摘要
目的探究健康信念模式(HBM)干预联合细节行为护理干预对接受手术治疗的乳腺癌患者生存质量及自我效能的影响。方法选取2021年6月至2022年1月入郑州大学第一附属医院就诊的乳腺癌术后患者152例,采用奇偶数法随机分为观察组、对照组,各76例。对照组给予常规护理干预,观察组在此基础上,给予HBM联合细节行为护理干预。对比两组依从性、Constant-Murley肩关节评分量表、一般自我效能感量表(GSES)、心理状态症状自评量表(SCL-90)、乳腺癌生存质量量表(FACT-B)评分及护理满意度。结果观察组依从性96.05%(73/76)高于对照组80.26%(61/76),差异有统计学意义(P<0.05);护理后观察组肩关节各维度评分高于对照组,差异有统计学意义(P<0.05);护理后观察组SCL-90评分低于对照组,GSES、FACT-B评分高于对照组,差异有统计学意义(P<0.05);观察组护理满意度98.68%(75/76)高于对照组82.90%(63/76),差异有统计学意义(P<0.05)。结论HBM干预联合细节行为护理干预可改善乳腺癌术后患者心理状态,增强自我效能,提高依从性,改善肩关节功能,促进生存质量提升,从而提高护理满意度。
Objective To investigate the effects of a health belief model(HBM)intervention combined with a detailed behavioral care intervention on the quality of survival and self-efficacy of breast cancer patients undergoing surgical treatment.Methods A total of 152 postoperative breast cancer patients admitted to The First Affiliated Hospital of Zhengzhou University from June 2021 to January 2022 were selected and divided into observation group and control group according to the odd-even method,with 76 cases in each group.The control group was given conventional nursing interventions,while the observation group was given HBM combined with detailed behavioral nursing interventions on this basis.The compliance,Constant-Murley Shoulder Rating Scale,General Self-Efficacy Scale(GSES),Self-Rating Scale of Mental Status Symptoms(SCL-90),Quality of Survival Scale for Breast Cancer(FACT-B)scores and nursing satisfaction were compared between the two groups.Results Compliance in the observation group was 96.05%(73/76)higher than 80.26%(61/76)in the control group(P<0.05);The scores of shoulder joint dimensions in the observation group were higher than those in the control group after care(P<0.05);The SCL-90 scores in the observation group were lower than those in the control group after care,and the GSES and FACT-B scores in the observation group were higher than those in the control group(P<0.05);The satisfaction of care in the observation group was 98.68%(75/76),higher than that of the control group 82.90%(63/76)(P<0.05).Conclusion HBM interventions combined with detailed behavioral nursing interventions can improve psychological status,enhance self-efficacy,improve compliance,improve shoulder function,promote quality of survival,and increase nursing satisfaction in postoperative breast cancer patients.
作者
付梦婷
宋帅
FU Mengting;SONG Shuai(Department of Breast Surgery,The First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450000,China;Department of Emergency,The First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450000,China)
出处
《临床研究》
2022年第6期170-173,共4页
Clinical Research
关键词
健康信念模式
细节行为护理干预
乳腺癌
自我效能
health belief model
detailed behavioral nursing intervention
breast cancer
self-efficacy
