摘要
目的探究知信行模式指导下的正念减压干预对乳腺癌术后采用外周置入中心静脉导管(PICC)化疗患者睡眠质量及遵医行为的影响。方法选取我院2020年10月至2021年10月乳腺癌术后PICC置管化疗患者90例,根据入院顺序不同分为对照组、观察组,各45例。给予对照组患者常规护理,给予观察组患者知信行模式指导下的正念减压干预。对比两组遵医行为、压力知觉量表(CPSS)、心理弹性量表(CD-RISC)、匹兹堡睡眠质量指数量表(PSQI)、乳腺癌生存质量量表(FACT-B)、护理满意度、不良事件发生率。结果观察组总遵从率95.56%(43/45)高于对照组77.78%(35/45,P<0.05);护理后观察组CD-RISC、FACT-B评分高于对照组,PSQI、CPSS评分低于对照组(P<0.05);观察组护理满意度100.00%(45/45)高于对照组82.22%(37/45,P<0.05);出院后,观察组不良事件发生率0(0/45)低于对照组13.33%(6/45,P<0.05)。结论知信行模式指导下的正念减压干预可提高乳腺癌术后PICC置管化疗患者遵医行为,降低压力水平,增强心理弹性,改善睡眠质量和生活质量,提高护理满意度,减少不良事件发生。
Objective To investigate the effects of mindfulness-based decompression intervention under the guidance of knowledge,belief and action mode on sleep quality and compliance behavior of patients undergoing peripherally inserted central venous catheter(PICC)chemotherapy after breast cancer surgery.Methods A total of 90 patients with PICC catheterization chemotherapy after breast cancer surgery in our hospital from October 2020 to October 2021 were selected and divided into control group and observation group according to the order of admission,45 cases in each group.The control group was given routine nursing,and the observation group was given mindfulness-based stress reduction intervention under the guidance of knowledge,belief and action mode.Compliance behavior,Perceived Stress Scale(CPSS),Resilience Scale(CD-RISC),Pittsburgh Sleep Quality Index(PSQI),Breast Cancer Quality of Life Scale(FACT-B),nursing satisfaction and incidence of adverse events were compared between the two groups.Results The total compliance rate of observation group was 95.56%(43/45)higher than that of control group 77.78%(35/45,P<0.05).The CD-RISC and FACT-B scores of the observation group were higher than those of the control group,while the PSQI and CPSS scores were lower than those of the control group(P<0.05).The nursing satisfaction of the observation group was 100.00%(45/45)higher than that of the control group 82.22%(37/45,P<0.05).After discharge,the incidence of adverse events in the observation group was 0(0/45)lower than 13.33%(6/45)in the control group(P<0.05).Conclusion MBSR intervention under the guidance of knowledge,belief and action mode can improve compliance behavior,reduce stress level,enhance psychological resilience,improve sleep quality and life quality,improve nursing satisfaction,and reduce adverse events in patients with PICC catheterization chemotherapy after breast cancer surgery.
作者
黄梅玲
连奕娟
赖冬梅
HUANG Meiling;LIAN Yijuan;LAI Dongmei(Quanzhou Guangqian Hospital,Quanzhou 362000,China)
出处
《中国医药指南》
2022年第18期53-56,共4页
Guide of China Medicine
关键词
知信行模式
乳腺癌
外周置入中心静脉导管
正念减压
Knowledge-trust-action mode
Breast cancer
Peripheral placement of a central venous catheter
Mindfulness decompression
