JSDQ量表各维度评分均较干预前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论基于手机微信的干预模式可提高乳腺癌患者术后自护能力,增强自我表露。 Objective To explore the influence of the intervention model based on mobile phone WeChat on the self-care ability and self-disclosure of patients after radical mastectomy.Methods A total of 268 breast cancer patients treated in the Affiliated Hospital of Nantong University from October 2018 to October 2019 were selected as the research objects,and they were divided into the control group and the observation group by random number table,with 134 cases in each group.Both groups underwent radical mastectomy,the control group underwent conventional intervention after surgery,and the observation group underwent conventional intervention combined with mobile phone WeChat-based intervention after surgery.Before intervention and 3 months after intervention,the self-care ability(assessed by the self-care ability measurement scale[ESCA])and self-disclosure status(assessed by the Jourard self-disclosure questionnaire[JSDQ])were evaluated and compared between the two groups.Results After 3 months of intervention,the ESCA and JSDQ scale scores and total scores of the two groups were higher than those before intervention,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).Conclusion The intervention model based on mobile phone WeChat can improve the self-care ability of patients with breast cancer after surgery and improve their self-disclosure.
作者 陆萍 李一桔 张韫玉 陆丽华 陈云霞 LU Ping;LI Yiju;ZHANG Yunyu;LU Lihua;CHEN Yunxia(Department of Thyroid and Breast Surgery,Affiliated Hospital of Nantong University,Jiangsu Province,Nantong226001,China)
出处 《中国医药导报》 CAS 2020年第35期169-172,共4页 China Medical Herald
基金 江苏省南通市科技项目(JC2019019)。
关键词 乳腺癌 根治术 手机微信:院外干预 自护能力 自我表露 Breast cancer Radical mastectomy Mobile phone WeChat Out-of-hospital intervention Self-care ability Self-disclosure
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