聚焦解决理论在乳腺癌改良根治术患者中的应用观察

Effect of the application of solution-focused theory in breast cancer patients after modified radical mastectomy

目的观察聚焦解决理论在乳腺癌改良根治术患者中的应用效果。方法选择乳腺癌改良根治术患者70例,随机分为对照组和观察组,每组35例。对照组给予传统的心理辅导及健康教育,观察组实施聚焦解决干预。干预4周后采用Herth希望量表(HHI)和Zung焦虑自评量表(SAS)分别对两组患者进行希望水平和焦虑心理评分。结果干预前两组患者HHI各维度得分、总分和SAS得分比较均差异无统计学意义(P>0.05);干预后观察组患者的HHI各维度得分、总分均明显高于干预前和对照组,SAS得分明显低于干预前和对照组,差异均有统计学意义(P<0.05)。结论聚焦解决理论应用于乳腺癌改良根治术患者的护理,可有效提高患者的希望水平以及减轻其焦虑水平。

Objective To explore the effect of the application of solution-focused theory in breast cancer patients after modified radical mastectomy.Methods Seventy breast cancer patients that have received modified radical mastectomy were selected and randomly divided into the Control Group and Observation Group,35 cases in each group.The Control Group received traditional psychological counseling and health education while the Observation Group received solutionfocused intervention.After 4 weeks of intervention,the Herth Hope Scale(HHI)and Zung Self-Rating Anxiety Scale(SAS)were used to score the level of hope and anxiety of the two groups.Results Before the intervention,there was no statistical difference in HHI scores in each dimension,total HHI score,and SAS scores between the two groups(P>0.05);After the intervention,the HHI scores in each dimension and total HHI score of the Observation Group were significantly higher than those before the intervention and those of the Control Group,and the SAS scores of the Observation Group were significantly lower than those before the intervention and those of the Control Group,and the difference was statistically significant(P<0.05).Conclusion The application of solution-focused theory in the nursing of breast cancer patients after modified radical mastectomy can improve the level of hope and reduce the anxiety of patients.