基于KTH整合式的护理干预模式对乳腺癌患者化疗期间焦虑、抑郁及自我效能感的影响

Effects of KTH-integrated nursing intervention model on anxiety,depression and self-efficacy of breast cancer patients during chemotherapy

目的探讨KTH整合式的护理干预模式对乳腺癌患者化疗期间焦虑、抑郁及自我效能感的影响。方法选取2017年6月~2018年1月我院收治的64例进行化疗的乳腺癌患者作为研究对象,随机分为观察组和对照组,每组32例,对照组采取常规护理干预,观察组在对照组基础上采取KTH整合式的护理干预,两组患者均干预护理3个月。比较护理干预前后两组患者的抑郁自评量表(SDS)、焦虑自评量表(SAS)、症状自评量表(SCL-90)、自我效能感量表(GSES)和生活质量(SF-36)评分。结果经护理干预后,两组患者抑郁自评量表(SDS)、焦虑自评量表(SAS)、症状自评量表(SCL-90)分值较干预前降低,且观察组低于对照组(P<0.05);两组患者的自我效能感量表(GSES)和生活质量(SF-36)评分均高于干预前,观察组高于对照组,差异有统计学意义(P<0.05)。结论KTH整合式的护理干预能够明显改善化疗期的乳腺癌患者焦虑、抑郁等不良情绪,提高患者自我效能感,提高患者生活质量。

Objective To investigate the effects of KTH-integrated nursing intervention model on anxiety,depression and self-efficacy of breast cancer patients during chemotherapy.Methods 64 breast cancer patients receiving chemotherapy at our hospital from June 2017 to January 2018 were selected as the study objects,and randomly divided into the observation group and the control group,with 32 patients in each group.The control group adopted routine nursing intervention,while the observation group adopted KTH-integrated nursing intervention on the basis of the control group.Both groups of patients were performed with intervention nursing for 3 months.The scores of self-rating depression scale(SDS),self-rating anxiety scale(SAS),symptom checklist(SCL-90),general self-efficacy scale(GSES),and quality of life(SF-36)before and after nursing intervention were compared between the two groups of patients.Results After nursing intervention,the scores of self-rating depression scale(SDS),self-rating anxiety scale(SAS),and symptom checklist(SCL-90)in the two groups of patients were lower than those before intervention,and those in the observation group were lower than those in the control group(P<0.05);The scores of general self-efficacy scale(GSES),and quality of life(SF-36)in the two groups of patients were higher than those before intervention,and those in the observation group were higher than those in the control group,with statistically significant difference(P<0.05).Conclusion KTH-integrated nursing intervention can significantly improve the anxiety,depression and other adverse emotions of breast cancer patients during chemotherapy,improve the self-efficacy of patients,and enhance the quality of life of patients.