基于多学科协作的延续护理模式对乳腺癌患者负性情绪、自我效能及生活质量的影响

Influence of Continuous Nursing Model Based on Multidisciplinary Collaboration on Negative Emotions,Self-efficacy and Quality of Life in Breast Cancer Patients

目的探讨对乳腺癌患者采用基于多学科协作的延续护理模式方案干预对改善患者负性情绪、自我效能及生活质量的作用。方法方便选择2020年1—12月该院收治乳腺癌患者80例为研究对象,按照随机数表法分为两组,对照组(n=40)采用常规护理,观察组(n=40)则在对照组基础上以基于多学科协作的延续护理模式干预,比较两组干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分,并采用中文版本健康促进策略量表(SUPPH)评估患者的自我效能,以乳腺癌患者特异性量表(FACT-B)调查患者的生活质量。结果干预后,观察组SAS、SDS评分分别为(39.22±4.86)分、(38.23±5.25)分,低于对照组,差异有统计学意义(t=8.609、7.688,P<0.05)。干预后观察组正性态度、自我决策、自我减压评分分别为(49.31±8.19)分、(8.96±1.86)分、(34.34±6.97)分,均高于对照组,差异有统计学意义(t=3.038、3.596、3.566,P<0.05)。干预后观察组在躯体状况、社会和家庭、功能状况、情感状况、乳腺癌特异模块的评分分别为(16.07±1.39)分、(21.25±1.36)分、(10.34±0.62)分、(18.96±1.48)分、(23.42±2.48)分,均低于对照组,差异有统计学意义(t=3.770、4.498、3.695、3.589、3.053,P<0.05)。结论对乳腺癌患者采用基于多学科协作的延续性护理模式能够有效改善患者负性情绪,有利于提高患者的自我效能,并可提升患者的生活质量,值得推广。

Objective To investigate the effect of the multidisciplinary collaboration-based continuation nursing model intervention on breast cancer patients on improving negative emotions,self-efficacy and quality of life.Methods A total of 80 breast cancer patients admitted to the hospital from January to December 2020 were conveniently selected as the research objects,and divided into two groups according to the random number table method.The control group(n=40)received routine nursing care,while the observation group(n=40)received continuous nursing intervention based on multidisciplinary collaboration on the basis of the control group.The scores of the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were compared between the two groups before and after the intervention,and the Chinese version of the health promotion strategies scale(SUPPH)was used to evaluate the patients'self-efficacy,and used breast cancer patient-specific scales(FACT-B)to investigate the quality of life of patients.Results After the intervention,the SAS and SDS scores of the observation group were(39.22±4.86)points and(38.23±5.25)points,respectively,which were lower than those of the control group,and the difference was statistically significant(t=8.609,7.688,P<0.05).After the intervention,the scores of positive attitude,self-decision,and self-decompression in the observation group were(49.31±8.19)points,(8.96±1.86)points,and(34.34±6.97)points,respectively,which were higher than those in the control group,and the difference was statistically significant(t=3.038,3.596,3.566,P<0.05).After intervention,the scores of physical status,social and family,functional status,emotional status,and breast cancer-specific modules in the observation group were(16.07±1.39)points,(21.25±1.36)points,(10.34±0.62)points and(18.96±1.48)points and(23.42±2.48)points,which were both lower than the control group,and the difference was statistically significant(t=3.770,4.498,3.695,3.589,3.053,P<0.05).Conclusion The continuous nursing model based on multidisciplinary collaboration for breast cancer patients can effectively improve the negative emotions of patients,help improve the self-efficacy of patients,and improve the quality of life of patients,which is worthy of promotion.