关键词: SHARE沟通；病情告知；乳腺癌；负性情绪；心理弹性

Abstract: Objective: To explore and optimize the communication strategy for informing patients with breast cancer condition by using the SHARE communication model. Methods: The 114 breast cancer patients, admitted in January and February of 2019, were randomly divided into the experimental group (n=58) and the control group (n=56). In the experimental group, the SHARE communication model was used to inform the patients about their cancer condition. In the control group, the general notification method was adopted. The anxiety, depression, awareness and psychological resilience of the two groups were compared at discharge. Results: The anxiety score of the experimental group at discharge was 5.24±1.64. Depression score was 5.91±1.82. The degree of disease awareness were completely informed 67.24%, partial informed 32.76%, uninformed 0. Total psychological elasticity score was 66.43±6.73. The anxiety score of the control group at discharge was 10.30±2.79. The depression score was 9.67±2.89. The degree of disease awareness were completely informed 46.43%, partially informed 50.00%, uninformed 3.57%. Total psychological elasticity score was 54.80±6.46. There were significant differences in anxiety, depression, awareness and psychological resilience between the two groups at discharge (P<0.05). Conclusion: The new strategy with SHARE communication model was safe and effective. It can help patients fully understand the cancer condition, reduce patients' negative emotions and improve their psychological resilience level, so as to gradually establish a mature psychological defense mechanisms and positive coping styles.

Key words: SHARE communication; condition notification; breast cancer; negative emotion; psychological elasticity