Case Control Study
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 26, 2020; 8(4): 689-699
Published online Feb 26, 2020. doi: 10.12998/wjcc.v8.i4.689
Application of positive behavior management in patients after breast cancer surgery
Ying-Jie Hao, Hui-Bo Sun, Hong-Wei Li, Bing-Jie Chen, Xiu-Li Chen, Lin Ma, Ying-Li Li
Ying-Jie Hao, Hui-Bo Sun, Hong-Wei Li, Department of Breast Surgery, the Third Affiliated Hospital of Qiqihar Medical University, Qiqihar 161000, Heilongjiang Province, China
Bing-Jie Chen, Xiu-Li Chen, Lin Ma, Department of Nursing, the Third Affiliated Hospital of Qiqihar Medical University, Qiqihar 161000, Heilongjiang Province, China
Ying-Li Li, Department of Otolaryngology, the Third Affiliated Hospital of Qiqihar Medical University, Qiqihar 161000, Heilongjiang Province, China
Author contributions: Hao YJ, Sun HB, Li HW, Chen BJ, Chen XL, and Ma L designed this work, collected and interpreted the data, and drafted the manuscript; Li YL designed this work, critically revised the manuscript, and performed overall supervision; All authors contributed to the final approval and accountability for the manuscript.
Institutional review board statement: This study was reviewed and approved by the Third Affiliated Hospital of Qiqihar Medical University Institutional Review Board Committee.
Informed consent statement: All patients gave informed consent.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE statement checklist, and the manuscript was prepared and revised according to the STROBE statement checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Ying-Li Li, BMed, Chief Nurse, Department of Otolaryngology, the Third Affiliated Hospital of Qiqihar Medical University, 27 Taishun Street, Qiqihar 161000, Heilongjiang Province, China. haoyingjie816@126.com
Received: September 29, 2019
Peer-review started: September 29, 2019
First decision: November 21, 2019
Revised: December 26, 2019
Accepted: January 15, 2020
Article in press: January 15, 2020
Published online: February 26, 2020
Processing time: 150 Days and 6.4 Hours
Abstract
BACKGROUND

As a radical treatment, breast cancer surgery has a positive psychological impact on most patients. However, some patients do not have a clear understanding of the disease, which requires a more scientific and comprehensive consideration during clinical intervention and are based on cognition. The positive behavior management model is based on this kind of background-derived new interventions, which can better serve the clinical rehabilitation process of patients. The positive behavior management model based on cognitive architecture is a new type of intervention derived from this background, which can better serve the clinical rehabilitation process of patients.

AIM

To analyze the influence of a positive behavior management model based on cognitive framework on the degree of hope and self-efficacy of patients with breast cancer surgery.

METHODS

Eighty-four patients with breast cancer who underwent surgical treatment in our hospital from August 2016 to December 2018 were included in the study. The patients were divided into the experimental group (n = 42) and control group (n = 42) by random number table grouping. The control group received traditional nursing intervention, while the experimental group received a positive behavior management model based on cognitive framework based on the traditional intervention of the control group. General Self-efficacy Scale, Herth Hope Scale, Self-Rating Anxiety Scale, Self-Rating Depression Scale and Cancer Patient Specific Scale were used to evaluate the two groups before and 1 wk after intervention.

RESULTS

After the intervention, self-efficacy and hope level of the experimental group were significantly higher than those of the control group (P < 0.05). The Self-Rating Anxiety Scale and Self-Rating Depression Scale scores in the experimental group were significantly lower than those in the control group (P < 0.05). There was no significant difference in the quality of life scores between the two groups before intervention (P > 0.05). The quality of life scores in all aspects in the experimental group after intervention were significantly higher than those in the control group (P < 0.05).

CONCLUSION

The positive behavior management model based on cognitive framework applied to patients with breast cancer surgery improved hope for treatment and self-efficacy, reduced negative emotion, and improved quality of life.

Keywords: Breast cancer; Cognitive intervention; Degree of hope; Self-efficacy; Negative emotions; Quality of life

Core tip: Breast cancer is a common malignant cancer, with a short estimated survival time. With the popularization of physical examination in China, the detection rate of breast cancer has increased annually, which has caused concern to medical personnel. The positive behavior management model based on cognitive framework applies to patients with breast cancer surgery with improved hope for treatment and self-efficacy. It uses multidimensional nursing methods to reverse the patient’s past misconceptions, thereby achieving physical and mental comfort and providing preconditions for the disease to return in a benign direction, ensuring that patients are integrated and ultimately improving quality of life.