Effect of Wechat supported diversified feedback guidance on the psychological state of breast cancer patients undergoing postoperative chemotherapy
PU Jialin1 ZHANG Liuliu2 ZHU Fengying1 HUANG Liwen1 ZHU Liting1▲#br#
1.Department of Oncology, Jiangsu Cancer Hospital, Jiangsu Province, Nanjing 210009, China;
2.Department of Nursing, Jiangsu Province, Nanjing 210009, China
Abstract：Objective To explore the effect of Wechat supported diversified feedback guidance on the psychological state of breast cancer patients undergoing postoperative chemotherapy. Methods A total of 110 breast cancer patients who received postoperative chemotherapy in the Department of Oncology, Jiangsu Cancer Hospital from January 2020 to December 2021 were selected as the research objects, according to the random number table method, they were divided into conventional group and feedback guidance group, with 55 cases in each group, the routine group was given routine guidance, while the feedback guidance group was given diversified feedback guidance supported by Wechat. Sense of coherence scale (SOC-13), death anxiety scale (C-T-DAS) and functional assessment of cancer the rapy-breast (FACT-B) were used to evaluate the effect of intervention. Results After intervention, the SOC-13 score of the two groups was higher than that before intervention, and the SOC-13 score of the feedback guidance group was higher than that of the conventional group, and the differences were statistically significant (P ＜ 0.05); the C-T-DAS score of the two groups was lower before intervention, and the C-T-DAS score of the feedback guidance group was lower than thoat of the conventional group, and the differences were statistically significant (P ＜ 0.05). The FACT-B score was higher than that before intervention, and the FACT-B score of the feedback guidance group was higher than that of the conventional group, and the differences were statistically significant (P ＜ 0.05). Conclusion The implementation of Wechat supported diversified feedback guidance for patients after radical mastectomy can significantly improve their sense of psychological coherence, reduce their sense of death anxiety, improve their psychological state and ehance their quality of life.
[1] 闵淑慧，胡依，郭芮绮，等.1990—2019年中国女性乳腺癌疾病负担及变化趋势分析[J].现代预防医学，2021，48（16）：2941-2945，2956.
[2] Cao W，Chen HD，Yu YW，et al. Changing profiles of cancer burden worldwide and in China：a secondary analysis of the global cancer statistics 2020 [J]. Chinese Med J，2021，134（7）：783-791.
[3] 赫捷，陈万青，李霓，等.中国女性乳腺癌筛查与早诊早治指南（2021，北京）[J].中华肿瘤杂志，2021，43（4）：357-382.
[4] 曾毅清，魏清风.不同化疗周期的乳腺癌患者认知功能障碍现状及影响因素研究[J].护理与康复，2021，20（9）：18-21.
[5] 李星凤，李金花，李旭英，等.信息化技术在乳腺癌术后患者上肢功能康复中的应用进展[J].解放军护理杂志，2021，38（3）：49-52.
[6] 徐海萍，陈锐，张海云.手臂输液港技术在770例乳腺癌患者中应用的前瞻性研究[J].中国护理管理，2020，20（12）：1864-1868.
[7] 中国临床肿瘤学会（CSCO）.乳腺癌诊疗指南 2021[M].北京：人民卫生出版社，2021：9-14.
[8] Antonovsky A . The structure and properties of the sense of coherence scale [J]. Soc Sci Med，1993，36（6）：725-733.
[9] 包蕾萍，刘俊升.心理一致感量表（SOC-13）中文版的修订[J].中国临床心理学杂志，2005，13（4）：399-401.
[10] 陈丽，毛雄辉，李红贺，等.癌症患者主要照顾者的心理一致感现状及影响因素分析[J].中华现代护理杂志，2021，27（5）：664-668.
[11] Templer DI. The construction and validation of a Death Anxiety Scale [J]. J Gen Psych，1970，82（2）：165-177.
[12] Anise MS，Tang CSK，Kwok TCY. Death anxiety among Chinese elderly people in Hong Kong [J]. J Aging Health，2002，14（1）：42-56.
[13] 杨红.死亡焦虑量表的跨文化调适宜及其应用的研究[D].北京：北京中医药大学，2011.
[14] Selby PJ，Chapman JA，Etazadi-Amoli J，et al. The development of a method for assessing the quality of life of cancer patients [J]. Br J Cancer，1984，50（1）：13-22.
[15] Brady MJ，Cella DF，Mo F，et al. Reliability and validity of the Functional Assessment of Cancer Therapy-Breast quality-of-life instrument [J]. J Clin Oncol，1997，15（3）：974-986.
[16] 万崇华，张冬梅，汤学良，等.乳腺癌患者生命质量测定量表（FACT-B）中文版的修订[J].中国心理卫生杂志，2003，17（5）：298-300.
[17] 郑红丽.高龄经产妇孕期健康促进行为与家庭功能、心理一致感的关系研究[J].护理管理杂志，2020，20（1）：1-6.
[18] 吴丽，赵方方，彭梦云，等.老年患者心理一致感现状及影响因素研究进展[J].中国老年学杂志，2021，41（3）：662-665.
[19] 葛刘娜，章新琼，吴小婷，等.食管癌患者心理一致感的现状及影响因素分析[J].广东医学，2019，40（6）：799-804.
[20] 窦婉君，李惠萍，杨娅娟，等.农村乳腺癌患者化疗期心理一致感的相关因素[J].中国心理卫生杂志，2016，（2）：91-96.
[21] 赵玉桃，成雪芹，徐燕华，等.乳腺癌患者应对方式、心理一致感对自我感受负担的影响[J].中华现代护理杂志，2018，24（26）：3124-3129.
[22] 周雨禾，庞英，韩鑫坤，等.年轻女性进展期乳腺癌患者的死亡焦虑及相关因素[J].中国心理卫生杂志，2020， 34（11）：891-897.
[23] 庞梦娅，郭丝锦.基于微信平台的延伸护理对乳腺癌化疗患者输液港相关知识及维护依从性的影响[J].贵州医药，2021，45（1）：168-169.
[24] 余纯，于海燕，刘入瑶，等.基于“互联网平台+微信群”在乳腺癌手术患者全程管理中的应用[J].实用医院临床杂志，2021，18（2）：67-70.
[25] 焦卉，郭检生，陈丽，等.机构养老老年人死亡焦虑及影响因素的研究[J].护理研究，2019，33（21）：3776-3779.
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