基于跨理论模型的健康教育对乳腺癌术后病人康复行为的影响
Effect of health education based on transtheoretical model on the recovery behavior in postoperative patients with breast cancer
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摘要: 目的:探讨跨理论模型的健康教育对乳腺癌病人术后康复行为的影响。方法:选择2014年8-12月入院符合标准的病人21例为对照组,2015年1-6月入院符合标准的病人23例为观察组。对照组给予常规健康教育,观察组应用跨理论模型的健康教育。应用德国Ludwishafen创伤外科中心设计的臂肩手残疾调查问卷(DASH)、自行设计的康复行为依从性调查问卷分别于术后10天、1个月、3个月对2组病人进行测评。结果:观察组术后1个月、3个月DASH评分均低于对照组(P<0.05和P<0.01),术后3个月依从性总分高于对照组(P<0.05),且随着时间的推移,DASH评分逐渐降低,依从性逐渐升高,差异均有统计学意义(P<0.01)。结论:基于跨理论模型健康教育方案,能在一定程度上提高病人康复行为的依从性,促进患侧上肢功能恢复,且随着时间推移,效果更显著。Abstract: Objective:To explore the effects of health education based on transtheoretical model on the recovery behavior in postoperative patients with breast cancer.Methods:Twenty-one standard-compliant patients from August to December 2014,and 23 cases standard-compliant patients from January to June 2015 were divided into the control group and observation group,respectively.The control group and observation group were implemented with routine health education and transtheoretical model health education,respectively.All patients were evaluated using the DASH and self-designed questionnaire after 10 days,1 month and 3 months of operation.Results:The DASH scores in observation group after 1 month and 3 months of operation were lower than that in control group(P<0.01 and P<0.05).The compliance score in observation group after 3 months of operation was higher than that in control group(P<0.05).With the time going by,the DASH score gradually decreased,the compliance gradually increased,and the differences of statistically significant(P<0.01).Conclusions:The health education based on transtheoretical model can improve the compliance of the recovery behavior,and promote the upper limb recovery,with the time going by,the effect is more significant.
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Key words:
- breast neoplasms /
- transtheoretical model /
- health education
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[1] 侯秀珍.循证护理在预防乳腺癌改良根治术后并发症中的应用[J].中国实用护理杂志,2011,27(22):24. [2] 李忠芹.早期系统康复训练在乳腺癌根治术病人中的应用效果研究[J].护理实践与研究,2012,9(7):11. [3] MCNEELY ML,CAMPBELL K,OSPINA M,et al.Exercise interventions for upper-limb dysfunction due to breast cancer treatment[J/CD].Cochrane Database Syst Rev,2010:CD005211. [4] 尹博.健康行为改变的跨理论模型[J].中国心理卫生杂志,2007,21(3):194. [5] 中国抗癌协会乳腺癌专业委员会.中国抗癌协会乳腺癌诊治指南与规范(2013版)[J].中国癌症杂志,2013,23(8):637. [6] PROCHASKA JO,REDDING CA,EVERE KE.The transtheoretical model and stages of change[M]//Health behavior and health education,San Francisco:Jossey-Bass Publishers,1997:61. [7] 田文艳,陆皓,曹健,等.基于跨理论模型的健康教育对高原基层部队官兵吸氧依从性的影响研究[J].中华护理杂志,2015,50(12):1506. [8] 冯俊芳.乳腺癌病人术后康复训练依从性的调查分析[J].护理研究(增刊),2009,23(2):65. [9] 李乐之,路潜.外科护理学[M].5版.北京:人民卫生出版社,2014:190. [10] FAYAD F,LEFEVRE-COLAU MM,MAC Y,et al.Validation of the French version of the Disability of the Arm,Shoulder and Hand questionnaire (F-DASH)[J].Joint Bone Spine,2008,75(2):195. [11] WILSON GT,SCHLAM TR.The transtheoretical model and motivational interviewing in the treatment of eating and weight disorders[J].Clin Psychol Rev,2004,24(3):361. [12] 陈巍,林平,李玲叶,等.基于跨理论模型的健康教育对心力衰竭患者自我护理行为的影响[J].中华护理杂志,2013,48(4):293. [13] 胡春华,关惠仪,冉隆梅,等.乳腺癌患者癌因性疲乏与疾病不确定感的现状及其相关性[J].现代临床护理,2015,14(9):1. [14] 宁艳娇,林海,李艳丽.疾病不确定感对冠状动脉搭桥患者呼吸功能锻炼依从性及术后康复的影响[J].天津医药,2014,42(7):719. [15] DICLEMENTE CC,SCHLUNDT D,GEMMELL L.Readiness and stages of change in addiction treatment[J].Am J Addict,2004,13(2):103. [16] KING TK,MARCUS BH,PINTO BM,et al.Cognitive-behavioral mediators of changing multiple behaviors:smoking and a sedentary lifestyle[J].Prev Med,1996,25(6):684.
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