基于自我效能理论的护理干预在乳腺癌患者术后功能锻炼中的应用分析

An analysis of the application of nursing intervention based on self-efficacy theory to postoperative functional exercise of breast cancer patients

目的 探讨基于自我效能理论的护理干预在乳腺癌患者术后功能锻炼中的应用效果.方法 选择2017年5月-2019年5月我院行乳腺癌根治术的60例患者为观察对象,采用随机数字表法分为观察组与对照组,各30例,对照组采取传统护理,观察组采取基于自我效能理论的护理干预,比较两组患者的生活质量评分,患肢功能锻炼依从率、患肢功能恢复评分及护理满意度.结果 观察组患者的生活质量各项评分皆明显高于对照组,差异有统计学意义(P<0.05).观察组患者的患肢功能锻炼总依从率为96.67%,明显高于对照组的86.67%,差异有统计学意义(P<0.05).两组患者护理后患肢功能恢复评分明显高于护理前,差异有统计学意义(P<0.05).而护理后观察组的患肢功能恢复评分明显高于对照组,差异有统计学意义(P<0.05).观察组患者的护理满意度为93.33%,明显高于对照组的76.66%,差异有统计学意义(P<0.05).结论 基于自我效能理论的护理干预在乳腺癌患者术后功能锻炼中的应用效果显著,可提高患者的生活质量,改善预后.

Objective To explore the effect of the application of nursing intervention based on self-efficacy theory to postoperative functional exercise of breast cancer patients. Methods 60 patients who underwent a radical mastectomy in our hospital from May 2017 to May 2019 were selected as the subjects of observation.They were randomly divided into the observation group and the control group through the random number table method with 30 patients in each group.The control group received traditional nursing and the observation group received nursing intervention based on self-efficacy theory.The quality of life scores,compliance rate of functional exercise of affected limb,function recovery scores of affected limb and nursing satisfaction were compared between the two groups of patients. Results The quality of life scores of the patients in the observation group were all significantly higher than those in the control group,and the differences got from the comparison between the two groups were statistically significant(P < 0.05).The total compliance rate of functional exercise of affected limb of the patients in the observation group was 96.67%,significantly higher than the 86.67% in the control group,and the difference between the two groups was significant(P < 0.05).The function recovery scores of affected limb after nursing of the two groups were significantly higher than those before nursing,with significant differences got from the comparison(P < 0.05).However,the function recovery scores of affected limb of the observation group after nursing were significantly higher than those of the control group,with significant differences between the two groups(P < 0.05).The nursing satisfaction of the patients in the observation group was 93.33%,significantly higher than the 76.66% in the control group,and the difference was obviously statistically significant(P < 0.05). Conclusion Nursing intervention based on self-efficacy theory has a significant application effect on postoperative functional exercise of breast cancer patients.It can improve the patients’ quality of life and ameliorate the prognosis.