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首页> 外文学位 >Day surgery and recovery in women with a suspicious breast lesion: Evaluation of a psychoeducational nursing intervention.
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Day surgery and recovery in women with a suspicious breast lesion: Evaluation of a psychoeducational nursing intervention.

机译：患有可疑乳腺病变的妇女的日间手术和康复：心理教育护理干预措施的评估。

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摘要

The study assessed whether a nursing intervention based on self-regulation theory, the Attentional Focus and Symptom Management Intervention (AFSMI), could help women who underwent day surgery for breast cancer to achieve better health outcomes. The sample consisted of 117 patients with breast cancer who were outpatients and undergoing surgery as part of the initial treatment for their cancer. All subjects were interviewed at three different occasions. The subjects were randomized into the experimental group (n=61) or the usual care group (control, n=56). The subjects in the experimental group received the intervention in two sessions, 3-4 days and 10-11 days after surgery. The outcomes were the subjects' symptomatology, emotional distress and functional status. Results showed significant differences between the experimental and control group at post-test on disruption in home management activities, total mood disturbance, confusion and tension scores implying that the intervention was effective in achieving these outcomes. Change scores indicated a moderate level of improvement in the experimental group, as hypothesised, in clinical functional status and emotional distress, the main outcomes of this study. As for symptom management, the intervention had no statistically significant effect on symptoms. However, the results indicate a small clinical effect on mental fatigue, reduced motivation, and affective pain. Findings from the present research have illustrated that a nursing intervention applied during immediate recovery of breast cancer surgery is quite clinically relevant to reduce emotional distress and enhance usual functioning. Self-regulation theory could effectively be used as a guide in the development of effective nursing interventions in clinical practice for patients with cancer undergoing day surgery. Future researcher should consider increasing the dose of the AFSM intervention and evaluating the impact of varying doses on symptom management.
机译：该研究评估了基于自我调节理论，注意焦点和症状管理干预（AFSMI）的护理干预措施是否可以帮助接受乳腺癌日间手术的女性获得更好的健康结果。该样本由117名乳腺癌患者组成，这些患者是门诊病人，正在接受手术作为癌症初始治疗的一部分。在三个不同的场合对所有受试者进行了采访。将受试者随机分为实验组（n = 61）或常规护理组（对照组，n = 56）。实验组的受试者在手术后的3-4天和10-11天的两个疗程中接受了干预。结果是受试者的症状，情绪困扰和功能状态。结果显示，实验组和对照组的家庭管理活动中断，总体情绪障碍，精神错乱和紧张评分测试后存在显着差异，这表明干预措施有效实现了这些结果。变化分数表明，实验组的临床功能状态和情绪困扰是该研究的主要成果，假设有中等程度的改善。至于症状管理，干预措施对症状无统计学意义。但是，结果表明对精神疲劳，动机降低和情感疼痛的临床效果很小。从本研究中发现的结果表明，在乳腺癌手术的立即恢复过程中应用的护理干预在临床上与减少情绪困扰和增强正常功能非常相关。自我调节理论可以有效地指导癌症日间手术患者临床实践中有效护理干预措施的开发。未来的研究人员应考虑增加AFSM干预的剂量，并评估不同剂量对症状治疗的影响。

著录项

  • 作者

    Allard, Nicole.;

  • 作者单位

    University of Toronto (Canada).;

  • 授予单位 University of Toronto (Canada).;
  • 学科 Health Sciences Nursing.; Womens Studies.; Health Sciences Medicine and Surgery.
  • 学位 Ph.D.
  • 年度 2005
  • 页码 239 p.
  • 总页数 239
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 预防医学、卫生学;社会学;
  • 关键词

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