双向协同护理干预策略对早期乳腺癌患者ESCA、CD-RISC评分及护理工作满意度的影响

Effects of Two-way Collaborative Nursing Intervention Strategy on ESCA,CD-RISC Scores and Nursing Job Satisfaction in Patients with Early Breast Cancer

目的探究双向协同护理干预策略对早期乳腺癌患者自护能力测量量表(ESCA)、心理弹性量表(CD-RISC)评分及护理工作满意度的影响。方法前瞻性选取渑池县人民医院96例早期乳腺癌患者(2017年1月至2020年12月),以随机数字表法分为两组,对照组、观察组各48例。两组均行乳腺癌改良根治术,对照组予以常规护理,观察组于此基础上予以双向协同护理干预策略。比较两组干预前、出院时自护能力测量量表(ESCA)、心理弹性量表(CDRISC)评分、汉密尔顿抑量表(HAMD)、乳腺癌生存质量量表(FACT-B)及护理工作满意度。结果观察组出院时CDRISC、FACT-B、ESCA评分较对照组高,差异有统计学意义(P<0.05);观察组出院时HAMD评分较对照组低,差异有统计学意义(P<0.05);观察组护理工作满意度93.75%(45/48)较对照组77.08%(37/48)高,差异有统计学意义(P<0.05)。结论双向协同护理干预策略应用于早期乳腺癌患者可调节其心理状态,提高自护能力,提升护理工作满意度。

Objective To explore the effect of two-way collaborative nursing intervention strategy on self-care ability measurement scale(ESCA),psychological resilience scale(CD-RISC)score and nursing job satisfaction in patients with early breast cancer.Methods A total of 96 patients with early breast cancer in our hospital(from January 2017 to December 2020)were prospectively selected and divided into 2 groups by random number table method,48 cases in the control group and 48 cases in the observation group.Both groups were given modified radical mastectomy for breast cancer,the control group was given routine nursing,and the observation group was given two-way synergistic nursing intervention strategy on this basis.CD-RISC,ESCA,Hamilton Depression Scale(HAMD),Breast Cancer Quality of Life Scale(FACT-B)and nursing job satisfaction were compared between the two groups before intervention and at discharge.Results The CD-RISC,FACT-B and ESCA scores of the observation group were higher than those of the control group at discharge(P<0.05);the HAMD scores of the observation group were lower than those of the control group at discharge(P<0.05);the nursing work satisfaction of the observation group was 93.75%(45/48)was higher than that of the control group(77.08%(37/48)(P<0.05).Conclusion The application of two-way collaborative nursing intervention strategy in patients with early breast cancer can adjust their psychological state,improve self-care ability,and improve nursing job satisfaction.