2017 年第 2 期 第 15 卷

家属同步健康教育对提高乳腺癌术后患者自我效能和功能锻炼依从性的影响

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关键词：家属健康教育乳腺癌自我效能功能锻炼依从性

• 摘要：
• 【摘要】目的 探讨家属同步健康教育对乳腺癌患者术后自我效能、功能锻炼依从性的影响作用。方法 选取2014年1月至2015年10月在我院实施乳腺癌根治术治疗的患者120例，采用随机数字表法分为同步组、非同步组各60例，两组患者术后均给予患者功能锻炼指导及健康教育，同步组同时对患者的家属也给予健康教育，对两组患者进行3个月随访，观察两组患者的自我效能、上肢功能锻炼依从性、肩关节功能恢复情况。结果 出院3个月后，同步组的锻炼依从率93.33%高于非同步组的78.33%，差异具有统计学意义（P<0.05），同步组的GSES评分高于非同步组的，差异具有统计学意义（P<0.05），同步组的疼痛程度、日常生活动能力、主动活动范围、肌力评分均高于非同步组的，差异具有统计学意义（P<0.05）。 结论 家属同步健康教育对乳腺癌患者术后自我效能、功能锻炼依从性具有积极的促进作用。
• Objective To explore the effect of family members' health education on self efficacy and functional exercise compliance of patients with breast cancer after operation. Methods 120 patients were selected from January 2014 to October 2015 in our hospital implementation of radical mastectomy for breast cancer treatment, were randomly divided into synchronous group and non synchronous group 60 cases, two groups of patients were treated with functional exercise guidance and health education, while patients with synchronous group home is also given for health education. 3 months of follow-up of two groups of patients, observe two groups of patients with upper limb functional exercise self-efficacy, compliance, shoulder joint function recovery.Results 3 months after discharge, the synchronous group exercise compliance rate of 93.33% higher than that of non synchronous group 78.33%, the difference was statistically significant (P<0.05), the GSES group was higher than that of non synchronous synchronous group, the difference was statistically significant (P<0.05), the degree of pain, the synchronous group daily life capability, active range of motion and muscle strength score were higher than those of non synchronous group, the difference was statistically significant (P<0.05). Conclusion Family health education has positive effect on self efficacy and functional exercise compliance of patients with breast cancer after operation.