中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2012年
9期
803-806
,共4页
王玲%李惠萍%王德斌%段艳芹
王玲%李惠萍%王德斌%段豔芹
왕령%리혜평%왕덕빈%단염근
乳腺癌%淋巴水肿%健康信念模式
乳腺癌%淋巴水腫%健康信唸模式
유선암%림파수종%건강신념모식
Breast cancer%Lymphedema%Health belief model
目的 探讨健康信念模式(health belief model,HBM)指导下的健康教育对乳腺癌患者术后淋巴水肿预防行为、发生率和生活质量的干预效果.方法 采用随机数字表法将符合纳入标准的215例乳腺癌术后患者分为干预组(109例)和对照组(106例).对照组采用常规健康教育,干预组在常规健康教育的基础上,给予HBM指导下的健康教育.随访患者满12月,并于干预后第12月比较两组患者淋巴水肿预防行为的知晓率和执行率、生活质量,并测量上肢周径比较两组患者淋巴水肿的发生率.结果 干预后12个月,干预组淋巴水肿预防行为的知晓率和执行率高于对照组,差异有统计学意义(P＜0.05).干预组12个月上肢淋巴水肿的发生率(16.5％)低于对照组(37.7％),差别有统计学意义(P＜0.05).干预后12个月,干预组生活质量总分[ (107.81±10.10)分]、情感状况[(19.72 ±3.74)分]、功能状况[(18.58±3.34)分]、社会家庭状况[(21.85±3.69)分]、附加关注[(24.47 ±3.59)分]方面高于对照组[分别为(101.07±10.54)分,(18.48±3.63)分,(14.79 ±3.22)分,(20.39±4.82)分,(23.10±4.78)分],差异有统计学意义(P＜0.05).结论 健康信念模式可提高患者对淋巴水肿预防行为的执行率以及降低淋巴水肿的发生率,提高患者的生活质量.
目的 探討健康信唸模式(health belief model,HBM)指導下的健康教育對乳腺癌患者術後淋巴水腫預防行為、髮生率和生活質量的榦預效果.方法 採用隨機數字錶法將符閤納入標準的215例乳腺癌術後患者分為榦預組(109例)和對照組(106例).對照組採用常規健康教育,榦預組在常規健康教育的基礎上,給予HBM指導下的健康教育.隨訪患者滿12月,併于榦預後第12月比較兩組患者淋巴水腫預防行為的知曉率和執行率、生活質量,併測量上肢週徑比較兩組患者淋巴水腫的髮生率.結果 榦預後12箇月,榦預組淋巴水腫預防行為的知曉率和執行率高于對照組,差異有統計學意義(P＜0.05).榦預組12箇月上肢淋巴水腫的髮生率(16.5％)低于對照組(37.7％),差彆有統計學意義(P＜0.05).榦預後12箇月,榦預組生活質量總分[ (107.81±10.10)分]、情感狀況[(19.72 ±3.74)分]、功能狀況[(18.58±3.34)分]、社會傢庭狀況[(21.85±3.69)分]、附加關註[(24.47 ±3.59)分]方麵高于對照組[分彆為(101.07±10.54)分,(18.48±3.63)分,(14.79 ±3.22)分,(20.39±4.82)分,(23.10±4.78)分],差異有統計學意義(P＜0.05).結論 健康信唸模式可提高患者對淋巴水腫預防行為的執行率以及降低淋巴水腫的髮生率,提高患者的生活質量.
목적 탐토건강신념모식(health belief model,HBM)지도하적건강교육대유선암환자술후림파수종예방행위、발생솔화생활질량적간예효과.방법 채용수궤수자표법장부합납입표준적215례유선암술후환자분위간예조(109례)화대조조(106례).대조조채용상규건강교육,간예조재상규건강교육적기출상,급여HBM지도하적건강교육.수방환자만12월,병우간예후제12월비교량조환자림파수종예방행위적지효솔화집행솔、생활질량,병측량상지주경비교량조환자림파수종적발생솔.결과 간예후12개월,간예조림파수종예방행위적지효솔화집행솔고우대조조,차이유통계학의의(P＜0.05).간예조12개월상지림파수종적발생솔(16.5％)저우대조조(37.7％),차별유통계학의의(P＜0.05).간예후12개월,간예조생활질량총분[ (107.81±10.10)분]、정감상황[(19.72 ±3.74)분]、공능상황[(18.58±3.34)분]、사회가정상황[(21.85±3.69)분]、부가관주[(24.47 ±3.59)분]방면고우대조조[분별위(101.07±10.54)분,(18.48±3.63)분,(14.79 ±3.22)분,(20.39±4.82)분,(23.10±4.78)분],차이유통계학의의(P＜0.05).결론 건강신념모식가제고환자대림파수종예방행위적집행솔이급강저림파수종적발생솔,제고환자적생활질량.
Objective To explore the effects of health belief mode1 system nursing education on lymphedema risk-reduction behavior,incidence and quality of life in post-operation breast cancer patients.Methods A total of 225 patients who were underwent surgery by inclusion criteria and then were randomly divided into the intervention group ( n =109 ) and the control group ( n =106 ).The control group was given routine education,while the intervention group was given health belief model system education in addition routine education.Patients were followed up for at least 12 months,and the implementation of lymphedema risk-reduction behavior,quality of life,and the incidence of lymphedema of two groups were compared.Results The implementation of lymphedema risk-reduction behavior were higher in intervention group than that in control group with statistically significantly difference(P ＜ 0.05 ).The incidence of lymphedema was 16.5％ in intervention group,37.7％ in control group,the difference was significantly in two groups.Scores for general quality of life (107.81 ± 10.10),emotional well-being ( 19.72 ± 3.74 ),functional well-being( 18.58 ± 3.34 ),social/family well-being( 21.85 ± 3.69 ),concerns specific to breast cancer patients(24.47 ± 3.59) were higher in intervention group than those in control group( ( 101.07 ±10.54),(18.48 ± 3.63),(14.79 ± 3.22),(20.39 ± 4.82),(23.10 ± 4.78)) (P ＜ 0.05).Conclusion Health belief model system nursing intervention can improve the implementation of lymphedema risk-reduction behavior,decrease the incidence of lymphedema and increase long-term quality of life of the breast cancer patients.
