摘要
目的探讨随访教育在宫颈癌三级预防(康复性预防)中对改善患者生存质量的指导作用。方法选择150例已出院的宫颈癌患者,按出院序号随机分为研究组和对照组(每组75例)并建立随访档案。研究组:从身体功能、躯体症状、心理状态、社会功能、经济状况、健康总评价及性生活状况7个方面进行每月一次的电话随访及指导;并通过每3个月专家复诊,填写由欧洲癌症研究与治疗组织(EORTC)研制的生活质量核心量表(QLQ-C30)进行生活质量测量和评价,结合评价结果实施随访教育。对照组:行常规随访。分别于出院前及出院后第12个月对2组患者进行生活质量评分。结果出院后第12个月生活质量总分,研究组和对照组分别为:84.7±8.33、73.16±10.26,2组比较差异有统计学意义(P<0.01),表明康复期宫颈癌患者生存质量明显改善。有性生活所占比例研究组为54.3%,对照组为23.2%;性生活平均恢复时间研究组为(3.53±1.41)个月,对照组为(4.87±1.41)个月,2组比较差异均有统计学意义(P<0.05)。结论实施随访教育指导,对改善康复期宫颈癌患者生存质量及性生活恢复有积极的作用。
Objective To investigate the guidance role of follow-up education in the three-tier prevention （preventive rehabilitation） about the improvement of quality of life in cervical cancer patients. Methods 150 discharged cervical cancer patients were randomly divided into study group（n=75）and control group （n= 75） according to hospital number,and follow-up files were established. Study group were given follow-up call once a month and given relevant guidance on physical symptoms, psychological status, social function, economical state, the overall evaluation of health and sexual life. They were examined by experts every three months and relevant information were documented in the forms of core quality of life of the development scale （QLQ-C30） Chinese version （V3.0） developed by European Organization for Cancer Research and Treatment （EORT（2） to evaluate their life quality, and follow-up education and guidance were updated according to the evaluation results. The control group were treated with routine follow-up. The life quality were scored on discharge and 12 months after discharge. Results The score of quality of life between the two groups of patients on discharge was not significantly different,while was significant different （P〈0. 01） 12th months after discharge （study group： 84. 7±8. 33,control group：73. 16±10.26）,which showed that the recovery period in patients with cervical cancer im proved in life quality significantly. The proportion of the patients who had sexual life of the study group was 54.3% ,while was 23.2% in the control group. The average time of sexual life recovery in the study group was （3.53±1.41） months, which was statistically different from that（4.87±1.41 months）（P〈0.05）. Conclusion The implementation of follow-up education and guidance plays a positive role in rehabilitation and restoration of sexual life quality of cervical cancer patients.
出处
《实用临床医学（江西）》
CAS
2009年第8期87-89,91,共4页
Practical Clinical Medicine
基金
江西省卫生厅课题(20051148)
关键词
宫颈癌
生活质量
康复性预防
随访教育
cervical cancer
quality of life
prevention of rehabilitation
follow-up education
