【摘要】 目的 探讨乳腺癌根治术后患者实施知信行模式下的多感觉训练护理+共情护理的临床价值，着重评估对知信行评分、生存质量的改善效果。方法 选取2023年1月至12月南通市第三人民医院收治的100例乳腺癌根治术后患者作为研究对象，采用随机数字表法将其分为对照组和观察组，每组各50例。对照组采用常规护理，观察组采用知信行模式下的多感觉训练护理+共情护理。比较两组的知信行评分、负性情绪、应对方式、生命质量、患者满意度。结果 干预后两组的抑郁-焦虑-压力自评量表（DASS）评分低于本组干预前，且观察组干预后的DASS评分低于对照组，差异有统计学意义（P<0.05）。干预后两组的认知、态度、行为评分高于本组干预前，且观察组干预后的认知、态度、行为评分高于对照组，差异有统计学意义（P<0.05）。干预后两组的医学应对方式（MCMQ）中面对评分高于本组干预前，且观察组干预后的评分高于对照组，差异有统计学意义（P<0.05）。干预后两组的MCMQ中回避和屈服评分低于本组干预前，且观察组干预后评分低于对照组，差异有统计学意义（P<0.05）。干预后两组的癌症治疗功能评估-乳腺癌量表（FACT-B）各维度评分高于本组干预前，且观察组干预后的FACT-B各维度评分高于对照组，差异有统计学意义（P<0.05）。观察组的患者总满意度高于对照组，差异有统计学意义（P<0.05）。结论 乳腺癌根治术后患者实施知信行模式下的多感觉训练护理+共情护理，可以有效提高患者的知信行水平，不仅有利于改善负性情绪、转变对应方式，且促使其生存质量显著提升，取得满意的干预效果。更多还原

【Abstract】 Objective To explore the clinical value of multi-sensory training nursing+empathy nursing under knowledge,belief and practice mode for breast cancer patients after radical mastectomy, and focus on evaluating the improvement effect of knowledge, belief and practice score and quality of life. Methods A total of 100 patients after radical mastectomy for breast cancer in the Third People’s Hospital of Nantong from January to December 2023 were selected as the research subjects. They were divided into the control group and the observation group by random number table method, with 50 cases in each group. The control group received conventional nursing care, the observation group received multi-sensory training nursing+empathy nursing under knowledge, belief and practice mode. The scores of knowledge, attitude and practice,negative emotions, coping styles, quality of life and patient satisfaction of the two groups were compared. Results After the intervention, the depression anxiety stress scale(DASS) scores of both groups were lower than those before the intervention,and the DASS score of the observation group after the intervention was lower than that of the control group, with statistically significant differences(P<0.05). After the intervention, the scores of cognition, attitude and behavior in both groups were higher than those before the intervention, and the scores of cognition, attitude and behavior in the observation group after the intervention were higher than those in the control group, with statistically significant differences(P<0.05). After the intervention, the scores of the medical coping modes questionnaire(MCMQ) in both groups were higher than those before the intervention, and the score of the observation group after the intervention was higher than that of the control group, with statistically significant differences(P<0.05). After the intervention, the avoidance and submission scores in MCMQ of both groups were lower than those before the intervention,and the score of the observation group after the intervention was lower than that of the control group, with statistically significant differences(P<0.05). After the intervention, the scores of each dimension of the functional assessment of cancer therapy-breast(FACT-B) in both groups were higher than those before the intervention, and the scores of each dimension of FACT-B in the observation group after the intervention were higher than those in the control group, with statistically significant differences(P<0.05). The total satisfaction of the observation group was higher than that of the control group, the difference was statistically significant(P<0.05). Conclusion The implementation of multi-sensory training nursing+empathy nursing under knowledge, belief and practice mode in patients after radical surgery for breast cancer can effectively improve the level of knowledge, belief and practice of patients, which is not only conducive to negative emotions, changing coping styles, promoting their quality of life to significantly improve, and achieving satisfactory intervention effects.更多还原