摘要
目的:探讨二元应对理论联合赋能理论的护理干预在中青年乳腺癌术后化疗患者及其配偶中的应用效果。方法:采用便利抽样法,选择2020年10月—2022年10月在台州市第一人民医院接受化疗的中青年乳腺癌术后患者及其配偶86对作为研究对象,随机分为对照组与观察组,每组43对。对照组实施常规护理干预,观察组实施二元应对理论联合赋能理论的护理干预。采用心理弹性量表(RISC)、乳腺癌患者生命质量测定量表(FACT-B)、中文版癌症患者照料者生活质量调查表(CQOLC-C)评价干预的效果。结果:干预后,观察组乳腺癌患者RISC、FACT-B评分高于对照组,差异均有统计学意义( P<0.05);干预后,观察组乳腺癌患者配偶RISC、CQOLC-C评分高于对照组,差异均有统计学意义( P<0.05)。 结论:二元应对理论联合赋能理论能够增强中青年乳腺癌术后化疗患者及其配偶的心理弹性水平,改善生活质量。
ObjectiveTo explore the application effect of dual coping theory combined with empowerment theory in nursing intervention of young and middle-aged patients with postoperative chemotherapy for breast cancer and their spouses.MethodsUsing the convenient sampling method,a total of 86 pairs of young and middle-aged breast cancer patients with postoperative chemotherapy and their spouses in Taizhou First People's Hospital from October 2020 to October 2022 were selected as the research objects.They were randomly divided into the control group and the observation group,with 43 pairs in each group.The control group implemented routine nursing intervention,while the observation group implemented nursing intervention based on dual coping theory combined with empowerment theory.Resilience Scale(RISC),Function Assessment of Cancer Therapy-Breast Cancer(FACT-B)and the Chinese version of Quality of Life Questionnaire for Cancer Caregivers(CQOLC-C)were used to evaluate the intervention effects.ResultsAfter intervention,RISC and FACT-B scores of breast cancer patients in the the observation group were higher than those in control group,and the differences were statistically significant(P<0.05).After intervention,RISC and CQOLC-C scores of spouses of breast cancer patients in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).ConclusionsDual coping theory combined with empowerment theory can enhance the psychological resilience of young and middle-aged breast cancer patients and their spouses after chemotherapy and improve their quality of life.
作者
王丽华
徐丹
张瑜
陶小平
Wang Lihua;Xu Dan;Zhang Yu;Tao Xiaoping(Department of Nursing,Taizhou First People's Hospital,Taizhou 318020,China;Department of Critical Care Medicine,Taizhou First People's Hospital,Taizhou 318020,China;Department of General Surgery,Taizhou First People's Hospital,Taizhou 318020,China)
出处
《中华现代护理杂志》
2024年第20期2762-2766,共5页
Chinese Journal of Modern Nursing
基金
浙江省医药卫生科技计划项目(2018KY896)。
关键词
乳腺癌
二元应对理论
赋能理论
积极心理干预
Breast neoplasms
Dual coping theory
Empowerment theory
Positive psychological intervention
