基于健康行为改变整合理论的延续护理在乳腺癌患者整形保乳术中的应用

Analysis of the Intervention Effect of Continuous Nursing Based on the Integration Theory of Health Behavior Change on Patients after Breast Cancer Plastic Surgery

目的:分析基于健康行为改变整合理论的延续护理对乳腺癌整形保乳术后患者的干预效果。方法:2018年6月-2020年2月行乳腺癌整形保乳术的患者88例随机分为对照组(44例)和观察组(44例)。对照组采用常规延续护理进行干预,观察组在对照组基础上采用基于健康行为改变整合理论的延续护理进行干预,两组均干预6个月。对两组干预6个月后的整形效果进行评价,比较两组干预前和干预6个月后的应对方式、生活质量,观察两组干预期间并发症发生情况。结果:干预6个月后,观察组优良评价率为38.64%,显著高于对照组(18.18%),差异有统计学意义(P<0.05)。与干预前比较,干预6个月后两组面对评分和信仰因子、社会因子、躯体因子、心理因子评分均升高,观察组高于对照组,差异有统计学意义(P<0.05)。干预期间,观察组总并发症发生率为9.09%,显著低于对照组(27.27%),差异有统计学意义(P<0.05)。结论:采用基于健康行为改变整合理论的延续护理干预对乳腺癌整形保乳术后患者进行干预,可有效提高乳房整形效果,改善患者应对方式,同时提高患者生活质量,降低术后并发症的发生,安全性较高。

Objective To analyze the intervention effect of continuous nursing based on the integration theory of health behavior change on patients after breast cancer plastic surgery.Methods A total of 88 patients admitted to our hospital from June 2018 to February 2020 for breast cancer plastic surgery and breast-conserving surgery were selected as the study objects,and they were divided into the control group and the observation group by random number table method,with 44 patients in each group.The control group received intervention with conventional continuous nursing,and the observation group received intervention with continuous nursing intervention based on the integrated theory of health behavior change on the basis of the control group.Both groups received intervention for 6 months.The plastic surgery effect after 6 months of intervention was evaluated in both groups,the coping style and life quality of the two groups before and after 6 months of intervention were compared,and the occurrence of complications during the intervention was observed.Results After 6 months of intervention,the rate of good evaluation in the control group was 18.18%significantly lower than that in the observation group(38.64%),the difference was statistically significant(P<0.05).Compared with that before the intervention,the face score,belief factor,social factor,physical factor and psychological factor scores of the two groups increased 6 months after the intervention,and the scores of the observation group were higher than those of the control group(P<0.05).During the intervention period,the total complication rate in the observation group was 9.09%,which was significantly lower than that in the control group(27.27%,P<0.05).Conclusion The continuous nursing intervention based on the integrated theory of health behavior change could effectively improve the plastic effect,improve the patients'coping style,improve the quality of life of patients,and which have high safety.