患者学习需求量表指导健康教育模式在乳腺癌手术患者中的应用研究

Study on the application of health education model guided by patient learning needs scale in patients undergoing breast cancer surgery

目的 探讨患者学习需求量表(PLNS)指导健康教育模式在乳腺癌手术患者中的应用研究。方法 选取2020年2月至2022年10月安徽省阜阳市肿瘤医院收治乳腺癌手术患者128例作为研究对象,按照随机数字表法将其分为对照组和观察组,每组64例。对照组实施常规健康教育模式,观察组实施PLNS指导健康教育模式。比较两组手术次日和干预24周后的健康素养和生存质量。结果 两组各1例失访。干预24周后,两组信息获取能力、交流互动能力、改善健康意愿、经济支持意愿评分及总分均高于手术次日,且观察组高于对照组(P<0.05)。干预24周后,两组躯体功能、心理功能、社会功能、共性模块及副作用、特异模块评分及量表总分均高于手术次日,且观察组高于对照组(P<0.05)。结论 PLNS指导健康教育有助于乳腺癌手术患者健康素养的改善,对提高生存质量有积极影响。

Objective To explore the study on the application of health education model guided by patient learning needs scale(PLNS)in patients undergoing breast cancer surgery.Methods A total of 128 breast cancer patients admitted to Fuyang Cancer Hospital,Anhui Province from February 2020 to October 2022 was selected and they were divided into control group and observation group according to random number method,with 64 cases in each group.The control group implemented the routine health education model,and the observation group implemented the PLNS guiding the health education model.The health literacy and quality of life of the two groups were compared the next day of operation and after 24 weeks of intervention.Results One case was lost to follow-up in each of the two groups.After 24 weeks of intervention,the scores of information acquisition ability,communication and interaction ability,willingness to improve health,willingness to financial support and total scores in two groups were higher than those on the next day of operation,and those in the observation group were higher than those in the control group(P<0.05).After 24 weeks of intervention,the scores of physical function,psychological function,social function,common modules and side effects,specific modules,and the total scores of scale in two groups were higher than those on the next day of operation,and those in the observation group were higher than those in the control group(P<0.05).Conclusion PLNS guided health education contributes to the improvement of health literacy of patients undergoing breast cancer surgery,and has a positive impact on improving the quality of life.