摘要
目的探讨赋能教育指导对乳腺癌根治术后患者自我管理水平和上肢功能的影响。方法选择2016年8月至2017年8月在本院住院治疗的160例乳腺癌根治术后患者作为研究对象,将收入一病区的80例患者设为对照组,术后采用常规的健康教育方法;将收入二病区的80例患者设为研究组,术后在对照组基础上实施赋能教育指导,干预时间14d。比较干预前后两组患者健康促进策略量表(strategies used by people to promote health,SUPPH)和上肢功能评分量表(disability of arm,shoulder and hand,DASH)评分的组间和组内差异。结果干预后,研究组患者SUPPH和DASH评分高于对照组和干预前(P<0.001)。干预后,研究组患者自我管理水平和上肢功能优于对照组和干预前。结论赋能教育指导可提高乳腺癌根治术后患者自我管理能力,改善患者上肢功能。
Objective To explore the effects of empowerment education instruction on self-management and upper limb function in breast cancer patients after radical resection. Methods A total of 160 patients with radical resection of breast cancer who were hospitalized for treatment in our hospital from August 2016 to August 2017 were selected for the study. 80 patients in the first ward were assigned as control group, given routine health education after operation. 80 patients in the second ward were set as study group, given empowerment education guidance on the basis of control group after operation. The intervention time was 14d. The self- management ability and upper limb function were measured by strategies used by people to promote health （SUPPH） and disability of arm, shoulder and hand （DASH）, respectively. The within-groups and between-groups comparisons were performed before intervention and after intervention. Results After intervention, the scores by SUPPH and DASH in the study group were higher than those in the control group and those before intervention （P〈0.001）. After intervention, the self-management level and upper limb function in the study group were superior to those in control group and those before intervention. Conclusion Empowerment education instruction can enhance the patient＇s self-management ability, and their improve upper limb function after radical resection of breast cancer.
作者
李东霞
肖莉华
邓颖辉
李湘琴
柯秀柳
Li Dongxia;Xiao Lihua;Deng Yinghui;Li Xiangqin;Ke Xiuliu(The Sixth Affiliated Hospital,Sun Yat-sen University,Guangzhou,510655;The First Affiliated Hospital,Sun Yat-sen University,Guangzhou,510080,China)
出处
《现代临床护理》
2018年第10期57-61,共5页
Modern Clinical Nursing
关键词
赋能教育
乳腺癌根治术
上肢功能
自我管理能力
empowerment education instruction
radical resection of breast cancer
upper limb function
self-management ability
作者简介
李东霞（1976-），女，广东梅州人，主管护师，本科，主要从事临床护理工作。
