感恩-拓展行为理论干预在乳腺癌化疗患者中的应用

Application of Thanks-extended Behavior Theory Intervention in Breast Cancer Patients Undergoing Chemotherapy

目的:探讨感恩-拓展行为理论干预在乳腺癌化疗患者中的应用。方法:选取2022年10月—2023年10月蚌埠医科大学第一附属医院肿瘤外科收治的86例乳腺癌化疗患者。根据随机抽样法将其分为研究组和对照组,各43例。对照组给予常规干预,研究组在对照组基础上给予感恩-拓展行为理论干预。比较两组化疗后近期治疗效果,干预前后癌症复发担忧情况、癌因性疲乏、自我效能感、应对方式。结果:研究组疾病总缓解率及疾病控制率均高于对照组,差异有统计学意义(P<0.05)。干预后,研究组总体恐惧程度、角色担忧、健康担忧、死亡担忧、女性特征担忧评分均低于对照组,差异有统计学意义(P<0.05)。干预后,研究组癌因性疲乏评分低于对照组,一般自我效能感量表(general self-efficacy scale,GSES)评分高于对照组,差异有统计学意义(P<0.05)。干预后,研究组屈服、回避评分低于对照组,面对评分高于对照组,差异有统计学意义(P<0.05)。结论:乳腺癌化疗患者实施感恩-拓展行为理论干预,能够提升患者疾病控制率,改善复发担忧情绪,提升自我效能,保证预后效果。

Objective:To explore the application of thanks-extended behavior theory intervention in breast cancer patients undergoing chemotherapy.Method:A total of 86 patients with breast cancer undergoing chemotherapy admitted to the Department of Tumor Surgery in the First Affiliated Hospital of Bengbu Medical University from October 2022 to October 2023 were selected.According to random sampling method,they were divided into study group and control group,43 cases in each group.The control group was given routine intervention,and the study group was given thanks-extended behavior theory intervention based on the control group.The shortterm treatment effect after chemotherapy,cancer recurrence worry condition,cancer-related fatigue,self-efficacy and coping style before and after intervention were compared between the two groups.Result:The total remission rate and disease control rate of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of general fear level,role worry health worry,death worry,and femininity worry in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the cancer-induced fatigue score of the study group was lower than that of the control group,and the general self-efficacy scale(GSES)score was higher than that of the control group,and the differences were statistically significant(P<0.05).After intervention,the yield and avoidance scores of the study group were lower than those of the control group,and the face score were higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusion:The implementation of thanks-extended behavior theory intervention in patients with breast cancer chemotherapy can improve the disease control rate of patients,improve the recurrence anxiety mood,enhance self-efficacy,and ensure the prognostic effect.