共情式护理干预对乳腺癌患者创伤后成长的影响

The effect of empathic care intervention on the posttraumatic growth in patients with breast cancer

目的观察实施共情式护理干预对乳腺癌患者创伤后成长的影响。方法选择我院自2013年12月1日-2014年3月1日入住的100名乳腺癌患者,随机分为实验组和对照组,每组50例。对照组采用常规护理,实验组在常规护理基础上加以共情式护理干预措施,在干预前、后,采用创伤后成长量表（PTG）对两组患者进行评价,采用杰弗逊共情量表对护士护理效果进行评价。结果干预前、后,实验组患者创伤后成长除人际关系因子外,其余各因子得分差异均有统计学意义（P〈0.05）;对照组患者创伤后成长总分出现增长（P〈0.05）,除精神改变因子外,其余各因子得分差异无统计学意义（P〉0.05）。两组患者干预后创伤后成长除人际关系因子外其余各因子差异均有统计学意义（P〈0.05）。实验组患者的共情能力得分显著高于对照组患者,差异有统计学意义（P〈0.05）。结论对乳腺癌患者创伤后成长实施共情式护理干预,对患者状况的改善有一定的扩大和促进作用,这种护理干预模式可作为心理护理干预的一种新思路,值得在临床上推广应用。

Objective To observe the implementation of empathy care intervention on posttraumatic growth in patients with breast cancer. Methods Selected 100 cases with breast cancer treated in our hospital from December first 2013 to March first 2014 and randomly divided them into experimental group and control group, each group with 50 cases. Control group received routine nursing care while experimental group taken the empathy care intervention on base of routine nursing. Compared posttraumatic growth inventory （PTG） which was used to evaluate the efficiency before and after intervention of two groups. Used the Jefferson empathy scale to evaluate nurses nursing effect. Results After em- pathy care intervention, expect the interpersonal relationship factor, the PTG score of patients in the experimental group was significant higher than that before empathy care intervention （P〈0.05） .The total posttraumatic growth score in- creased（P〈0.05）, the other factors score had no significant difference except mental changes factor （P〈0.05）. There were significant differences on all factors except interpersonal relationship factor in two groups after the intervention （P〈0.01）. Experimental group patients empathy ability scores were significantly higher than the control group patients, there were statistically significant difference （P〈0.05）. Conclusion Empathy care intervention can improve and promote posttraumatic growth in patients with breast cancer, which provides a new idea to clinical nursing.