“一站式康复模式”在改善乳腺癌术后患者病耻感中的效果研究
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摘要
目的探讨"一站式医康复模式"在改善乳腺癌术后患者病耻感中的效果。方法选取2016年1月～2017年1月间在本院胸外科行乳腺癌手术的186例患者为研究对象,按随机分配原则分为对照组和观察组,每组各93例。对照组接受常规治疗护理方案,观察组采取"一站式康复模式"进行护理。干预后,采用一般资料调查问卷、社会影响量表(SIS),状态自尊量表(SSES)、乳腺癌患者心理社会适应问卷进行评价。结果实验前对照组和观察组病耻感均处于较高水平,分别为(66.66±8.49)分和(68.03±8.57)分;观察组采取"一站式康复模式"后再次比较,观察组病耻感为(40.2±6.26)分,明显低于对照组的(56.68±6.13)分,差异有统计学意义(P <0.05)。结论乳腺癌根治术后患者病耻感水平较高,采取"一站式康复模式"可有效改善乳腺癌患者病耻感。
Objective To explore the effect of " one-stop medical rehabilitation model" in improving the effectiveness of patients' stigma af-ter breast cancer treatment. Methods From January 2015-2017,186 patients with breast cancer of thoracic surgery was selected as the re-search object. According to the random distribution principle the research object is divided into control group and observation group,and eachaccounted for 93 cases. The control group received a routine treatment regimen,and the obstervation group took the " one-stop medical reha-bilitation model". Before and after the experiment adopts general information questionnaire,Social Impact Scale( Social Impact Scale,SIS),status,self-esteem Scale( SSES),breast cancer patients psychosocial adaptation questionnaire to evalue the effect. Results The experi-mental control group and observation group before the disease shame are at a higher level,they were( 66.66 ± 8.49) and( 68.03 ± 8.57); theexperimental group to take medical mode for the " one-stop" again after the comparison,the observaation group disease significantly [( 40.2± 6.26) ] lower than that of the control group( 56.68 ± 6.13),the difference was statisticalyy significant( P < 0.05). Conclusion Thepostoperative patients with breast cancer effect a radical cure disease shame level is higher,adopt medical mode for the " one-stop" can effec-tively improve breast cancer patients with disease of shame,especially for young unmarried patients is especially significant effect.
Objective To explore the effect of " one-stop medical rehabilitation model" in improving the effectiveness of patients' stigma af-ter breast cancer treatment. Methods From January 2015-2017,186 patients with breast cancer of thoracic surgery was selected as the re-search object. According to the random distribution principle the research object is divided into control group and observation group,and eachaccounted for 93 cases. The control group received a routine treatment regimen,and the obstervation group took the " one-stop medical reha-bilitation model". Before and after the experiment adopts general information questionnaire,Social Impact Scale( Social Impact Scale,SIS),status,self-esteem Scale( SSES),breast cancer patients psychosocial adaptation questionnaire to evalue the effect. Results The experi-mental control group and observation group before the disease shame are at a higher level,they were( 66.66 ± 8.49) and( 68.03 ± 8.57); theexperimental group to take medical mode for the " one-stop" again after the comparison,the observaation group disease significantly [( 40.2± 6.26) ] lower than that of the control group( 56.68 ± 6.13),the difference was statisticalyy significant( P < 0.05). Conclusion Thepostoperative patients with breast cancer effect a radical cure disease shame level is higher,adopt medical mode for the " one-stop" can effec-tively improve breast cancer patients with disease of shame,especially for young unmarried patients is especially significant effect.
引文
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[14]邵艳芳,王巧凤.艾滋病防治“一站式服务”模式的应用及效果[J].当代护士,2017,24(1):183-184.
[2]Serittimng S,Van Bmkel WH.Stigma in leprosy:concepts,causes and deter-minaIlts[J].Lepr Rev,2014,85(1):36-47.
[3]程然.乳腺癌患者心理社会适应问卷的研制[J].中国实用护理杂志,2012,28(1):1-5.
[4]黄维明,郑婉婷.乳腺癌患者术后心理社会适应水平及影响因素分析[J].天津护理,2016,24(2):97-99.
[5]原静民.永久性肠造口患者病耻感现状及其影响因素研究[J].中华护理杂志,2016,51(12):1422-1427.
[6]张理义,孔令明,张其军,等.中国社会支持量表的研制及其信效度检验[J].临床心身疾病杂志,2014,20(6):36.
[7]任延艳,刘化侠,田秀丽.癌症患者自我感受负担量表条目的筛选及测试版的形成[J].护理学杂志,2013,28(5):25.
[8]张琼,刘爽,李晓娜.延续护理在乳腺癌改良根治术后出院患者中的应用[J].解放军护理杂志,2014,31(18):23-25.
[9]彭翠娥,王卫红.个案管理模式对乳腺癌病人生存质量及心理社会适应的影响[J].护理研究,2015,29(1):3541-3545.
[10]李迎,吴倩,黎贵.心理支持对肝癌患者生活质量的影响[J].中国肿瘤临床与康复,2014,21(10):1244-1244.
[11]李东生.乳腺癌手术后上肢淋巴水肿的治疗[J].国际外科学杂志,2016,43(3):205-207.
[12]张士淮,骆成玉.乳腺癌改良根治术后康复操的应用及评价[J].北京医学,2013,35(10):818-820.
[13]韩冰.循证护理在乳腺癌手术患者心理护理中的应用[J].中国医药指南,2017,15(1):286.
[14]邵艳芳,王巧凤.艾滋病防治“一站式服务”模式的应用及效果[J].当代护士,2017,24(1):183-184.