本文關(guān)鍵詞：治療性溝通系統(tǒng)對(duì)乳腺癌術(shù)后化療患者生活質(zhì)量及社會(huì)支持度的影響　出處：《湖南師范大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

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【摘要】：目的通過(guò)實(shí)驗(yàn)性研究對(duì)住院乳腺癌術(shù)后化療患者進(jìn)行治療性溝通系統(tǒng)(therapeutic communication system,TCS)干預(yù),探討治療性溝通系統(tǒng)對(duì)乳腺癌術(shù)后化療患者生活質(zhì)量和社會(huì)支持度的影響。方法連續(xù)收集在解放軍第一六三醫(yī)院住院行乳腺癌根治術(shù)并進(jìn)行化療的患者104例,將104例乳腺癌術(shù)后化療患者隨機(jī)分為干預(yù)組和對(duì)照組,每組患者各為52例。對(duì)照組在常規(guī)護(hù)理基礎(chǔ)上進(jìn)行健康教育,給予臨床一般溝通;干預(yù)組在此基礎(chǔ)上接受連續(xù)兩周的TCS干預(yù)。研究者分別對(duì)兩組患者在干預(yù)前后發(fā)放生命質(zhì)量測(cè)量量表及社會(huì)支持評(píng)定量表,進(jìn)行資料收集。將所得研究資料用Epidata進(jìn)行平行雙錄入,SPSS20.0統(tǒng)計(jì)學(xué)軟件進(jìn)行分析。對(duì)患者一般人口學(xué)資料和臨床資料用頻數(shù)、均數(shù)、標(biāo)準(zhǔn)差等進(jìn)行統(tǒng)計(jì)學(xué)描述;對(duì)患者各變量基線水平的比較采用卡方檢驗(yàn)、獨(dú)立樣本t檢驗(yàn)、pearson相關(guān)分析等;影響患者生活質(zhì)量和社會(huì)支持的因素采用單因素方差分析和LSD法多重比較;采用兩獨(dú)立樣本t檢驗(yàn)對(duì)兩組患者組間和組內(nèi)社會(huì)支持及生活質(zhì)量評(píng)分進(jìn)行比較。結(jié)果1.干預(yù)前,104例乳腺癌術(shù)后化療患者生活質(zhì)量平均得分為73.72±14.37,處于中等以下水平;社會(huì)支持得分為41.49±7.03,低于國(guó)內(nèi)常模,且生活質(zhì)量得分與社會(huì)支持得分呈正相關(guān)(r=0.354,p0.01)。2.實(shí)施干預(yù)前,兩組患者各項(xiàng)指標(biāo)具有可比性。實(shí)施治療性溝通系統(tǒng)干預(yù)兩周后,干預(yù)組在生活質(zhì)量得分(86.98±12.24)和生理狀況(19.90±3.81)、情感狀況(13.73±2.30)、功能狀況(12.96±4.12)、附加功能(25.71±3.05)四個(gè)維度得分均高于對(duì)照組,也高于干預(yù)前,組間和組內(nèi)對(duì)比結(jié)果顯示差異有統(tǒng)計(jì)學(xué)意義(P0.05)。3.干預(yù)兩周后,干預(yù)組在社會(huì)支持水平得分(44.67±6.45)和客觀支持(9.13±2.21)得分均高于對(duì)照組,也高于干預(yù)前,組間和組內(nèi)對(duì)比結(jié)果表明差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論1.乳腺癌術(shù)后化療患者生活質(zhì)量和社會(huì)支持得分處于中等以下水平;2.治療性溝通系統(tǒng)對(duì)乳腺癌術(shù)后化療患者生活質(zhì)量和社會(huì)支持度水平的提高具有正性影響作用;3.治療性溝通系統(tǒng)優(yōu)于傳統(tǒng)的健康教育,是一種有效的臨床干預(yù)模式,能促進(jìn)護(hù)患之間的交流和溝通,使患者積極參與疾病治療。
[Abstract]:The experimental study of therapeutic communication system for hospitalized breast cancer patients with postoperative chemotherapy were (therapeutic communication system, TCS) intervention, explore the effect of therapeutic communication system on postoperative breast cancer patients' quality of life and social support. Methods to collect 104 patients underwent radical mastectomy and chemotherapy the first hospital in the 63 Hospital of PLA, 104 cases of breast cancer patients with postoperative chemotherapy were randomly divided into intervention group and control group were 52 cases each. The control group on the basis of conventional nursing and health education was given clinical general communication; intervention group received TCS intervention for two weeks. The researchers two groups of patients were issued life quality measurement scale and social support rating scale before and after the intervention, were collected. The research data using Epidata parallel double entry, SPSS20.0 Statistical software for analysis. The patients with general demographic data and clinical data with frequency, mean, standard deviation was described; compared with the variables of the baseline level in patients with chi square test, independent samples t test, Pearson correlation analysis; the factors influencing the quality of life and social support of the patients with single factor analysis of variance and LSD method for multiple comparisons; using two independent samples t test to compare the two groups within groups and between social support and quality of life score. Results 1. before intervention, 104 cases of postoperative breast cancer patients' quality of life the average score was 73.72 + 14.37, in the middle level; social support score was 41.49 + 7.03, lower than the national norm, and the scores of quality of life and social support scores were positively correlated (r=0.354, P0.01).2. before the intervention, two groups were comparable. The implementation of therapeutic communication system Two weeks after the intervention, the intervention group in the quality of life score (86.98 + 12.24) and physiological status (19.90 + 3.81), emotional status (13.73 + 2.30), functional status (12.96 + 4.12), additional functions (25.71 + 3.05) four dimension scores were higher than the control group, also higher than before the intervention group and group comparison showed that there were statistically significant differences (P0.05.3.) two weeks after the intervention, the intervention group in the level of social support score (44.67 + 6.45) and objective support (9.13 + 2.21) scores were higher than the control group, also higher than before the intervention groups and the results showed a statistically significant difference (P0.05). Conclusion: 1. breast cancer patients with postoperative chemotherapy on quality of life and social support score in middle level; the 2. therapeutic communication system has a positive effect on patients quality of life and social support level after breast cancer surgery to improve; 3. therapeutic communication system is superior to the traditional health Health education is an effective mode of clinical intervention, which can promote communication and communication between nurses and patients, and make patients actively participate in the treatment of disease.

【學(xué)位授予單位】：湖南師范大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R473.73

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相關(guān)期刊論文 前1條

1 唐京軍;;乳腺癌患者術(shù)后化療生命質(zhì)量的調(diào)查分析[J];中國(guó)現(xiàn)代醫(yī)生;2012年12期

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本文編號(hào)：1380136