The effects of health belief model system education on lymphedema incidence and quality of life in post-operation breast cancer patients / 中华行为医学与脑科学杂志

ABSTRACT

ObjectiveTo explore the effects of health belief mode1 system nursing education on lymphedema risk-reduction behavior,incidence and quality of life in post-operation breast cancer patients.MethodsA total of 225 patients who were underwent surgery by inclusion criteria and then were randomly divided into the intervention group ( n =109 ) and the control group ( n =106 ).The control group was given routine education,while the intervention group was given health belief model system education in addition routine education.Patients were followed up for at least 12 months,and the implementation of lymphedema risk-reduction behavior,quality of life,and the incidence of lymphedema of two groups were compared.ResultsThe implementation of lymphedema risk-reduction behavior were higher in intervention group than that in control group with statistically significantly difference(P ＜ 0.05 ).The incidence of lymphedema was 16.5％ in intervention group,37.7％ in control group,the difference was significantly in two groups.Scores for general quality of life (107.81 ± 10.10),emotional well-being ( 19.72 ± 3.74 ),functional well-being( 18.58 ± 3.34 ),social/family well-being( 21.85 ± 3.69 ),concerns specific to breast cancer patients(24.47 ± 3.59) were higher in intervention group than those in control group( ( 101.07 ±10.54),(18.48 ± 3.63),(14.79 ± 3.22),(20.39 ± 4.82),(23.10 ± 4.78)) (P ＜ 0.05).Conclusion Health belief model system nursing intervention can improve the implementation of lymphedema risk-reduction behavior,decrease the incidence of lymphedema and increase long-term quality of life of the breast cancer patients.