萧氏双C护理模式对行输液港置入术乳腺癌患者遵医行为及生命质量的影响

Influence of Xiao's double C nursing mode on compliance behavior and quality of life of breast cancer patients undergoing infusion port implantation

目的探究萧氏双C护理模式对行输液港置入术乳腺癌患者遵医行为、生命质量的影响。方法选取2020年10月至2021年10月于上海市东方医院吉安医院进行输液港置入术的100例乳腺癌患者作为研究对象,采用完全随机法分为对照组与萧氏双C组,各50例。对照组行常规干预,萧氏双C组行萧氏双C护理模式。比较两组视觉模拟评分法(VAS)、抑郁自评量表(SDS)、焦虑自评量表(SAS)、自我感受负担评分表(SPB)、Piper疲乏自我评估修订量表(PFS-R)、简易版疾病感知问卷(B-IPQ)、简易应对方式问卷(SCSQ)、乳腺癌生命质量评测量表中文版(FACT-B)、自我护理能力测定量表(ESCA)评分及遵医率、并发症发生率及家属满意率。结果干预后,萧氏双C组VAS、SDS、SAS、SPB、消极应对、PFS-R评分均低于对照组,B-IPQ、积极应对、希望水平、FACT-B、自我管理效能、ESCA评分均高于对照组,差异有统计学意义(P<0.05)。萧氏双C组并发症发生率低于对照组,遵医率、家属满意率均高于对照组,差异有统计学意义(P<0.05)。结论使用萧氏双C护理模式对行输液港置入术乳腺癌患者进行干预,能减轻患者疼痛、自我感受负担、癌因性疲乏,改善患者心理情绪,提升患者疾病感知能力、疾病应对方式、希望水平、生命质量、自我管理效能及自护能力,患者家属更加满意。

Objective To explore the influence of Xiao's double C nursing mode on compliance behavior and quality of life of breast cancer pa-tients undergoing infusion port implantation.Methods 100 patients with breast cancer who were implanted in the infusion port from October 2020 to October 2021 in Shanghai Dongfang Hospital Ji'an Hospital were selected as the research subjects,and they were randomly divided into the con-trol group and the Xiao's double C group,with 50 cases in each group.The visual analogue scale(VAS),self-rating depression scale(SDS),self-rat-ing anxiety scale(SAS),self-perceived burden(SPB),the revised Piper fatigue scale(PFS-R),brief illness perceptions questionnaire(B-IPQ),simpli-fied coping style questionnaire(SCSQ),quality of life questionnaire in chinese(FACT-B),the exercise of self-care agency scale(ESCA)score,and compliance rate,complication rate,family satisfaction rate were compared between the two groups.Results After intervention,the VAS,SDS,SAS,SPB,negative coping and PFS-R scores in the Xiao's double C group were lower than those in the control group,the B-IPQ,positive coping,hope level,FACT-B,self-management efficacy and ESCA scores were higher than those in the control group,and the differences were statistically signifi-cant(P<0.05).The complication rate in the Xiao's double C group was lower than that in the control group,the compliance rate and satisfaction rate of family members were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion The use of Xiao's double C nursing model to intervene in breast cancer patients undergoing transfusion port implantation can reduce patients'pain,self-perceived bur-den,cancer-related fatigue,improve patients'psychological emotions,improve patients'disease perception,disease coping style,hope level,quality of life,self-management efficacy and self-care ability,and make patients'families more satisfied.