[摘要] 目的 探讨基于保护动机理论(PMT)的护理干预对根治术后青年乳癌病人病耻感和应对方式的影响。方法 选取120例根治术后青年乳癌病人，按其所在病区分为对照组和干预组。两组病人均给予常规的健康教育及护理，干预组在此基础上实施为期3个月的基于PMT的护理干预。干预前后比较两组病人病耻感及应对方式的评分。结果 与同期对照组相比，干预后干预组病人病耻感评分显著降低，差异有统计学意义(t=9.726，P<0.05);面对应对评分顯著升高，回避应对评分显著降低，差异有统计学意义(t=6.524、4.505，P<0.05)。结论基于PMT的护理干预可显著改善根治术后青年乳癌病人的病耻感，促使其采取积极的疾病应对方式，从而提高青年乳癌病人的生存质量。

    [关键词] 保护动机理论;乳房肿瘤;青年人;手术后期间;护理方法学研究;适应，心理学

    [中图分类号] R472;R737.9 [文献标志码] A [文章编号] 2096-5532(2019)04-0465-04

    [ABSTRACT] Objective To investigate the effect of nursing intervention based on protective motivation theory (PMT) on stigma and coping style in young patients with breast cancer undergoing radical mastectomy. Methods A total of 120 young patients with breast cancer who underwent radical mastectomy were divided into control group and intervention group. The patients in the control group were given routine health education and nursing ......