摘要
目的探讨以赋能理论为指导的多维护理在乳腺癌根治术患者中的应用。方法选取2017年1月至2019年8月间陕西省渭南市中心医院收治的80例女性乳腺癌根治术患者,采用随机数表法分为观察组和对照组,每组40例。对照组患者采用常规护理干预,观察组患者在此基础上采用赋能理论指导的多维护理干预,比较两组患者干预前及干预10d后的生活质量、自我管理能力和负面情绪评分变化。结果干预10d后,两组患者生活质量各项评分及总分均较干预前降低,且观察组患者低于对照组,差异均有统计学意义(均P <0. 05)。两组患者自我管理能力量表各项评分及总分均较干预前升高,且观察组高于对照组,差异均有统计学意义(均P <0. 05)。观察组患者焦虑和抑郁评分均低于对照组,差异均有统计学意义(均P <0. 05)。结论以赋能理论为指导的多维护理对乳腺癌根治术患者的生活质量、自我管理能力及负面情绪均有较好改善作用,利于预后康复。
Objective To observe the application of empowerment theory-guided multidimensional nursing in patients undergoing radical mastectomy. Methods Eighty patients undergoing radical mastectomy were selected as the study subjects at Weinan Central Hospital from January 2017 to August 2019. They were divided into an observation group and a control group based on the random number table method,with40 patients in each group. The control group was given routine nursing intervention,and the observation group was given empowerment theory-guided multidimensional nursing intervention besides routine nursing intervention. The scores of quality of life,self-management ability and scores of negative emotions were compared between the two groups before the intervention and at 10 d after the intervention. Results At 10 d after the intervention,the overall score and scores in each item for quality of life decreased in both groups with the observation group lower than the control group( all P < 0. 05). The overall score and scores in each item for self-management ability increased in both groups with the observation group higher than the control group( all P < 0. 05). The scores of anxiety and depression were significantly lower in the observation group than in the control group( all P < 0. 05). Conclusion Empowerment theory-guided multidimensional nursing can significantly improve quality of life,self-management ability and negative emotions in patients undergoing radical mastectomy,and it is beneficial to the prognosis and rehabilitation.
作者
李美鸽
韦建丽
陈静
惠军妮
LI Mei-ge;WEI Jian-li;CHEN Jing;HUI Jun-ni(First Ward of Department of Oncological Surgery,Weinan Central Hospital,Weinan 714000,China;Physical Examination Center,Weinan Central Hospital,Weinan 714000,China)
出处
《中国肿瘤临床与康复》
2020年第7期874-876,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
赋能理论
多维护理
乳腺癌根治术
生活质量
负面情绪
Empowerment theory
Multidimensional nursing
Radical mastectomy
Quality of life
Negative emotions
