基于跨理论模型的健康教育对乳腺癌术后病人康复行为的影响

目的:探讨跨理论模型的健康教育对乳腺癌病人术后康复行为的影响.方法:选择2014年8-12月入院符合标准的病人21例为对照组,2015年1-6月入院符合标准的病人23例为观察组.对照组给予常规健康教育,观察组应用跨理论模型的健康教育.应用德国Ludwishafen创伤外科中心设计的臂肩手残疾调查问卷(DASH)、自行设计的康复行为依从性调查问卷分别于术后10天、1个月、3个月对2组病人进行测评.结果:观察组术后1个月、3个月DASH评分均低于对照组(P<0.05和P<0.01),术后3个月依从性总分高于对照组(P<0.05),且随着时间的推移,DASH评分逐渐降低,依从性逐渐升高,差异均有统计学意义(P<0.01).结论:基于跨理论模型健康教育方案,能在一定程度上提高病人康复行为的依从性,促进患侧上肢功能恢复,且随着时间推移,效果更显著.

Effect of health education based on transtheoretical model on the recovery behavior in postoperative patients with breast cancer

Objective:To explore the effects of health education based on transtheoretical model on the recovery behavior in postoperative patients with breast cancer. Methods:Twenty-one standard-compliant patients from August to December 2014, and 23 cases standard-compliant patients from January to June 2015 were divided into the control group and observation group,respectively. The control group and observation group were implemented with routine health education and transtheoretical model health education, respectively. All patients were evaluated using the DASH and self-designed questionnaire after 10 days, 1 month and 3 months of operation. Results:The DASH scores in observation group after 1 month and 3 months of operation were lower than that in control group (P<0. 01 and P<0. 05). The compliance score in observation group after 3 months of operation was higher than that in control group (P<0. 05). With the time going by,the DASH score gradually decreased,the compliance gradually increased,and the differences of statistically significant(P<0. 01). Conclusions:The health education based on transtheoretical model can improve the compliance of the recovery behavior,and promote the upper limb recovery,with the time going by,the effect is more significant.