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目的 探讨身心社灵四位一体护理模式对乳腺癌患者康复期生存质量的影响.方法 将100例乳腺癌康复期患者随机分为干预组和对照组各50例.对照组行常规护理;干预组由经过专门培训的护士对乳腺癌康复期患者实行身心社灵四位一体护理模式,对患者本人及家属进行系统的心理疏导、康复知识健康教育及认知行为干预.于干预前和干预3个月后采用生存质量FACT调查问卷对患者术后的生存质量进行调查.结果 干预3个月后干预组生存质量评分显著高于对照组.结论 对乳腺癌术后患者加强有针对性和个性化的身心社灵四位一体全人护理模式,可明显改善患者的生存质量,有助于提高其身心健康和缓解抑郁的心理反应.

Objective To investigate the effect of four integrated care model of physical,mental,social and spirit on the quality of life of patients with breast cancer.Methods 100 cases of postoperative breast cancer patients were randomly divided into the intervention group and the control group with 50 cases in each.The control group received routine nursing care; the intervention group was given four integrated care model of physical,mental,social and spirit by specialized trained nurses,including systematic psychological counseling,rehabilitation knowledge of health education and behavior intervention on the patients themselves and their family members.Before intervention and 3 months after the intervention,the quality of life of patients after operation was surveyed by the FACT quality of life questionnaire.Results 3 months after the intervention the quality of life score of the intervention group was significantly higher than that of the control group.Conclusions To strengthen postoperative patients of breast cancer with targeted and personalized four integrated care model of physical,mental,social and spirit,can significantly improve the quality of life of patients,help to improve their physical and mental health and alleviate psychological reaction of depression.