Effect of support-education on the anxiety, depression and self-efficacy in breast cancer patients during chemotherapy

Abstract

Objective To explore the effect of support-education on the anxiety , depression and self-efficacy in breast cancer patients during chemotherapy .Methods Eighty breast cancer patients with chemotherapy from January 2013 to October 2013, whose standard scores of self-rating anxiety scale （SAS） and the self-rating depression scale （ SDS） were 50-59 points after the first course of chemotherapy , were chosen and randomly divided into the control group and the research group , each with 40 cases.The control group received the routine chemotherapy nursing and psychological care , and the research group received the system intervention of Orem mode of support-education on the basis of the control group .All patients were surveyed by SDS, SAS and general self-efficacy scale （ GSES） next day after the second and third course of chemotherapy , and the data were analyzed .Results After the second course of chemotherapy , the scores of SDS in the control group and the research group were respectively （50.20 ±2.26） and （47.70 ±3.96）, and the scores of SAS were respectively （51.55 ±2.81） and （48.60 ±4.56）, and the scores of GSES were respectively （1.76 ± 0.31） and （2.06 ±0.41）, and the differences were statistically significant （t=8.797, 10.223, 14.585, respectively;P〈0.01）.After the third course of chemotherapy , the scores of SDS in the control group and the research group were respectively （47.50 ±2.32） and （43.65 ±4.44）, and the scores of SAS were respectively （47.55 ±3.39） and （43.05 ±5.62）, and the scores of GSES were respectively （1.85 ±0.34） and （2.27 ± 0.41）, and the differences were statistically significant （ t =10.466, 11.473, 28.283, respectively; P 〈0.01）.Conclusions The nursing model of support-education can increase the patients ’ general self-efficacy, and significantly improve the anxiety and depression in patients , and is worthy of clinical promotion . Key words: Breast cancer Anxiety Depression Self-efficacy Support-education