| Objective:The purpose of this study is to investigate the hospitalization satisfaction of breast cancer patients,to analyze the influential factors of the priority of information needs of breast cancer patients and their differences with family members,to explore the intervention effect of cooperative health education based on IKAP theory on the health literacy,hospital satisfaction and immune function of breast cancer patients and their families,to provide reference and basis for the development of reasonable and effective information support strategies for breast cancer hospitalized patients in the future.Methods:Part 1:216 cases of breast cancer inpatients and their family members in a cancer specialist hospital in Shanxi Province from March to July 2019 were selected as the research objects.The cross-sectional investigation was conducted by using cancer patient satisfaction scale(EORCT IN-PATSAT32),breast cancer information needs questionnaire,and general data questionnaire.The purpose is to understand the satisfaction of breast cancer patients in hospital and the priority of information needs and simultaneously analyze the differences between patients with their families.Part 2:100 breast cancer patients and their family members who were hospital ized in a cancer specialist hospital in Shanxi Province from April to September 2019 were selected as the study objects which were grouped by date of hospitaliza tion.The control group(n=50)received routine health education,while the interventio n group(n=50)participated in collaborative health education activities based on IK AP theory on the basis of the former.Before and after intervention,health literacy scale,inpatient satisfaction scale and blood immune function test index were used as measurement indexes.Excel was used for cross entry of double data and SPSS 23.0 was used for statistical analysis.Main statistical methods:Thurston scaling technique,independent sample t-test,paired sample t-test,?~2test,one-way ANOVA,Multiple linear regression and logistic regression analysis.Results:1.Cross-sectional survey results(1)The hospitalization satisfaction score of breast cancer patients was(81.65±3.64)points,and the scores of each dimension were:doctors’professional skills(85.18±4.33)points,nurses’professional skills(85.47±8.44)points,and doctors’humanistic care(84.08±10.27)Points,nurse humanistic care(88.44±7.77)points,doctor information provision(81.90±5.37)points,nurse information provision(80.79±6.40)points,doctor availability(83.13±7.55)points,nurse availability(84.88±7.49)points,team communication(80.29±9.50)points,hospital convenience(73.55±5.97)points,other staff services(78.01±5.81)points,hospital environment(83.98±8.17)points,waiting time(76.21±9.22)Points,overall evaluation(81.42±6.52)points.(2)A single factor analysis of hospitalization satisfaction for breast cancer patients showed that there were differences in age,education,monthly income,admissions times,pathological type,stage of disease,type of surgery and recurrence(P<0.05).Multiple linear regression analysis showed that age,education,monthly income,stage of disease,type of surgery,and whether recurrence entered the regression equation(P<0.05),explaining 33.2%of the total variation in hospital satisfaction.(3)There is a difference in Z-scores in each dimension of the information needs of breast cancer patients and their families.The difference in the priority of information needs between the patient’s condition dimension,treatment side effect dimension,treatment plan selection dimension,and sexual charm influence dimension(P<0.05).(4)The single factor analysis of breast cancer patients’information needs priority in each dimension shows that the patient’s condition dimension is recurrence,admission times,disease stage,pathological type;family life influence dimension is age,work status,hospital admission frequency,and the disease risk dimension is in tumor family history,Whether there is a daughter,recurrence;home care dimension is statistically significant in terms of age,education,income,disease stage,and pathological classification(P<0.05);There is no statistically significant difference between the healing opportunity dimension and the treatment side effect dimension by single factor analysis(P>0.05);the data of the impact dimension of daily life and sexual charm are less than 10%.The project is not included in the analysis of influencing factors.(5)Multivariate logistic regression analysis of breast cancer patients’information needs priority in various dimensions shows that recurrence,disease stage,and pathological type are protective factors of the patient’s disease dimension(OR<1,P<0.05),and the number of admissions is a risk factor(OR>1.P<0.05);age and working conditions are the protective factors of the family’s life dimension(OR<1,P<0.05),and the number of hospital admissions is the risk factor(OR>1,P<0.05);disease risk dimension The influencing factors are family history of cancer,whether there is a daughter,recurrence,and all are risk factors(OR>1,P<0.05);monthly income is a protective factor for home care dimension(OR<1,P<0.05),Education level and work status are risk factors(OR>1,P<0.05);age,disease stage and pathological classification are protective factors for the choice of treatment options(OR<1,P<0.05),education level and monthly income is a risk factor(OR>1,P<0.05).(6)Family members with different relationship with breast cancer patients are parents and children,spouse,brothers and sisters.There were significant differences in the dimensions of disease progression,treatment side effects,family life impact,family risk,home care,treatment options and sexual Charm(P<0.05).2.Intervention study resultsIn the class experiment study,the research subjects were divided into a control group and an intervention group according to the admission time,of which 49 cases in the control group and 48 cases in the intervention group.It took two weeks for the research subjects to complete all intervention programs.(1)Before the intervention,the health literacy and immune function of the two groups were poor,the difference was not statistically significant(P>0.05).(2)After the intervention,the intervention group’s hospitalization satisfaction score,health literacy score,and immune function were higher than those of the control group,and the differences were statistically significant(P<0.05).(3)Compared with before intervention,the intervention group received health education based on IKAP theory,the levels of health literacy and immune function were higher than before implementation,the difference was statistically significant(P<0.05).Conclusion:1.The level of hospitalization satisfaction of breast cancer patients is low,and there is much room for improvement by medical staff in providing health information guidance to patients.Age,education,monthly income,disease stage,type of surgery,and whether recurrence affect the patient’s hospitalization satisfaction Evaluation.2.There is a big difference in the needs of breast cancer patients and their families for health information.Age,education,monthly income,disease stage,pathological classification,tumor family history,recurrence,and whether there are daughters affect the priority of information needs of patients.3.Cooperating with health education based on IKAP theory can improve patient satisfaction and immune function in the hospital,and also has a certain effect on patients and their families to improve their health literacy. |
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