用心陪伴干预对治疗期乳腺癌患者配偶自我效能的影响

Effect of “accompany with heart” on self-efficacy of spouses of breast cancer patients during treatment

目的探讨用心陪伴干预对治疗期乳腺癌患者配偶自我效能的影响。方法采用自身前后对照研究设计,选取2018年4月—5月北京市某医科大学4所附属医院乳腺外科的32名女性乳腺癌患者配偶为研究对象,实施用心陪伴干预,包括勇于担当(多干活)、相伴左右(多陪伴)和心灵沟通(多谈心)。采取个体化面对面干预,时长45 min,并分别在干预前、干预后2周采用癌症自我效能量表-配偶版、焦虑自评量表进行测量。结果干预前,乳腺癌患者配偶的癌症自我效能得分为(144.25±30.76)分、焦虑得分为(34.14±6.94)分;干预后2周,乳腺癌患者配偶的癌症自我效能得分为(163.91±26.74)分、焦虑得分为(29.26±4.56)分,干预前后比较,差异均具有统计学意义(t=-3.940,P<0.001;t=4.248, P<0.001)。结论用心陪伴干预能提高配偶照顾乳腺癌患者的自我效能,并降低其焦虑水平。

Objective To explore the effect of "accompany with heart" intervention program on cancer self-efficacy of spouses of breast cancer patients in the treatment period. Methods The design of pretest-posttest study was adopted. The spouses of 32 female breast cancer patients who were treated in breast departments in 4 affiliated hospitals of a Medical University in Beijing from April to May 2018 were selected. The intervention elements included undertaking,accompanying and communication. The intervention method was 45-minute face-to-face individual intervention. Before the intervention and 2 weeks after the intervention,the Cancer Self-Efficacy Scale-Spouse(CSES-S) and Self-Rating Anxiety Scale(SAS) were used for measurement. Results Before the intervention,the cancer self-efficacy and anxiety of spouses were(144.25±30.76) and(34.14±6.94),respectively. 2 weeks after the intervention,the cancer self-efficacy of spouses increased to(163.91±26.74) and the anxiety decreased to(29.26±4.56). The difference was statistically significant(t=-3.940,P<0.001;t=4.248,P<0.001). Conclusion The intervention program of "accompany with heart" can improve the self-efficacy and reduce the anxiety of the spouses.