摘要
目的探讨思维导图术前访视在乳腺癌手术患者中的应用效果。方法依据干预方法的不同将85例乳腺癌患者分为对照组(n=41)和观察组(n=44),对照组患者围手术期接受常规干预,观察组患者在对照组的基础上接受思维导图术前访视。比较两组患者的焦虑情绪[状态焦虑问卷(SAI)]、疾病不确定感[Mishel疾病不确定感量表(MUIS)]、生活质量[乳腺癌患者生命质量测定量表(FACT-B)]、并发症发生情况及满意情况。结果手术当天,两组患者SAI、MUIS评分均低于本组入院时,观察组患者SAI、MUIS评分均低于对照组,差异均有统计学意义(P﹤0.05)。出院时,两组患者FACT-B各维度评分均高于本组入院时,观察组患者FACT-B各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者并发症总发生率明显低于对照组,满意度评分明显高于对照组,差异有统计学意义(P﹤0.01)。结论思维导图术前访视干预可有效改善乳腺癌患者术前焦虑情绪及对疾病的不确定感,降低术后并发症发生率,提高患者的生活质量和满意度。
Objective To investigate the application effect of mind mapping preoperative visit in patients undergoing breast cancer surgery.Method A total of 85 patients with breast cancer were divided into control group(n=41)and ob-servation group(n=44)according to different intervention methods.The control group received routine intervention dur-ing perioperative period,and the observation group received mind mapping preoperative visit on the basis of the control group.The anxiety emotions[state anxiety inventory(SAI)],disease uncertainty[Mishel uncertainty in illness scale(MUIS)],quality of life[functional assessment of cancer therapy-breast(FACT-B)],incidence of complications and satis-faction were compared between the two groups.Result On the day of operation,the SAI and MUIS scores in two groups were lower than those at admission,the SAI and MUIS scores in observation group were lower than those in con-trol group,and the differences were statistically significant(P<0.05).At discharge,the dimensional scores of FACT-B in two groups were higher than those at admission,the dimensional scores of FACT-B in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).The total incidence of complication in observation group was significantly lower than that in control group,the satisfaction score was significantly higher than that in control group,and the differences were statistically significant(P<0.05).Conclusion Mind mapping preoperative visit intervention can effectively improve preoperative anxiety emotions and disease uncertainty of breast cancer patients,reduce the incidence of postoperative complications,and improve the quality of life and satisfaction of patients.
作者
范珂
蒋敏
焦文娟
FAN Ke;JIANG Min;JIAO Wenjuan(Department of Anesthesia and Perioperative Medicine,He’nan Provincial People’s Hospital,People’s Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)
出处
《癌症进展》
2024年第12期1353-1356,1366,共5页
Oncology Progress
关键词
乳腺癌
思维导图
术前访视
应用效果
breast cancer
mind mapping
preoperative visit
application effect
