治疗性沟通系统对乳腺癌术后化疗患者生活质量及社会支持度的影响

发布时间：2018-01-04 21:20

本文关键词：治疗性沟通系统对乳腺癌术后化疗患者生活质量及社会支持度的影响　出处：《湖南师范大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的通过实验性研究对住院乳腺癌术后化疗患者进行治疗性沟通系统(therapeutic communication system,TCS)干预,探讨治疗性沟通系统对乳腺癌术后化疗患者生活质量和社会支持度的影响。方法连续收集在解放军第一六三医院住院行乳腺癌根治术并进行化疗的患者104例,将104例乳腺癌术后化疗患者随机分为干预组和对照组,每组患者各为52例。对照组在常规护理基础上进行健康教育,给予临床一般沟通;干预组在此基础上接受连续两周的TCS干预。研究者分别对两组患者在干预前后发放生命质量测量量表及社会支持评定量表,进行资料收集。将所得研究资料用Epidata进行平行双录入,SPSS20.0统计学软件进行分析。对患者一般人口学资料和临床资料用频数、均数、标准差等进行统计学描述;对患者各变量基线水平的比较采用卡方检验、独立样本t检验、pearson相关分析等;影响患者生活质量和社会支持的因素采用单因素方差分析和LSD法多重比较;采用两独立样本t检验对两组患者组间和组内社会支持及生活质量评分进行比较。结果1.干预前,104例乳腺癌术后化疗患者生活质量平均得分为73.72±14.37,处于中等以下水平;社会支持得分为41.49±7.03,低于国内常模,且生活质量得分与社会支持得分呈正相关(r=0.354,p0.01)。2.实施干预前,两组患者各项指标具有可比性。实施治疗性沟通系统干预两周后,干预组在生活质量得分(86.98±12.24)和生理状况(19.90±3.81)、情感状况(13.73±2.30)、功能状况(12.96±4.12)、附加功能(25.71±3.05)四个维度得分均高于对照组,也高于干预前,组间和组内对比结果显示差异有统计学意义(P0.05)。3.干预两周后,干预组在社会支持水平得分(44.67±6.45)和客观支持(9.13±2.21)得分均高于对照组,也高于干预前,组间和组内对比结果表明差异有统计学意义(P0.05)。结论1.乳腺癌术后化疗患者生活质量和社会支持得分处于中等以下水平;2.治疗性沟通系统对乳腺癌术后化疗患者生活质量和社会支持度水平的提高具有正性影响作用;3.治疗性沟通系统优于传统的健康教育,是一种有效的临床干预模式,能促进护患之间的交流和沟通,使患者积极参与疾病治疗。
[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.

【学位授予单位】：湖南师范大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R473.73

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