摘要
目的 探讨基于信息不对称理论的共同决策干预对年轻乳腺癌患者创伤后成长、自我感受负担及生育忧虑的影响。方法 将108例年轻乳腺癌患者按建档顺序分组,各54例。对照组给予常规护理,研究组给予常规护理+基于信息不对称理论的共同决策干预,观察住院全程,出院后随访1个月。比较干预前后两组自我感受负担量表、疾病感知问卷、创伤后成长评定量表、癌症后生育忧虑量表、Olson婚姻质量调查问卷评分及护理满意度。结果 (1)自我感受负担:干预后研究组自我感受负担量表的身体负担、经济负担、情感负担维度和对照组的身体负担、情感负担维度评分均较干预前显著降低(P<0.01),研究组身体负担、情感负担维度评分显著低于对照组(P<0.01)。(2)疾病感知水平:干预后两组疾病感知问卷的情绪状况、认知状况、病因认知、理解能力维度评分均较干预前显著降低(P<0.05),研究组显著低于对照组(P<0.01)。(3)创伤后成长状况:干预后两组创伤后成长评定量表的人生感悟、个人力量、与他人关系、自我转变、新的可能性评分较干预前显著升高(P<0.01),研究组显著高于对照组(P<0.01)。(4)生育忧虑状况:干预后两组癌症后生育忧虑量表评分较干预前显著降低(P<0.01),研究组显著低于对照组(P<0.01)。(5)婚姻质量:干预后两组Olson婚姻质量调查问卷评分较干预前显著升高(P<0.01),研究组显著高于对照组(P<0.01)。(6)护理满意度:研究组护理总满意度为94.44%,对照组为79.63%,研究组显著高于对照组(P<0.05)。结论 基于信息不对称理论的共同决策干预能有效改善年轻乳腺癌患者的疾病感知及生育忧虑,减轻其自我感受负担,促进个体创伤后成长,提高婚姻质量及护理满意度。
Objective To explore the effect of joint decision-making intervention based on information asymmetry theory on posttraumatic growth, self-perceived burden and fertility anxiety in young patients with breast cancer. Methods A total of 108 young patients with breast cancer were selected and grouped according to the order of filing, 54 cases in each group. The control group was given routine care, and the study group was given routine care + joint decision-making intervention based on information asymmetry theory. The patients were followed up for 1 month after discharge. The scores of self-perceived burden scale(SPBS), brief illness perception questionnaire(BIPQ), posttraumatic growth inventory(PTGI) reproductive concerns after cancer scale(RCAC),Olson marriage quality questionnaire(ENRICH)and nursing satisfaction were compared between the two groups before and after intervention.Results (1)Self-perceived burden:After the intervention,the scores of physical burden,economic burden and emotional burden of SPBS in the study group and physical burden and emotional burden in the control group were significantly lower than those before intervention(P<0.01).The scores of physical burden and emotional burden in the study group were significantly lower than those in the control group(P<0.01).(2)Illness perception:After the intervention,the scores of emotional status,cognitive status,etiological cognition,and comprehension ability of BIPQ in the two groups were significantly lower than those before intervention(P<0.05).The study group was significantly lower than the control group(P<0.01).(3)Posttraumatic growth:After the intervention,the scores of life perception,personal strength,relationship with others,self-transformation,and new possibilities of PTGI in the two groups were significantly higher than those before intervention(P<0.01).The study group was significantly higher than the control group(P<0.01).(4)Fertility anxiety:After the intervention,the RCAC score of the two groups was significantly lower than that before t
作者
鲍咏咏
焦妙蕊
朱艳
Bao Yongyong;Jiao Miaorui;Zhu Yan(The Affiliated Cancer Hospital of Zhengzhou University,Zhengzhou 450008,Henan,China)
出处
《临床心身疾病杂志》
CAS
2022年第6期60-67,共8页
Journal of Clinical Psychosomatic Diseases
基金
河南省医学科技攻关计划(联合共建)项目(编号LHGJ20190654)。
关键词
乳腺癌
创伤后成长
自我感受负担
生育忧虑
婚姻质量
疾病感知
护理满意度
breast cancer
posttraumatic growth
self-perceived burden
fertility anxiety
marital quality
illness perception
nursing satisfaction
