感知控制结合思维导图在乳腺癌放疗患者护理中的应用

The Application of Perceptual Control Combined with Mind Mapping in Nursing Patients with Breast Cancer Radiotherapy

目的:探讨感知控制结合思维导图在乳腺癌放疗患者护理中的应用方法和效果。方法:将90例乳腺癌放疗患者采用信封法随机分为对照组和观察组各45例,对照组患者予以常规放疗护理,观察组患者在此基础上实施感知控制结合思维导图干预。比较两组患者干预前后疾病感知益处、希望水平、癌因性疲劳及放疗皮肤反应程度。结果:干预后观察组乳腺癌患者感知益处评估量表(PB-DT-BC)评分较干预前升高,且两组干预后评分比较差异有统计学意义(P<0.05);干预后观察组Herth希望指数量表评分较干预前升高,且两组干预后评分比较差异有统计学意义(P<0.05);观察组患者中文版多维疲劳量表(MFI-20)体力疲劳、动力下降、活动减少、脑力疲劳、综合疲劳5个维度评分较干预前降低,且两组干预后评分比较差异有统计学意义(P<0.05);观察组患者皮肤放疗反应程度低于对照组(P<0.05)。结论:乳腺癌患者实施感知控制结合思维导图干预,可提高患者疾病感知益处与希望水平,有效缓解癌因性疲劳。

Objective:To explore the application method and effect of perceptual control combined with mind mapping in nursing of patients with breast cancer radiotherapy.Methods:A total of 90 cases of breast cancer radiotherapy patients were randomly divided into the control group and the observation group with 45 cases each by envelope method.The patients in the control group were given conventional radiotherapy nursing,and the patients in the observation group were given perceptual control combined with mind mapping intervention on this basis.Patients in the two groups were compared in terms of perceived benefit,hope level,cancer-related fatigue and skin response to radiotherapy before and after intervention.Results:The score of PB-DT-BC in the observation group after intervention was higher than that before intervention,and the difference between the two groups after intervention was statistically significant(P<0.05).After intervention,the score of Herth hope index in the observation group was higher than that before intervention,and the difference in score between the two groups after intervention was statistically significant(P<0.05).The scores of the five dimensions of physical fatigue,decreased power,decreased activity,mental fatigue and comprehensive fatigue in the Chinese version MFI-20 were lower in the observation group than before intervention,and the scores of the two groups after intervention were statistically significant(P<0.05).The degree of skin radiotherapy response in the observation group was lower than that in the control group(P<0.05).Conclusion:The combination of perception control and mind mapping intervention in breast cancer patients can improve the patients′ perceived benefit and hope level of disease,and effectively relieve cancer-related fatigue.