乳腺癌术后患者采用跨理论模型进行干预对其自我效能水平与术后认知行为的影响

The effect of cross-theoretical model intervention on self-efficacy and postoperative cognitive behavior of postoperative patients with breast cancer

目的探讨跨理论糢型在乳腺癌术后患者中的干预效果及对其自我效能水平与认知行为的影响.方法选取2019年2月-2021年2月无锡市惠山区人民医院收治的86例行乳腺癌手术的患者按护理方式的不同平均分为两组,对照组(43例)患者进行常规乳腺癌术后护理,观察组(43例)患者在对照组基础上添加跨理论模型护理干预方案,观察两组患者患侧上肢功能恢复情况、自我效能与癌因性疲乏情况及应对方式情况。结果干预后,观察组内旋、外旋以及后伸等角度均明显大于对照组(p<0.05);两组GSES评分与RPFS评分均得到了明显改善,且观察组改善效果更优于对照组(p<0.05);两组屈服、面对及回避等指标分值均具有明显改变,且观察组的改变效果更优于对照组(p<0.05)。结论乳腺癌术后患者临床治疗中选用跨理论糢型护理干预方案,可明显提高患者肢体功能恢复效栗,并有助于其自我效能感的提升,改善癌因性疲乏状况与认知行为,从而获得更理想的护理效果。

0bjective To explore the intervention ffee of trans-theoretical model in postoperalive patients with breast cancer and the influence of self-efficacy and cognitive behavior.Methods From February 2019 to February 2021.86 patients with breast cancer who.underwent breast cancer surgery were divided into two groups arrorling to dfferent nursing methods.The patients in the control group(43 cases)were given routine postoperative rare.he patients in the Observation Group(43 crases)were added the cross-theory model nursing intervention program on the basis of the control group to ohserve the funetional reroveryel-fficacy.rancer-related fatigue and coping slyle of the afcted side of the Iwo groups.Results Afer intervention,the intermal rotation,extermal rotation and extension of the ohservation group were significantly higher than those of the control group(P<0.05).CSES and RPFS scores were significantly improved in both groups,and the improvement efe of the observation group was belter than that of the control group(P<0.05).The scores of yield.face and avoidance in the two groups were significantly changed.and the efret of the Observation Group was better than that of the control group(p<0.05).Conc lusion The nursing intervention program of trans-theoretical model in the elinical treatment of postoperative patients with breast cancer can obv iously improve the recovery effeet of patients'limb function,enhance their sense of sl-ffcacry.and improve cancer-related fatigue and cognitive behavior,to obtain more ideal nursing efre.