共情沟通联合健康教育互动模式对乳腺癌术后患者应激反应及遵医行为的影响OA
Influence of empathy communication combined with health education interaction model on stress response and compliance behaviors in patients after breast cancer surgery
目的:探讨共情沟通联合健康教育互动模式对乳腺癌(BC)术后患者应激反应及遵医行为的影响.方法:纳入2022年1月—2024年12月收治的88例BC术后患者,分为对照组(n=44,常规护理)和观察组(n=44,在常规护理基础上实施共情沟通联合健康教育互动模式).比较两组干预前后生理应激指标、心理应激评分、生活质量评分、遵医行为及满意度.结果:干预后,观察组收缩压(SBP)、舒张压(DBP)、心率(HR)低于对照组(t=-2.140,-2.315,-2.149;P＜0.05),差异有统计学意义.干预后,观察组Connor-Davidson韧性量表(CD-RISC)评分高于对照组,抑郁自评量表(SDS)、自动化思维问卷(ATQ)评分低于对照组(t=2.712,-2.479,-2.487;P＜0.05),差异有统计学意义.干预后,观察组生活质量各维度评分及总分高于对照组(t=3.498,2.747,6.891,2.365,2.275;P＜0.05),差异有统计学意义.观察组按时吃药、按时复诊、按时锻炼、合理饮食、遵医行为总依从率均高于对照组(x2=4.166,10.909,10.233,6.669,6.233;P＜0.05),差异有统计学意义.观察组满意度评分高于对照组(t=3.354,P＜0.05),差异有统计学意义.结论:共情沟通联合健康教育互动模式可有效减轻BC术后患者的生理及心理应激反应,提高生活质量和遵医行为依从性.
Objective:To explore the influence of combination of empathy communication and health education in-teraction model on stress response and compliance behaviors in patients after breast cancer(BC)surgery.Methods:A total of 88 patients after BC surgery were included from January 2022 to December 2024,and were classified into control group(n=44,routine nursing)and observation group(n=44,empathy communication combined with health education interaction model on the basis of routine nursing).The physiological stress indexes,psychological stress scores,quality of life scores,compliance behaviors and satisfaction were compared between both groups before and after intervention.Results:After intervention,the systolic blood pressure(SBP),diastolic blood pressure(DBP)and heart rate(HR)in the observation group were lower than those in the control group(t=-2.140,-2.315,-2.149;P＜0.05).The score of Connor-Davidson Resilience Scale(CD-RISC)in the observation group after intervention was higher while the scores of Self-rating Depression Scale(SDS)and Automated Thinking Questionnaire(ATQ)were lower compared to the control group(t=2.712,-2.479,-2.487;P＜0.05).The scores of dimensions and total score of quality of life were higher in the observation group after intervention(t=3.498,2.747,6.891,2.365,2.275;P＜0.05).The compliance rates of taking medicine on time,return visit on time,exercise on time and reasonable diet and total compliance rate of compliance behaviors in the observation group were higher compared with those in the control group(x2=4.166,10.909,10.233,6.669,6.233;P＜0.05).The observation group had a higher satisfaction score(t=3.354,P＜0.05).Conclusion:Empathy communication combined with health education interaction model can effec-tively relieve the physiological and psychological stress responses in patients after BC surgery,and enhance the quali-ty of life and compliance behaviors.
李莹莹;马佳敏;王妤;许欢欢;孙满红
郑州大学第二附属医院乳腺外科 450002郑州大学第二附属医院乳腺外科 450002郑州大学第二附属医院乳腺外科 450002郑州大学第二附属医院乳腺外科 450002郑州大学第二附属医院乳腺外科 450002
医药卫生
乳腺癌共情沟通健康教育应激反应遵医行为
Breast cancerEmpathy communicationHealth educationStress responseCompliance behaviors
《中国健康心理学杂志》 2026 (9)
1312-1316,5
2024年度河南省医学科技攻关计划项目(编号:LHGJ20240323)
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