自我强化管理教育结合情志护理改善乳腺癌 患者心理状态、依从性的效果

Self Strengthening Management Education Combined with Emotional Nursing to Improve the Psychological State and Compliance of Breast Cancer Patients

摘要:

〔摘 要〕 目的：探究自我强化管理教育结合情志护理对乳腺癌患者心理状态、依从性的改善作用。 方法：选取厦 门市中医院 2019 年 5 月至 2021 年 5 月期间接诊的 122 例乳腺癌患者开展研究，根据护理方式不同分为对照组及观察 组，每组 61 例。其中对照组患者进行常规护理，观察组患者在对照组的基础上进行自我强化管理教育结合情志护理， 比较两组患者干预效果，包括自我管理能力、心理状况、治疗依从性、生活质量。 结果：干预后观察组患者自我护理 能力量表（ESCA）评分高于对照组，差异具有统计学意义（P ＜ 0.05）。干预后观察组患者抑郁自评量表（SDS）、 焦虑自评量表（SAS）评分低于对照组，差异具有统计学意义（P ＜ 0.05）。观察组患者治疗总依从性高于对照组， 差异具有统计学意义（P ＜ 0.05）。干预后观察组患者生命质量测定量表（FACT–G）评分高于对照组，差异具有统 计学意义（P ＜ 0.05）。 结论：自我强化管理教育结合情志护理可进一步强化护理质量，增强乳腺癌患者自我护理能 力，改善心理状态，以及提高治疗依从性，优化生活质量。

Abstract:

〔Abstract〕 Objective To explore the effect of self-strengthening management education combined with emotional nursing on improving psychological state and compliance of breast cancer patients. Methods A total of 122 patients with breast cancer admitted to Xiamen Hospital of Traditional Chinese Medicine from May 2019 to May 2021 were selected for this study. According to different nursing methods, they were divided into a control group and an observation group, with 61 cases in each group.The control group of patients for routine care, the observation group of patients on the basis of the control group of self-strengthening management education combined with emotional care, compared the two groups of patients with intervention effects, including self-management ability, psychological status, treatment compliance, quality of life. Results After intervention, the self-care ability scale (ESCA) score of the observation group was higher than that of the control group, the difference was statistically significant (P < 0.05). After intervention, the scores of self–rating depression scale (SDS) and self–rating anxiety scale (SAS) in the observation group were lower than those in the control group, and the differences were statistically significant (P < 0.05).The total treatment compliance of the observation group was higher than that of the control group, and the difference was statistically significant (P < 0.05). After intervention, the functional assessment of cancer therapy (FACT-G) in the observation group was lower than that in the control group, and the difference was statistically significant (P < 0.05). Conclusion Self-reinforcing management education combined with emotional nursing can further strengthen the quality of nursing, enhance the self-care ability of breast cancer patients, improve psychological state, improve treatment compliance, and optimize the quality of life.