基于知信行模式的多感觉训练护理结合共情护理对乳腺癌根治术后患者疾病进展恐惧及知信行情况的影响

Effects of multi-sensory training nursing based on knowledge-attitude-practice model combined with empathy nursing on fear of disease progression and knowledge-attitude-practice of patients after radical mastectomy

目的探讨基于知信行模式的多感觉训练护理结合共情护理对乳腺癌根治术后患者疾病进展恐惧及知信行情况的影响。方法选取2020年9月至2022年9月收治的86例乳腺癌根治术后患者为研究对象,以随机数字表法将其分为对照组与观察组,各43例。对照组采用常规护理干预,观察组在对照组基础上加基于知信行模式的多感觉训练护理结合共情护理。比较两组的干预效果。结果干预后,观察组的疾病进展恐惧量表(FoP-Q)各维度评分显著低于对照组(P<0.05)。干预后,观察组的知识、信念及行为评分显著高于对照组(P<0.05)。干预后,观察组的乳腺癌生存质量测评量表(FACT-B)各维度评分显著高于对照组(P<0.05)。结论基于知信行模式的多感觉训练护理结合共情护理不仅能够减轻乳腺癌根治术后患者的疾病进展恐惧,还能提高其知信行情况,对提高术后生活质量具有积极作用,值得推广。

Objective To explore the effects of multi-sensory training nursing based on knowledge-attitude-practice model combined with empathy nursing on fear of disease progression and knowledge-attitude-practice in patients after radical mastectomy.Methods A total of 86 patients after radical mastectomy admitted from September 2020 to September 2022 were selected as the research objects,and the patients were divided into control group and observation group by random number table method,with 43 cases in each group.The control group was given routine nursing intervention,and the observation group was given multi-sensory training nursing based on knowledge-attitude-practice model combined with empathy nursing on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of each dimension of Fear of Progression Questionnaire(FoP-Q)in the observation group were significantly lower than those in the control group(P<0.05).After intervention,the scores of knowledge,belief and behavior in the observation group were significantly higher than those in the control group(P<0.05).After intervention,the scores of each dimension of Functional Assessment of Cancer Therapy-Breast(FACT-B)in the observation group were significantly lower than those in the control group(P<0.05).Conclusion The multi-sensory training nursing based on the knowledge-attitude-practice model combined with empathy nursing can not only reduce the fear of disease progression in patients after radical mastectomy,but also improve their knowledge-attitude-practice,which has a positive effect on improving the quality of life after surgery and is worthy of promotion.