自我管理模式在年轻乳腺癌术后患者中的应用

Application of self-management model in young breast cancer patients after operation

目的探究疾病自我管理模式对年轻乳腺癌患者术后自护能力(ESCA)及生活质量的影响。方法将98例年轻乳腺癌患者分为观察组和对照组,每组49例。对照组采用常规护理,观察组采用疾病自我管理模式的康复护理,观察比较两组干预前后ESCA评分及生活质量(cARES-SF)。结果术后1周、术后3个月观察组患侧肩前屈、肩后伸、肩外展、肩内旋活动度均优于对照组(P<0.05);干预后观察组ESCA评分、cARES-SF评分高于对照组(P<0.05)。结论疾病自我管理模式的康复护理干预有助于患者增强自护能力,提高生活质量。

Objective To explore the effect of self-management model on postoperative self-care ability(ESCA)and life quality of young breast cancer patients after operation.Methods 98 young breast cancer patients were divided in to the observation group and the control group,49 cases in each group.The control group received routine nursing care,and the observation group received rehabilitation care in the self-management mode.The ESCA score and quality of life(cARES-SF)before and after intervention were compared between the two groups.Results 1 week after operation and 3 months after operation,the movement range of shoulder flexion,shoulder extension,shoulder abduction and shoulder inter nal rotation in the observation group were better than those of the control group(P<0.05);after the intervention,the ESCA score and cARES-SF score of the observation group were higher than those in the control group(P<0.05).Conclusion Rehabilitation nursing intervention in self-management model helps patients enhance their self-care ability and improve their quality of life.