俱乐部模式健康教育对乳腺癌患者及配偶社会支持的影响

Effects of the club mode of health education on social support of breast cancer patients and their spouses

目的探讨俱乐部模式的健康教育对乳腺癌患者及配偶社会支持的影响情况。方法选择2012年5月-2013年3月苏州市立医院行乳腺癌改良根治术的患者及配偶各100例，采用随机数字分配法分为干预组和对照组各50例，干预组参加俱乐部活动，对照组按常规进行护理。患者采用领悟社会支持量表（PSSS）、配偶采用社会支持评定量表（SSRS）分别于干预前、干预后1个月、3个月、6个月问卷调查。结果干预后1个月干预组患者家庭外支持得分为（29．80±5．77）分，干预后3个月领悟社会支持总分为（57．22±5．26）分，十预后6个月家庭内支持得分为（26．59±2．51）分，均高于对照组，差异有统计学意义（F值分别为6．391、0．304、7．435；P〈0．05）。干预后3个月，干预组配偶社会支持总分（45．02±6．40）分，刈‘照组（39．17±7．77）分，差异有统计学意义（F：1．250，P〈0．05）。结论俱乐部模式健康教育可以有效地改善乳腺癌患者及配偶的社会支持状况。

Objective To investigate the effects of club mode of health education on social support of breast cancer patients and their spouses. Methods A total of 100 breast cancer patients who underwent modified radical mastectomy and their spouses in Suzhou Municipal Hospital from May 2012 to March 2013 were randomly divided into the intervention group and the control group with 50 cases respectively. Patients and spouses in the intervention group were involved in the club, while in the control group patients and spouses received routine nursing care. Perceived social support scale （PSSS） and social support ratings scale （SSRS） were used in the questionnaires for patients before the intervention and at the 1st month, 3rd month, 6th month after the intervention. Results In the intervention group, the score of the support on the patients out of family was （29.80± 5.77） at the 1st month after the intervention; the total score of perceived social support was （57.22 ±5.26） at the 3rd month after the intervention ; the score of support from family was （26.59 ±2.51） at the 6th month after the intervention. All of those scores were significant higher than those in the control group （F=6.391, 0.304, 7.435; P 〈 0.05）. At the 3rd month after the intervention, the score of the social support on the spouses were （45.02± 6.40） in the intervention group and （39.17 ± 7.77） in the control group. The difference between the two groups was statistically significant （F= 1.250, P 〈 0.05）. Conclusions The club mode of health education can effectively improve the social support status for breast cancer patients and their spouses.