摘要
目的探讨家庭和社会支持对食管癌患者生活质量的影响。方法选取2014年1月至2015年12月间哈尔滨医科大学附属肿瘤医院收治的68例食管癌患者,采用随机数字表法分为观察组和对照组,每组34例。两组患者均接受手术治疗,观察组患者在常规护理基础上进行家庭、社会支持干预,对照组患者实施常规护理。采用APGAR家庭功能评估量表和社会支持评定量表(SSRS)对两组患者干预前后的家庭支持和社会支持情况进行调查对比,采用健康调查简表(SF-36)评价两组患者干预前后的生活质量。结果干预前,观察组患者APGAR(适应度、合作度、成熟度、情感度和亲密度)评分与对照组患者比较,差异均无统计学意义(均P>0.05)。干预后,观察组患者APGAR五项评分均高于对照组患者,差异均有统计学意义(均P<0.05)。干预前,观察组患者SSRS(主观支持、客观支持和社会支持利用度)评分与对照组患者比较,差异均无统计学意义(均P>0.05);干预后,观察组患者主观支持和客观支持评分均显著高于对照组患者,差异均有统计学意义(均P<0.05)。干预前,观察组患者SF-36各项评分结果与对照组患者比较,差异均无统计学意义(均P>0.05);干预后,观察组患者躯体功能、角色功能、躯体疼痛、精力、社会功能、心理健康和总体健康评分显著高于对照组患者,差异均有统计学意义(均P<0.05)。结论实施家庭和社会支持能够有效改善食管癌患者的家庭支持和社会支持度,改善患者生活质量,值得临床推广。
Objective To explore the impact of family and social support on quality of life of patients with esophageal cancer. Methods Sixty-eight patients with esophageal carcinoma admitted to The Affiliated Tumor Hospital of Harbin Medical University from January 2014 to December 2015 were selected and randomly divided into an observation group and a control group. All patients underwent surgery. The observation group received family and social support intervention based on routine nursing and the control group was given routine nursing. APGAR scale and social support rating scale（ SSRS） were used to evaluate the effect of family support and social support before and after intervention in the two groups. Short-form36 item health survey questionnaire（ SF-36） was used to evaluate the quality of life in the two groups before and after the intervention. Results Before intervention,there was no statistically significant difference in APGAR（ fitness,cooperation,maturity,emotional degrees and intimacy） scores between the two groups（ all P 0. 05）; After the intervention,five APGAR scores were higher in the observation group than in the control group（ all P 0. 05）. Before intervention,there was no statistically significant difference in SSRS（ subjective support,objective support and social support utilization degree） scores between the two groups（ all P 0. 05）. After the intervention,subjective and objective support scores were significantly higher in the observation group than in the control group（ all P 0. 05）. Before intervention,there was no statistically significant difference in SF-36 score between the two groups（ all P 0. 05）. After the intervention,physical function,role function,body pain,energy,social function,mental health and overall health scores were significantly higher in the observation group than in the control group（ all P 0. 05）. Conclusion Family and social support intervention can effectively improve the family support and social support and improve the quality of life
作者
靳南囡
马建群
高春兴
邱莉莉
张兴丽
JIN Nan-nan MA Jian-qun GAO Chun-xing QIU Li-li ZHANG Xing-li(Department of Thoracic Surgery, The Affiliated Tumor Hospital of Harbin Medical University, Harbin 150050 Department of Medical Records Quality Control,The Second Affiliated Hospital of Harbin Medi- cal University, Harbin 150081 Department of Endocrinology, Second Affiliated Hospital of Harbin Medi- cal University, Harbin 150081 5. Bio-feedback Therapy Center, The Affiliated Tumor Hospital of Harbin Medical University, Harbin 150040, China)
出处
《中国肿瘤临床与康复》
2017年第2期239-242,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
食管肿瘤
家庭支持
社会支持
护理干预
生活质量
Esophageal cancer
Family support
Social support
Nursing intervention
Quality of life
