The application of family-centered empowerment model to the readiness for discharge of postoperative patients with breast cancer
以家庭为中心赋权模式对乳腺癌术后患者出院准备度应用研究

摘要

目的 探究以家庭为中心赋权模式对提升乳腺癌术后患者出院准备度及社会功能的应用效果。方法选取2025年7月-2026年4月在本院乳腺外科收治的140例乳腺癌术后病患，采用随机数字表法分为两组。对照组实施围术期常规护理及出院指导，干预组在对照组基础上实施以家庭为中心赋权模式干预。比较两组出院准备度评分及社会影响。结果 干预前，两组患者出院准备度各维度评分比较（P＞0.05）；干预后，干预组生理状况、疾病知识、出院后应对能力、社会支持各维度评分均高于对照组（P＜0.05）；干预前，两组SIS评分、PSS-Fa量表各维度及总分比较（P＞0.05）；干预后，干预组SIS评分低于对照组，PSS-Fa量表总分及情感支持、物质支持、信息支持、陪伴支持各维度评分均显著高于对照组（P＜0.05）。结论 以家庭为中心赋权模式可有效提升乳腺癌术后患者的出院准备度，减轻疾病带来的社会影响，具有较高的临床推广价值。

Abstract

Objective To explore the application effect of family centered empowerment model on improving the discharge readiness and social function of patients with breast cancer after surgery.
Methods 140 postoperative patients with breast cancer who were admitted to our hospital from July 2025 to April 2026 were selected and divided into two groups by random number table. The control group received routine perioperative care and discharge guidance, while the intervention group received a family centered empowerment model intervention on the basis of the control group. Compare the discharge readiness scores and social impact between two groups.
Results Before intervention, the scores of discharge readiness in each dimension were compared between the two groups of patients (P>0.05); After intervention, the intervention group had higher scores in physiological status, disease knowledge, coping ability after discharge, and social support dimensions than the control group (P<0.05); Before intervention, the SIS scores, PSS Fa scale dimensions, and total scores were compared between the two groups (P>0.05); After intervention, the SIS score of the intervention group was lower than that of the control group, and the total score of the PSS Fa scale and the scores of emotional support, material support, information support, and companionship support dimensions were significantly higher than those of the control group (P<0.05).
Conclusion   The family centered empowerment model can effectively improve the discharge readiness of breast cancer patients after surgery, reduce the social impact of the disease, and has high clinical value.