摘要

【摘要】
目的 探讨追踪管理模式用于乳腺癌根治术后患者对提高其心理弹性的显著效果。

方法 于2021年1月—2022年8月阶段采集病例展开研究，实施对象为106例乳腺癌根治术后患者，经严格纳排标准后基于“系统抽样法”合理分组，组别对照组与观察组，前一组实行常规护理，后一组开展追踪管理模式，各组纳入数一致为53例；使用专用量表判定负性情绪、心理弹性、自我效能感，以上数据两组对比，利用问卷形式调查患者满意度。

结果 较干预前焦虑抑郁即汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）评估

结果，患者干预后以上评分均明显降低，且观察组更低（P＜0.05）；干预前两组心理弹性量表(CD- RISC)评分比较（P＞0.05），干预后，观察组CD- RISC评分明显高于对照组（P＜0.05）；较干预前自我效能感即自我效能感量表（GSES）评估

结果，患者干预后自我认识、诊疗环境、诊疗时控制感、自信心评分均呈升高趋势，且观察组更高（P＜0.05）；观察组护理满意度明显高于对照组（P＜0.05）。

结论 乳腺癌根治术后患者开展追踪管理模式，不仅有效改善其负性情绪并增强心理弹性，同时提升患者自我效能感，取得满意的干预

结果。

关键词：关键词 追踪管理模式；乳腺癌根治术；心理弹性；自我效能感

ABSTRACT

[Abstract]
Objective To explore the significant effect of tracking management model on improving the psychological resilience of patients after breast cancer radical surgery.

Methods From January 2021 to August 2022, 106 cases of breast cancer patients after radical mastectomy were collected and studied. After strict acceptance criteria, they were reasonably grouped based on the "systematic sampling method". The control group and the observation group were divided into two groups. The former group was given routine care, and the latter group was given follow-up management. The number of patients in each group was 53; A special scale was used to determine negative emotions, psychological resilience and self-efficacy. The above data were compared between the two groups, and patient satisfaction was investigated by questionnaire.

Results Compared with the evaluation results of Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) before the intervention, the above scores of the patients after the intervention were significantly lower, and lower in the observation group (P<0.05); Before the intervention, the scores of CD RISC in the two groups were compared (P>0.05). After the intervention, the scores of CD RISC in the observation group were significantly higher than those in the control group (P<0.05); Compared with the evaluation results of the self-efficacy scale (GSES) before the intervention, the patients' self-awareness, diagnosis and treatment environment, sense of control during diagnosis and treatment, and self-confidence score after the intervention showed an upward trend, and the observation group was higher (P<0.05); Nursing satisfaction in the observation group was significantly higher than that in the control group (P<0.05).

Conclusion   The follow-up management model for breast cancer patients after radical mastectomy can not only effectively improve their negative emotions and enhance their psychological resilience, but also enhance their self-efficacy and achieve satisfactory intervention results.

Key words: Keyword tracking management mode; Radical mastectomy for breast cancer; Psychological resilience; Self efficacy