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健康信念模式教育对乳腺癌患者术后自我效能的影响 被引量:8

Effective study on self-efficacy of breast cancer patients after surgery by health belief model education
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摘要 目的探讨应用健康信念模式对乳腺癌患者术后自我效能的影响。方法将2013年1月至2015年5月在南京医科大学附属肿瘤医院乳腺外科就诊并已接受手术治疗的130例乳腺癌患者平均分为试验组和对照组。试验组应用健康信念模式(HBM),对照组应用传统健康教育模式,采用评健康促进策略量表(SUPPH)评估两组患者的自我效能水平。结果试验组与对照组在干预前,自我效能的各个评分比较,差异无统计学意义(P>0.05)。而试验组在采用健康信念模式教育后,自我效能评分均高于对照组,两组比较差异有统计学意义(P<0.05)。结论健康信念模式是一种有效的乳腺癌术后患者健康教育指导理论。能够显著提高患者自我效能,促进疾病康复。 Objective To explore the effect of health belief model (HBM) education on the self-effica- cy of patients with breast cancer after surgery. Methods A total of 130 patients with breast cancer were ran- domly divided into the experimental group and the control group, 65 cases in each group. Patients of the experi- mental group were given appropriate programs and strategies in the framework of health belief model, while pa- tients of the control group were given propaganda of general health knowledge, use of a questionnaire about Strategies Used by Patients to Promote Heahhas the main evaluation tool. Results Before intervention, the knowledge of breast cancer in two groups was obviously insufficient; however, there was a significant increase after intervention. The difference between the two groups was statistically significant ( P 〈 0. 05 ). The scores of self-efficacy in the experimental group and the control group were not statistically significant before intervention ( P 〉 0. 05 ). The scores of self-efficacy in the experimental group were higher than those in the control group after the adoption of health belief model, and the difference was statistically significant ( P 〈 0. 05 ). Conclu- sions Health belief model is a good guiding theory of health education to the breast cancer patients after surger- y. It can significantly improve self-efficacy of breast cancer patients to promote rehabilitation of the disease.
作者 孙孟青 韦达 许勤 王梅香 孟爱凤 符卜乐 邾萍 SUN Mengqing WEI Da XU Qin WANG Meixiang MENG Aifeng FU Bule ZHU Ping(Department of Breast Surgery, Jiangsu Cancer Hospital a~liated to Nanjing Medical University, Nanjing 210008, China Academy of Nursiny, Nanjing Medical University, Nanjing 210029, China)
出处 《中国肿瘤外科杂志》 CAS 2017年第3期204-207,共4页 Chinese Journal of Surgical Oncology
基金 江苏省卫计委预防医学科研课题(No.Y2013054) 南京医科大学附属肿瘤医院护理科研项目(No.ZH201103)
关键词 乳腺肿瘤 健康教育 问卷调查 自我效能 生活质量 Breast neoplasms Health education Questionnaires Self efficacy Quality of life
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