激励式护理干预联合配偶支持对乳腺癌手术患者负性情绪及生存质量的影响
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摘要
目的探讨激励式护理干预联合配偶支持对乳腺癌手术患者负性情绪及生存质量的效果。方法选取2016年8月—2018年8月期间于浙江省杭州市师范大学附属医院行乳腺癌手术的80例女性患者,按随机数表法将患者分为观察组及对照组,各40例。对照组行常规护理,观察组在对照组基础上采用激励式护理干预联合配偶支持护理,观察两组患者的汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、中文版乳腺癌患者生命质量量表(QLICP-BR)评分以及护理满意度。结果护理后,观察组HAMA、HAMD量表评分显著低于对照组,QLICPBR量表各维度评分显著高于对照组,差异有统计学意义(P<0.05);观察组对护理工作的满意度显著高于对照组(P<0.05)。结论激励式护理干预联合配偶支持对乳腺癌手术患者有较好的应用效果,能显著改善患者的负面情绪、提高患者生存质量。
Objective To investigate the effects of encouraging nursing intervention combined with spouse support on negative emotion and quality of life in patients undergoing breast cancer surgery. Methods 80 female patients undergoing breast cancer surgery in the hospital from August 2016 to August 2018 were enrolled. They were divided into observation group and control group according to the random number table method, 40 cases in each group. The control group was given routine nursing.On this basis, the observation group was given encouraging nursing intervention combined with spouse support. The scores of Hamilton anxiety scale(HAMA), Hamilton depression scale(HAMD)and Quality of life instruments for cancer patientsbreast cancer(QLICP-BR)and nursing satisfaction in both groups were observed. Results After nursing, the scores of HAMA and HAMD of the observation group were significantly lower than those of the control group, while the scores of the QLICP-BR in all dimensions were significantly higher than those of the control group(P<0.05). The nursing satisfaction of observation group was significantly higher than that of the control group(P<0.05). Conclusion The application effect of encouraging nursing intervention with spouse support is relatively better in patients undergoing breast cancer surgery, which can significantly improve the negative emotions of patients, and improve the quality of life.
Objective To investigate the effects of encouraging nursing intervention combined with spouse support on negative emotion and quality of life in patients undergoing breast cancer surgery. Methods 80 female patients undergoing breast cancer surgery in the hospital from August 2016 to August 2018 were enrolled. They were divided into observation group and control group according to the random number table method, 40 cases in each group. The control group was given routine nursing.On this basis, the observation group was given encouraging nursing intervention combined with spouse support. The scores of Hamilton anxiety scale(HAMA), Hamilton depression scale(HAMD)and Quality of life instruments for cancer patientsbreast cancer(QLICP-BR)and nursing satisfaction in both groups were observed. Results After nursing, the scores of HAMA and HAMD of the observation group were significantly lower than those of the control group, while the scores of the QLICP-BR in all dimensions were significantly higher than those of the control group(P<0.05). The nursing satisfaction of observation group was significantly higher than that of the control group(P<0.05). Conclusion The application effect of encouraging nursing intervention with spouse support is relatively better in patients undergoing breast cancer surgery, which can significantly improve the negative emotions of patients, and improve the quality of life.
引文
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[14]张慧,金娇.以配偶支持为主的护理干预对乳腺癌根治术后患者身心健康及情绪调节能力的影响[J].护理实践与研究,2017,14(20):106-108.
[15]吴志英,吴艳,王琦帆,等.激励式护理对甲状腺癌手术患者负性情绪及生存质量的影响[J].新疆医科大学学报,2017,40(11):1488-1491.
[16]卞龙艳,陈晓玲.激励式护理对直肠癌术后永久性结肠造口病人自我护理能力及生活质量的影响[J].护理研究,2017,31(1):90-92.
[2]Anastasiadi Z,Lianos G D,Ignatiadou E,et al.Breast cancer in young women:an overview[J].Updates Surg,2017,69(3):313-317.
[3]张彦收,刘运江.乳腺癌手术治疗回顾和进展[J].现代肿瘤医学,2015,23(5):719-722.
[4]韩静,刘均娥.团体心理干预在乳腺癌患者心理调适中的应用进展[J].中华护理杂志,2017,52(5):608-613.
[5]张惠兰,陈茶秀.肿瘤护理学[M].天津:科学技术出版社,2000:128-136.
[6]周炯,王荫华.六个常用的焦虑抑郁量表的相关因子分析[J].中华神经科杂志,2005,38(11):714.
[7]张冬梅,万崇华,李文辉,等.乳腺癌患者生命质量测定量表的研制及考评[J].中国行为医学科学,2002,11(3):344-346,349.
[8]张阳,田丽,王盼盼,等.乳腺癌患者癌症复发恐惧及影响因素分析[J].广东医学,2017,38(23):3658-3661.
[9]刘立静,刘纪红.个案管理护理实践结合延伸性护理对乳腺癌患者生活质量的改善作用[J].中国医刊,2018,53(1):83-86.
[10]高宇,张金燕,刘冰,等.激励式护理干预对妇科腹腔镜患者围术期焦虑情绪及康复情况的效果研究[J].中国医学装备,2017,14(11):98-102.
[11]李淑娥.配偶支持干预对宫颈癌子宫全切患者心理应激及自尊水平的影响[J].医学临床研究,2018,35(6):1191-1193.
[12]杜彦秋.激励式护理对乳腺癌根治术患者自我效能及术后康复的影响[J].国际护理学杂志,2017,36(20):2821-2824.
[13]罗群,周利华,王维利,等.妇科癌症患者和配偶夫妻支持应对与亲密关系的关系[J].中国心理卫生杂志,2017,31(12):964-970.
[14]张慧,金娇.以配偶支持为主的护理干预对乳腺癌根治术后患者身心健康及情绪调节能力的影响[J].护理实践与研究,2017,14(20):106-108.
[15]吴志英,吴艳,王琦帆,等.激励式护理对甲状腺癌手术患者负性情绪及生存质量的影响[J].新疆医科大学学报,2017,40(11):1488-1491.
[16]卞龙艳,陈晓玲.激励式护理对直肠癌术后永久性结肠造口病人自我护理能力及生活质量的影响[J].护理研究,2017,31(1):90-92.