基于微信群的同伴教育对乳腺癌化疗患者疾病不确定感的影响
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摘要
目的:研究基于微信群的同伴教育对乳腺癌化疗患者疾病不确定感的影响。方法:将2016年8月至2017年12月在某院普通外科住院的乳腺癌初次化疗患者按住院时间顺序分为对照组和实验组,52例对照组患者接受常规健康教育,50例实验组患者在常规健康教育的基础上接受基于微信群的同伴教育,干预时间为从初次化疗至第三次化疗。干预前和干预后采用中文版Mishel疾病不确定量表评估患者疾病不确定感,比较两组患者疾病不确定感得分差异。结果:干预前两组患者疾病不确定感得分无明显差异(P>0.05),接受基于微信群的同伴教育后,实验组患者疾病不确定感得分明显低于对照组(P<0.05)。结论:基于微信群的同伴教育对降低乳腺癌化疗患者的疾病不确定感有积极作用。
Objective: To study the influence of peer education based on WeChat group on uncertainty in illness of patients with breast cancer accepting chemotherapy. Methods: Patients with breast cancer accepting first chemotherapy from general surgery of People's Hospital of Daxing District from August 2016 to December 2017 were divided into experimental group and control group according to admission time. 52 patients from control group received routine health education, while50 patients from experimental group received routine health education and peer education based on WeChat group from first chemotherapy to third Chemotherapy. Chinese version of Mishel Uncertainty in Illness Scale(MUIS) was used to evaluate the difference of uncertainty in illness between the two groups before and after intervention. Results: There was no statistical difference between the MUIS scores of the two groups before intervention(P>0.05). After accepting peer education based on We Chat group, the score of MUIS in experimental group was significantly lower than control group(P<0.05). Conclusion:We Chat based peer education is useful in helping reduce the uncertainty in illness of patients with breast cancer accepting chemotherapy.
Objective: To study the influence of peer education based on WeChat group on uncertainty in illness of patients with breast cancer accepting chemotherapy. Methods: Patients with breast cancer accepting first chemotherapy from general surgery of People's Hospital of Daxing District from August 2016 to December 2017 were divided into experimental group and control group according to admission time. 52 patients from control group received routine health education, while50 patients from experimental group received routine health education and peer education based on WeChat group from first chemotherapy to third Chemotherapy. Chinese version of Mishel Uncertainty in Illness Scale(MUIS) was used to evaluate the difference of uncertainty in illness between the two groups before and after intervention. Results: There was no statistical difference between the MUIS scores of the two groups before intervention(P>0.05). After accepting peer education based on We Chat group, the score of MUIS in experimental group was significantly lower than control group(P<0.05). Conclusion:We Chat based peer education is useful in helping reduce the uncertainty in illness of patients with breast cancer accepting chemotherapy.
引文
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[3]王修,陈健,李玉权,等.乳腺癌患者自我效能影响因素研究进展.国际护理学杂志,2018,37(10):1437-1440.Wang X,Chen J,Li YQ,et al.Research progress on influencing factors of self-efficacy in breast cancer patients.International Journal of Nursing,2018,37(10):1437-1440.
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[5]王作振,闫宝华,王克莉.同伴教育及其研究现状.中国健康教育,2004,20(5):429-430.Wang ZZ,Yan BH,Wang KL.Peer education and relevant researches.Chinese Journal of Health,2004,20(5):429-430.
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[8]许淑莲,黄秀梨.Mishel疾病不确定感量表之中文版测试.护理研究(台湾),1996,4(1):59-68.Xu SL,Huang XL.Validation of Chinese version of the Mishel's uncertainty in illness scale.Nursing research,1996,4(1):59-68.
[9]叶增杰,佘颖,梁木子,等.中文版Mishel疾病不确定感量表的重新修订及其在中国恶性肿瘤患者中的信效度检验.中国全科医学,2018,21(9):1091-1097.Ye ZJ,She Y,Liang MZ,et al.Revised Chinese version of Mishel uncertainty in illness scale:development,reliability and validity.Chinese General Practice,2018,21(9):1091-1097.
[10]邓露,李乐之.肺癌患者疾病不确定感与焦虑抑郁的相关性分析.护理学报,2008,15(11):79-81.Deng L,Li LZ.The correlations between the uncertainty about diseases and anxiety,depression in lung cancer patients.Journal of Nursing(China),2008,15(11):79-81.
[11]房丽华.护理干预对乳腺癌患者疾病不确定感及社会支持的影响分析.中国伤残医学,2016,24(4):147-148.Fang LH.Effect of nursing intervention on disease uncertainty and social support in patients with breast cancer.Chinese Journal of Trauma and Disability Medicine,2016,24(4):147-148.
[12]洪震,许勤.乳腺癌化疗患者疾病不确定感与疾病知识认知水平的相关性研究.护理实践与研究,2011,8(16):1-4.Hong Z,Xu Q.Study on the correlation between uncertainty in illness and cognitive level of breast cancer and chemotherapy-related knowledge in breast cancer patients undergoing chemotherapy.Nursing Practice and Research,2011,8(16):1-4.
[13]温杏花.乳腺癌化疗患者疾病不确定感状况及影响因素研究.中外医学研究,2014,12(5):74-75.Wen XH.Study on illness uncertainty state and its influence factors in breast cancer patients undergoing chemotherapy.Chinese and Foreign Medical Research,2014,12(5):74-75.
