摘要
目的探讨网络支持干预方法对乳腺癌术后患者疾病不确定感的影响。方法采用便利抽样法,抽取复旦大学附属肿瘤医院乳腺外科行乳腺癌手术且出院的患者119例为研究对象。其中干预组56例,在常规随访的同时给予12周的网络支持干预;对照组63例,接受乳腺癌术后常规随访,分别在基线调查后第6周和第12周进行疾病不确定感水平的评价。结果干预组和对照组疾病不确定感总分、不明确性维度得分和信息缺乏2个维度得分随时间的变化而降低,干预后干预组疾病不确定感总分,不明确性和信息缺乏2个维度得分的降低趋势快于对照组;第12周时干预组疾病不确定感总分、不明确性和信息缺乏2个维度得分低于对照组,均(P<0.05)差别有统计学意义。结论信息丰富、多学科合作、实时互动的网络支持干预可以降低乳腺癌术后患者的疾病不确定感水平。
Objective To evaluate the effect of an Internet support program on uncertainty in illness in breast cancer patients after operation. Method One hundred and nineteen breast cancer patients after surgery who were diseharged from Shanghai Cancer Hospital were assigned into the control group （63 cases） and the intervention group （56 cases）. A 12-week Internet support program was offered to the patients in the intervention group,while the patients in the control group received the routine follow-up. Measurement of uncertainty in illness was taken at the sixth week and the twelfth week after the baseline survey. Results The total score of the uncertainty in illness as well as the factor scores of ambiguity and lack of information showed downward trend in both the intervention group and the control group,and the three indexes in the intervention group declined more rapidly than those in the control group. The scores of the three indexes in the intervention group were significantly lower than those in the control group at the twelfth week. Conclusion The Internet support program which offers abundant information,multi-disciplinary cooperation and real-time interaction intervention is an effective approach in reducing uncertainty in illness for breast cancer survivors.
出处
《中华护理杂志》
CSCD
北大核心
2010年第1期13-16,共4页
Chinese Journal of Nursing
基金
复旦大学护理学院2007年科研基金项目(编号:FNS200702)
关键词
社会支持
因特网
乳腺肿瘤
疾病不确定感
Social Support
Internet
Breast Neoplasms
Uncertainty in Illness
作者简介
黄晓燕：女，本科，护师，E-mail：azs969@163．com
通讯作者：胡雁，E-mail：huyan@fudan．edu．ca
