共同决策干预模式在乳腺癌术后患者中的应用

Application of joint decision-making intervention mode in postoperativebreast cancer patients

目的探讨共同决策干预模式对乳腺癌术后患者肢体功能障碍评分、康复治疗依从性的影响。方法将2017年5月至2018年5月某院展开常规护理的45例乳腺癌术后患者纳入对照组,将2018年6月至2019年6月展开共同决策干预模式的45例乳腺癌术后患者纳入观察组。比较两组患者康复治疗依从性、肢体功能障碍评分及应对方式评分。结果干预后,观察组依从率(93.33%)高于对照组(77.78%),差异有统计学意义(P<0.05);干预后,两组积极面对评分均高于干预前,回避、屈服评分均低于干预前,观察组积极面对评分高于对照组,回避、屈服评分均低于对照组,差异有统计学意义(P<0.05);干预后,观察组术后1个月、2个月功能障碍评分均低于对照组,差异有统计学意义(P<0.05)。结论共同决策干预模式能够有效提升乳腺癌患者术后应对积极性,提高康复治疗依从性,改善肢体障碍,促进患者术后恢复。

Objective To explore the influence of joint decision-making intervention mode on limb dysfunction score and rehabilitation treatment compliance of postoperative breast cancer patients.Methods A total of 45 patients with breast cancer after surgery who carried out routine care in a hospital from May 2017 to May 2018 were included in the control group,and a total of 45 patients with breast cancer after surgery who carried out the joint decision-making intervention mode from June 2018 to June 2019 were included in the observation group.The scores of rehabilitation treatment compliance,limb dysfunction and coping style were compared between the two groups.Results After intervention,the compliance rate of observation group(93.33%)was higher than that of control group(77.78%),and the difference was statistically significant(P<0.05).After intervention,the positive facing scores of both groups were higher than those before intervention,and the avoidance and yield scores were lower than those before intervention.The positive facing scores of the observation group were higher than those of the control group,and the avoidance and yield scores were lower than those of the control group,with statistical significance(P<0.05).After intervention,the score of dysfunction in the observation group was lower than that in the control group 1 month and 2 months after operation,with statistical significance(P<0.05).Conclusion The intervention mode of joint decision-making can effectively enhance the enthusiasm of postoperative coping in breast cancer patients,improve rehabilitation treatment compliance,improve limb disorders,and promote postoperative recovery of patients.