[14]陶静,罗丽,徐蓉.同伴教育法在青少年糖尿病患者健康管理中应用观察.护理学报,2010,17(6):7-9.Tao J,Luo L,Xu R.Application of peer education in health management for teenagers with diabetes mellitus.Journal of Nursing(China),2010,17(6):7-9.
[15]牛林艳,黄金.同伴教育在糖尿病健康教育中的应用现状.中华护理杂志,2014,49(1):79-82.Niu LY,Huang J.Application status of peer education in diabetes health education.Chinese Journal of Nursing,2014,49(1):79-82.
[16]付本翠,伍金花,李慧,等.同伴教育对乳腺癌术后化疗病人生存质量的影响.护理研究,2015,29(10):3639-3641.Fu BC,Wu JH,Li H,et al.Influence of peer education on quality of life of breast cancer patients receiving postoperative chemotherapy.Chinese Nursing Research,2015,29(10):3639-3641.
[2]Mishel MH.Perceived uncertainty and stress in illness.Research in Nursing&Health,1984,7(3):163-171.
[3]王修,陈健,李玉权,等.乳腺癌患者自我效能影响因素研究进展.国际护理学杂志,2018,37(10):1437-1440.Wang X,Chen J,Li YQ,et al.Research progress on influencing factors of self-efficacy in breast cancer patients.International Journal of Nursing,2018,37(10):1437-1440.
[4]曾苑香,朱文英,刘燕.护理干预在不确定感乳腺癌患者中的临床观察.中国医学创新,2012,9(9):53-54.Zeng YX,Zhu WY,Liu Y.Clinical observation of nursing intervention in patients with breast cancer with uncertainty.Medical Innovation of China,2012,9(9):53-54.
[5]王作振,闫宝华,王克莉.同伴教育及其研究现状.中国健康教育,2004,20(5):429-430.Wang ZZ,Yan BH,Wang KL.Peer education and relevant researches.Chinese Journal of Health,2004,20(5):429-430.
[6]韩明辉,李来有,宿桂霞,等.同伴教育在慢性病患者中应用的研究进展.护理实践与研究,2018,15(3):29-31.Han MH,Li LY,Su GX,et al.Advances in the application of peer education in patients with chronic diseases.Nursing Practice and Research,2018,15(3):29-31.
[7]黄群爱,练荣丽,钟美浓,等.同伴教育在提高乳腺癌化疗病人生活质量中的应用.全科护理,2016,14(3):229-231.Huang QA,Lian RL,Zhong MN,et al.Research of effect on peer education to enhance life quality in patients of breast cancer undergoing chemotherapy.Chinese General Practice Nursing,2016,14(3):229-231.
[8]许淑莲,黄秀梨.Mishel疾病不确定感量表之中文版测试.护理研究(台湾),1996,4(1):59-68.Xu SL,Huang XL.Validation of Chinese version of the Mishel's uncertainty in illness scale.Nursing research,1996,4(1):59-68.
[9]叶增杰,佘颖,梁木子,等.中文版Mishel疾病不确定感量表的重新修订及其在中国恶性肿瘤患者中的信效度检验.中国全科医学,2018,21(9):1091-1097.Ye ZJ,She Y,Liang MZ,et al.Revised Chinese version of Mishel uncertainty in illness scale:development,reliability and validity.Chinese General Practice,2018,21(9):1091-1097.
[10]邓露,李乐之.肺癌患者疾病不确定感与焦虑抑郁的相关性分析.护理学报,2008,15(11):79-81.Deng L,Li LZ.The correlations between the uncertainty about diseases and anxiety,depression in lung cancer patients.Journal of Nursing(China),2008,15(11):79-81.
[11]房丽华.护理干预对乳腺癌患者疾病不确定感及社会支持的影响分析.中国伤残医学,2016,24(4):147-148.Fang LH.Effect of nursing intervention on disease uncertainty and social support in patients with breast cancer.Chinese Journal of Trauma and Disability Medicine,2016,24(4):147-148.
[12]洪震,许勤.乳腺癌化疗患者疾病不确定感与疾病知识认知水平的相关性研究.护理实践与研究,2011,8(16):1-4.Hong Z,Xu Q.Study on the correlation between uncertainty in illness and cognitive level of breast cancer and chemotherapy-related knowledge in breast cancer patients undergoing chemotherapy.Nursing Practice and Research,2011,8(16):1-4.
[13]温杏花.乳腺癌化疗患者疾病不确定感状况及影响因素研究.中外医学研究,2014,12(5):74-75.Wen XH.Study on illness uncertainty state and its influence factors in breast cancer patients undergoing chemotherapy.Chinese and Foreign Medical Research,2014,12(5):74-75.
[14]陶静,罗丽,徐蓉.同伴教育法在青少年糖尿病患者健康管理中应用观察.护理学报,2010,17(6):7-9.Tao J,Luo L,Xu R.Application of peer education in health management for teenagers with diabetes mellitus.Journal of Nursing(China),2010,17(6):7-9.
[15]牛林艳,黄金.同伴教育在糖尿病健康教育中的应用现状.中华护理杂志,2014,49(1):79-82.Niu LY,Huang J.Application status of peer education in diabetes health education.Chinese Journal of Nursing,2014,49(1):79-82.
[16]付本翠,伍金花,李慧,等.同伴教育对乳腺癌术后化疗病人生存质量的影响.护理研究,2015,29(10):3639-3641.Fu BC,Wu JH,Li H,et al.Influence of peer education on quality of life of breast cancer patients receiving postoperative chemotherapy.Chinese Nursing Research,2015,29(10):3639-3641.