以循证为基础的阶梯式心理护理对乳腺癌化疗患者负性心理的影响研究

Study on the effect of evidence-based stepped care model on negative psychology in patients with breast cancer chemotherapy

目的探讨以循证为基础的阶梯式心理护理(SCM)对乳腺癌化疗患者负性心理的影响。方法采取方便抽样的方法,将76例乳腺癌化疗患者随机分为对照组和观察组各38例。对照组实施乳腺癌常规心理护理和出院后随访,观察组在对照组措施的基础上实施阶梯式心理干预措施,包括1周观察评估、2周指导性自我管理、4周一对一健康指导、4周专业心理干预,比较干预前后患者的焦虑抑郁状况。结果干预后两组焦虑及抑郁评分均低于干预前,差异显著(P<0.05);观察组干预有效率显著高于对照组(P<0.05)。结论以循证为基础的阶梯式心理护理对缓解乳腺癌化疗患者的负性心理状态具有积极的促进作用。

Objective To investigate the effect of evidence-based stepped care model on negative psychology in patients with breast cancer chemotherapy.Methods 76 patients with breast cancer chemotherapy were randomly divided into control group and observation group in 38 cases by convenient sampling.The control group underwent routine psychological nursing of breast cancer and follow-up after discharge.The observation group implemented stepwise psychological interventions based on the control measures,including:1 week observation and evaluation,2 weeks of instructional self-management,4 weeks of a health guidance,4 weeks of professional psychological intervention.Compare the anxiety and depression of patients before and after intervention.Results The scores of anxiety and depression in the two groups were lower than those before intervention(P<0.05).The effective rate of intervention in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Evidence-based stepped care model has a positive effect on alleviating the negative psychological state of breast cancer chemotherapy patients.