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积极行为管理在乳腺癌手术后患者中的应用

Application of positive behavior management in patients after breast cancer surgery.

作者信息

Hao Ying-Jie, Sun Hui-Bo, Li Hong-Wei, Chen Bing-Jie, Chen Xiu-Li, Ma Lin, Li Ying-Li

机构信息

Department of Breast Surgery, the Third Affiliated Hospital of Qiqihar Medical University, Qiqihar 161000, Heilongjiang Province, China.

Department of Nursing, the Third Affiliated Hospital of Qiqihar Medical University, Qiqihar 161000, Heilongjiang Province, China.

出版信息

World J Clin Cases. 2020 Feb 26;8(4):689-699. doi: 10.12998/wjcc.v8.i4.689.

Abstract

BACKGROUND

As a radical treatment, breast cancer surgery has a positive psychological impact on most patients. However, some patients do not have a clear understanding of the disease, which requires a more scientific and comprehensive consideration during clinical intervention and are based on cognition. The positive behavior management model is based on this kind of background-derived new interventions, which can better serve the clinical rehabilitation process of patients. The positive behavior management model based on cognitive architecture is a new type of intervention derived from this background, which can better serve the clinical rehabilitation process of patients.

AIM

To analyze the influence of a positive behavior management model based on cognitive framework on the degree of hope and self-efficacy of patients with breast cancer surgery.

METHODS

Eighty-four patients with breast cancer who underwent surgical treatment in our hospital from August 2016 to December 2018 were included in the study. The patients were divided into the experimental group ( = 42) and control group ( = 42) by random number table grouping. The control group received traditional nursing intervention, while the experimental group received a positive behavior management model based on cognitive framework based on the traditional intervention of the control group. General Self-efficacy Scale, Herth Hope Scale, Self-Rating Anxiety Scale, Self-Rating Depression Scale and Cancer Patient Specific Scale were used to evaluate the two groups before and 1 wk after intervention.

RESULTS

After the intervention, self-efficacy and hope level of the experimental group were significantly higher than those of the control group ( < 0.05). The Self-Rating Anxiety Scale and Self-Rating Depression Scale scores in the experimental group were significantly lower than those in the control group ( < 0.05). There was no significant difference in the quality of life scores between the two groups before intervention ( > 0.05). The quality of life scores in all aspects in the experimental group after intervention were significantly higher than those in the control group ( < 0.05).

CONCLUSION

The positive behavior management model based on cognitive framework applied to patients with breast cancer surgery improved hope for treatment and self-efficacy, reduced negative emotion, and improved quality of life.

摘要

背景

作为一种根治性治疗方法,乳腺癌手术对大多数患者具有积极的心理影响。然而,部分患者对疾病缺乏清晰认知,这在临床干预过程中需要更科学、全面地考量并基于认知。积极行为管理模式就是基于这种背景衍生出的新干预措施,能更好地服务于患者的临床康复进程。基于认知架构的积极行为管理模式是源于这一背景的新型干预措施,能更好地服务于患者的临床康复进程。

目的

分析基于认知框架的积极行为管理模式对乳腺癌手术患者希望水平和自我效能感的影响。

方法

选取2016年8月至2018年12月在我院接受手术治疗的84例乳腺癌患者纳入研究。采用随机数字表法将患者分为实验组(n = 42)和对照组(n = 42)。对照组接受传统护理干预,实验组在对照组传统干预基础上接受基于认知框架的积极行为管理模式。采用一般自我效能感量表、赫斯希望量表、焦虑自评量表、抑郁自评量表及癌症患者特异性量表在干预前及干预1周后对两组进行评估。

结果

干预后,实验组的自我效能感和希望水平显著高于对照组(P < 0.05)。实验组焦虑自评量表和抑郁自评量表得分显著低于对照组(P < 0.05)。两组干预前生活质量得分比较差异无统计学意义(P > 0.05)。干预后实验组各方面生活质量得分均显著高于对照组(P < 0.05)。

结论

基于认知框架的积极行为管理模式应用于乳腺癌手术患者,提高了治疗希望和自我效能感,降低了负面情绪,改善了生活质量。

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