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基于疾病全程管理的专题活动式健康教育在乳腺癌患者中的应用

Application of thematic health education on breast cancer patients with whole course of disease management
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摘要 目的探讨基于疾病全程管理的专题活动式健康教育在乳腺癌患者中的应用效果。方法选取100例乳腺癌患者为研究对象,按入院顺序分为对照组和观察组各50例,对照组采用临床护理路径法进行健康教育,观察组基于疾病的全程管理,在临床护理路径的基础上,实施专题活动式的健康教育。比较2组患者的疾病知识掌握程度、健康促进行为和焦虑状态。结果观察组患者疾病知识掌握程度调查问卷总得分及疾病危险因素、功能锻炼、并发症观察与防护3个分维度的得分分别为(90.00±11.75)、(18.05±4.33)、(19.01±4.20)、(18.68±0.07)分,均高于对照组的(86.68±9.34)、(16.12±2.86)、(17.22±2.83)、(15.43±6.78)分,2组比较差异有统计学意义(t=2.641~9.171,P<0.05);观察组健康促进生活方式量表总得分及各分维度得分均高于对照组,差异有统计学意义(t=2.347~6.653,P<0.05或0.01);且观察组在完成所有化疗疗程后的焦虑自评量表评分为(48.20±4.03)分,低于完成3个化疗疗程后的(53.56±2.84)分,差异有统计学意义(t=7.028,P<0.05),并且2组患者在2次测评的组间得分差异均有统计学意义(t=2.050、11.560,P<0.05或0.01)。结论对乳腺癌患者实施基于疾病全程管理的专题活动式健康教育能有效提高患者疾病知识掌握程度,促进患者的健康行为,缓解焦虑情绪,帮助患者身心康复。 Objective To explore the efficacy of thematic health education on breast cancer patients with whole course of disease management. Methods According to the order of admission into the hospital, 100 breast cancer patients were randomly divided into two groups: the control group and the observation group. In the control group, clinical nursing pathway was adopted when health education was conducted. In the observation group, thematic health education based on the whole course of disease management was carried out. Mastery of disease knowledge, health-promoting behaviors and degree of anxiety were compared between the two groups. Results The total score of the survey on the observation group and the scores of Disease Risk Factors, Functional Training and Observation and Protection of Complication (90.00±11.75, 18.05±4.33, 19.01±4.20, 18.68±0.07) were all higher than those of the control group (86.68±9.340, 16.12±2.86, 17.22±2.83, 15.43±6.78);the differences were statistically significant (t=2.641-9.171, P<0.05).The total score of the observation group in The Healthy Living Style Scale and the scores in different dimensions were all higher than those of the control group;the differences were statistically significant (t=2.347-6.653, P<0.05 or 0.01).The score of the Self-rating Anxiety Scale of the observation group after completing all the chemotherapy periods (48.20±4.03) was lower than that of the control group after three chemotherapy periods (53.56±2.84);the differences were statistically significant (t=7.028, P<0.05);in these two tests, the group differences in scores between the two groups are also statistically significant (t=2.050, 11.560, P<0.05 or 0.01). Conclusion Conducting thematic health education on the breast cancer patients based on the whole course of disease management can effectively improve the patients′ mastery of disease knowledge, improve their health-promoting behaviors, relieve their anxiety and help them recover physically and mentally.
作者 钟美浓 张扬扬 黄群爱 Zhong Meinong;Zhang Yangyang;Huang Qunai(Department of Thyroid Breast Surgery,Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China)
出处 《中国实用护理杂志》 2019年第29期2284-2289,共6页 Chinese Journal of Practical Nursing
基金 中山大学附属第三医院护理科研基金(201804).
关键词 乳腺肿瘤 健康教育 专题 Breast neoplasms Health education Thematic
作者简介 通信作者:黄群爱,Email:121592630@qq.com,电话:020-85253046.
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