追踪管理模式对乳腺癌根治术后患者心理弹性及自我效能的影响

The effect of of tracking management mode on the resilience and self efficacy in patients with breast cancer after radical operation

目的 探讨追踪管理模式用于乳腺癌根治术后患者对提高其心理状态的效果。方法 于2021年1月~2022年8月阶段采集病例展开研究,对象为106例乳腺癌根治术后患者,基于“随机数字表法”分组,分为对照组与观察组,前一组实行常规护理,后一组开展追踪管理模式,各组纳入数各为53例;使用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、心理弹性量表(CD-RISC)、自我效能感量表(GSES)判定患者负性情绪、心理弹性、自我效能感,以上数据两组对比,利用自制护理满意度调查问卷调查患者满意度。结果 较干预前焦虑抑郁即HAMA、HAMD评估结果,患者干预后以上评分均明显降低,且观察组更低(P<0.05);干预前两组CD-RISC评分比较(P>0.05),干预后,观察组CD-RISC评分明显高于对照组(P<0.05);较干预前自我效能感即GSES评估结果,患者干预后自我认识、诊疗环境、诊疗时控制感、自信心评分均呈升高趋势,且观察组更高(P<0.05);观察组护理满意度明显高于对照组(P<0.05)。结论 乳腺癌根治术后患者开展追踪管理模式,不仅有效改善其负性情绪并增强心理弹性,同时提升患者自我效能感。

Objective To explore the significant effect of tracking management model on improving the psychological resilience of patients after breast cancer radical surgery.Methods From January 2021 to August 2022,106cases of breast cancer patients after radical mastectomy were collected and studied.After strict acceptance criteria,they were reasonably grouped based on the "Random number table method".The control group and the observation group were divided into two groups.The former group was given routine care,and the latter group was given follow-up management.The number of patients in each group was 53;A special scale was used to determine negative emotions,psychological resilience and self-efficacy.The above data were compared between the two groups,and patient satisfaction was investigated by questionnaire.Results Compared with before the intervention,the scores of Hamilton Anxiety Scale and Hamilton Depression Scale in all the patients after the intervention were significantly reduced,and the scores in the observation group were lower(P<0.05).After the intervention,the scores of CD RISC in the observation group were significantly higher than those in the control group(P<0.05).After the intervention,the scores of self-awareness,diagnosis and treatment environment,sense of control during diagnosis and treatment,and self-confidence in all the patients increased,and the observation group was higher(P<0.05).Nursing satisfaction in the observation group was significantly higher than that in the control group(P<0.05).Conclusion The follow-up management model for breast cancer patients after radical mastectomy can not only effectively improve their negative emotions and enhance their psychological resilience,but also enhance their self-efficacy and achieve satisfactory intervention results.