McMaster模式家庭干预用于乳腺癌根治术患者效果观察

Application Effect of McMaster Model Family Intervention in Patients with Breast Cancer Radical Mastectomy

目的:探讨McMaster模式家庭干预用于乳腺癌根治术患者的效果。方法:选取2020年3月1日~2021年3月31日行根治术治疗的乳腺癌患者214例,按照随机数字表法分为观察组和对照组各107例;观察组行McMaster模式家庭干预,对照组行常规干预。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估两组抑郁、焦虑情况,采用Herth希望指数(HHI)量表评估两组希望水平,采用状态自尊量表(SS-ES)评估两组干预前后自尊感,采用癌症患者生活质量通用评分表(FACT-G)评估两组干预前后生活质量,比较两组满意度。结果:干预后,两组SAS、SDS评分均低于干预前(P<0.05),且观察组低于对照组(P<0.01);干预后,观察组SS-ES评分高于干预前(P<0.05),且观察组高于对照组(P<0.01);干预后,两组HHI、FACT-G评分均高于干预前(P<0.05),且观察组高于对照组(P<0.01);观察组护理满意度评分高于对照组(P<0.01)。结论:McMaster模式家庭干预能有效改善乳腺癌根治术患者负性情绪、自尊感、希望水平、生活质量及护理满意度。

Objective:To explore the application effect of McMaster model family intervention in patients with breast cancer radical mastectomy.Methods:A total of of 214 cases of patients with breast cancer for radical mastectomy admitted during March 1,2020 to March 31,2021 according to the random number table method were divided into the observation group and the control group with 107 cases in each group;The observation group adopted McMaster model family intervention,the control group adopted routine intervention.Self-evaluation on the anxiety scale(SAS),depression self rating scale(SDS)were used for evaluation on depression and anxiety,the Herth hope index(HHI)scale was used for evaluation on level of two groups hope,self-esteem scale(SS-ES)was used for evaluation between the two groups before and after intervention on self-esteem,the quality of life for cancer patients general scale(FACT-G)was used for evaluation between the two groups before and after the intervention on the quality of life,comparison was made between two groups on satisfaction.Results:After the intervention,the SAS and SDS scores were lower in both groups than those before intervention(P<0.05),and lower in the observation group than those in the control group(P<0.01).After the intervention,the SS-ES score were higher in the observation group than those before the intervention(P<0.05),and higher than those in the control group(P<0.01).After intervention,the HHI and FACT-G scores were higher in both groups than those before intervention(P<0.05),and higher in the observation group than those in the control group(P<0.01).And the nursing satisfaction scores were higher in the observation groip than those in the control group(P<0.01).Conclusion:McMaster model family intervention can effectively improve the negative emotions,self-esteem,hope level,quality of life and nursing satisfaction in patients with breast cancer radical mastectomy.