【摘要】 目的 探讨Hogan理论下专案护理对乳腺癌合并糖尿病患者术后遵医行为及自我效能的影响。方法 选取江苏省南通市肿瘤医院2020年1月至2022年12月收治的82例乳腺癌合并糖尿病患者，按照随机数字表法将其分为观察组（采用Hogan理论下专案护理）和对照组（采用常规护理），各41例。干预至患者出院3个月后，观察两组遵医行为、自我效能、生命质量情况。结果 干预后，两组遵医行为评分较干预前均升高，且观察组高于对照组，差异有统计学意义（P<0.05）。干预后，两组一般自我效能感量表评分较干预前均升高，且观察组高于对照组（P<0.05）。干预后，两组乳腺癌生活质量测定量表评分较干预前均升高，且观察组高于对照组，差异有统计学意义（P<0.05）。结论 Hogan理论下专案护理能够提高乳腺癌合并糖尿病患者遵医行为与自我效能，改善其生命质量。更多还原

【Abstract】 Objective To explore the influence of specific case nursing under Hogan theory on postoperative compliance behaviors and self-efficacy in patients with breast cancer complicated with diabetes mellitus. Methods A total of 82 patients with breast cancer and diabetes mellitus admitted to Nantong Tumor Hospital were selected from January 2020 to December2022. According to the random number table method, the patients were devided into observation group(specific case nursing under Hogan theory was adopted) and control group(conventional nursing was received), with 41 cases in each group. The patients were intervened until three months after discharge, and the compliance behaviors, self-efficacy, and quality of life were observed in the two groups. Results After intervention, the scores of compliance behavior in both groups were higher than before intervention, and the observation group was higher than the control group, the differences were statistically significant(P<0.05). After intervention, the scores of general self-efficacy scale in both groups were higher than before intervention, and the observation group was higher than the control group, the differences were statistically significant(P<0.05). After intervention, the scores of functional assessment of cancer therapy-breast in both groups were higher than before intervention, and the observation group was higher than the control group, the differences were statistically significant(P<0.05).Conclusion Specific case nursing under Hogan theory can enhance the compliance behaviors and self-efficacy and improve the quality of life in patients with breast cancer complicated with diabetes mellitus.更多还原