生活希望计划护理对乳腺癌患者术后希望水平及生活质量的影响

Effect of Life Hope Program Nursing on the Level of Hope and Quality of Life of Breast Cancer Patients after Operation

目的:探讨生活希望计划护理对乳腺癌患者术后希望水平及生活质量的影响。方法:选取2019年1月—2021年2月广东省人民医院珠海医院收治的72例行乳腺癌根治术的患者作为研究对象,采用随机数表法分为对照组和试验组,每组各36例。对照组接受常规护理,试验组在常规护理基础上实施生活希望计划护理。比较两组患者干预前后的希望水平[Herth希望指数量表(HHI)评分]、自我感受负担[中国癌症患者自我感受负担量表(SPBC-CP)评分]、生活质量[乳腺癌患者生存质量测定量表(FACT-B)评分]。结果:干预前,两组患者HHI量表中3个维度评分及总分比较,差异无统计学意义(t=0.367、0.415、0.338、0.217,P>0.05);干预后,试验组HHI量表中3个维度评分及总分均明显高于对照组,差异有统计学意义(t=8.727、8.461、15.364、5.055,P<0.05)。干预前,两组患者SPBC-CP量表中5个维度评分及总分比较,差异无统计学意义(t=0.243、0.290、0.095、0.345、0.013、0.015,P>0.05);干预后,试验组SPBC-CP量表中5个维度评分及总分均明显低于对照组,差异有统计学意义(t=8.809、8.813、3.080、7.010、6.303、7.107,P<0.05)。干预前,两组患者FACT-B量表中5个维度评分及总分比较,差异无统计学意义(t=0.123、0.189、1.409、0.587、0.225、0.178,P>0.05);干预后,试验组FACT-B量表中5个维度评分及总分均明显高于对照组,差异有统计学意义(t=6.506、5.752、6.132、10.783、3.184、9.021,P<0.05)。结论:生活希望计划护理可提高乳腺癌患者术后的希望水平,减轻自我感受负担,改善患者的生活质量。

Objective:To explore the effect of life hope plan nursing on the level of hope and quality of life of breast cancer patients after operation.Methods:A total of 72 patients who underwent radical mastectomy for breast cancer who were admitted to the hospital from January 2019 to February 2021 were selected as the research subjects, and divided into control group and experimental group by random number table method, with 36 cases in each group. The control group received routine nursing care, and the experimental group received routine nursing care in addition to the implementation of life hope program nursing. The level of hope(Herth Hope Index [HHI] score), self-perceived burden(Chinese Cancer Patient Self-perceived Burden Scale [SPBC-CP]score), and quality of life(measurement of breast cancer patients’ quality of life scale [FACT-B] score) were compared between the two groups before and after intervention.Results:Before the intervention, there was no statistically significant difference in the three dimensions and total scores of the HHI scale between the two groups(t=0.367, 0.415, 0.338, 0.217, P>0.05). After the intervention, the three dimensions and total scores of the HHI scale in the experimental group were significantly higher than those in the control group, and the differences were statistically significant(t=8.727, 8.461, 15.364, 5.055, P<0.05). Before intervention,there was no statistically significant difference in the scores of five dimensions and total scores in the SPBC-CP scale between the two groups(t=0.243, 0.290, 0.095, 0.345, 0.013, 0.015, P>0.05). After the intervention, the five dimensions and total scores of the SPBC-CP scale in the experimental group were significantly lower than those in the control group, and the differences were statistically significant(t=8.809, 8.813, 3.080, 7.010, 6.303, 7.107, P<0.05). Before intervention, there was no statistically significant difference between the two groups of patients in the five dimensions of the FACT-B scale and the total score(t=0.123, 0.189, 1.409,0.587, 0.225, 0.178, P>0.05). After the intervention, the five dimensions and total scores of the FACT-B scale in the experimental group were significantly higher than those in the control group, and the differences were statistically significant(t=6.506, 5.752,6.132, 10.783, 3.184, 9.021, P<0.05).Conclusion:Life hope program nursing can improve the level of hope, relieve the burden of self-feeling and improve the quality of life of patients with breast cancer after operation.