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以情感支持为重点的护理干预对乳腺癌患者心理社会调适的影响。

Effects of emotional support-focused nursing interventions on the psychosocial adjustment of breast cancer patients.

作者信息

Gümüs Aysun Babacan, Cam Olcay

机构信息

Canakkale Onsekiz Mart University, School of Health, 17100 Canakkale, Turkey.

出版信息

Asian Pac J Cancer Prev. 2008 Oct-Dec;9(4):691-7.

Abstract

The purpose was to examine the effect of emotional support-focused nursing interventions on the psychosocial adjustment of breast cancer patients. The research was conducted in the Radiation Oncology Department of Ege University Medical Faculty Hospital and at Talay Aktas Oncology Hospital in Turkey. There were 30 newly diagnosed breast cancer patients included in the sample. Emotional support-focused nursing interventions were administered in seven sessions individually with each patient. A total of 210 hours of meetings with the patients were conducted. Data were collected by administering a pre-test and post-test in two phases with the patients using a Descriptive Information Form and the Psychosocial Adjustment to Illness Scale - Self Report (PAIS-SR). The patients mean age was 44.5 (SD=6.38) years and the mean duration of illness was 6.46 (SD=1.99) months. In the comparison of the PAIS-SR pretest and post-test mean scores it was determined that there was a significant increase in patients adaptation to health care orientation (p=0.001), domestic environment (p<0.01), sexual relationships (p<0.05), extended family relationships (p<0.001) and social environment (p<0.001), and a significant decrease in psychological distress (p<0.001). However, there was no change in patients vocational adjustment (p<0.05). According to these findings emotional support-focused nursing interventions had a part in increasing patients psychosocial adjustment.

摘要

目的是研究以情感支持为重点的护理干预措施对乳腺癌患者心理社会适应的影响。该研究在土耳其伊兹密尔艾杰大学医学院医院放射肿瘤科和塔拉伊·阿克塔斯肿瘤医院进行。样本中有30名新诊断的乳腺癌患者。针对每位患者单独进行了七次以情感支持为重点的护理干预。与患者总共进行了210小时的会面。通过使用描述性信息表和疾病心理社会适应量表-自我报告(PAIS-SR)分两个阶段对患者进行前测和后测来收集数据。患者的平均年龄为44.5(标准差=6.38)岁,平均病程为6.46(标准差=1.99)个月。在比较PAIS-SR前测和后测的平均得分时,确定患者在适应医疗保健方向(p=0.001)、家庭环境(p<0.01)、性关系(p<0.05)、大家庭关系(p<0.001)和社会环境(p<0.001)方面有显著改善,心理困扰显著减少(p<0.001)。然而,患者的职业适应没有变化(p<0.05)。根据这些发现,以情感支持为重点的护理干预有助于提高患者的心理社会适应能力。

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