Application of cross-theoretical model combined with family empowerment theory in postoperative functional exercise of patients with breast cancer

Abstract

Objective To explore the application of cross-theoretical model and family empowerment theory in functional exercise of postoperative patients with breast cancer, and to provide theoretical basis for clinical nursing intervention. Methods A total of 90 patients who underwent radical mastectomy in the First Affiliated Hospital of Air Force Military Medical University from January to October 2018 were selected for the study. A total of 45 patients admitted to the hospital from January to May 2018 were assigned into the control group, and 45 patients admitted to the hospital from June to October 2018 were put into the observation group. Patients in the control group were treated with conventional breast cancer surgery, and the benefits and methods of functional exercise were informed. Patients in the observation group were treated with a family empowerment program in conjunction with interventions based on the cross-theoretical model. The effect of the intervention was evaluated using the Positive Aspects of Caregiving and the Anxiety Self-Assessment Scale. Results There was significant statistical difference in the change stage between the two groups after the intervention (P<0.05) , the average daily exercise time of the observation group was longer than that of the control group, and the difference was statistically significant (P<0.05) . After intervention, the total score and dimension scores of Positive Aspects of Caregiving in the observation group were higher than those of the control group with statistical significances (P<0.05) . The scores of Self-rating Anxiety Scale in the observation group was lower than those in the control group after the intervention with statistical significance (P<0.05) . Conclusions The cross-theoretical model combined with family empowerment theory can improve the breast cancer patients' compliance of functional exercises, reduce their anxiety levels, and improve the positive feelings of caregivers. Key words: Breast neoplasms; Anxiety; Caregiver; Cross-theoretical model; Family empowerment theory; Positive feeling