适应行为分阶段改变理论的匹配护理模式在乳腺癌术后乳房重建中的应用

Application of Matched Nursing Mode Under Adaptive Behavior Staged Change Theory in Breast Reconstruction after Breast Cancer Surgery

目的:探究适应行为分阶段改变理论的匹配护理模式在乳腺癌术后乳房重建中的应用。方法:选取2017年1月-2020年1月来笔者医院行乳腺癌切除术后乳房重建患者83例,按照随机数表法分成观察组42例,对照组41例。对照组采取常规护理模式,观察组采取适应行为分阶段改变理论的匹配护理模式,探究两组干预前后生存质量、创后成长情况、焦虑、抑郁评分,及干预后护理满意度。结果:干预后,两组生理状况、社会家庭状况、情感状况、功能状况、附加关注评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);两组人际关系、新可能性、个人力量、欣赏生活、精神改变及总分均较高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);两组HAMD评分、HAMA评分均较治疗前降低,且观察组低于对照组,差异有统计学意义(P<0.05);观察组的护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:适应行为分阶段改变理论的匹配护理模式能提高乳腺癌切除术后乳房重建患者的生存质量,帮助其创后成长,改善其焦虑、抑郁心态,护理满意度更高。

Objective To explore the application of matched nursing mode under adaptive behavior staged change theory in breast reconstruction after breast cancer surgery.Methods A total of 83 patients who underwent breast reconstruction after breast cancer resection in the hospital from January 2017 to January 2020 were enrolled.They were divided into the observation group(42 cases)and the control group(41 cases)by random number table method.The control group was given routine nursing mode,while observation group was given matched nursing mode under adaptive behavior staged change theory.The quality of life,post-traumatic growth,scores of Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)before and after intervention,and nursing satisfaction after intervention in both groups were explored.Results After intervention,scores of physiological status,social and family status,emotional status,functional status and additional attention in both groups were increased,which were higher in the observation group than those of the control group,the differences were statistically significant(P<0.05).The scores of interpersonal relationship,new possibilities,personal strength,life appreciation and mental changes,and the total score in both groups were increased,which were higher in the observation group than those of the control group(P<0.05).The scores of HAMD and HAMA in both groups were decreased,which were lower in the observation group than those of the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion The matched nursing mode under adaptive behavior staged change theory can improve quality of life in patients undergoing breast reconstruction after breast cancer resection,help post-traumatic growth,improve their anxiety and depression,with higher nursing satisfaction.