摘要
目的探讨延续性护理对宫颈癌患者广泛子宫切除术后生活质量和婚姻质量的影响。方法选取2012年3月至2015年3月间在广州市白云区妇幼保健院行广泛子宫切除术的158例宫颈癌患者,按照手术日期单双号分为观察组和对照组,双号编入观察组,观察组患者82例,采用延续性护理。单号编入对照组,对照组患者76例,采用常规护理。采用SF-36生活量表和Olson婚姻质量问卷分别评价并比较两组患者术后2个月和6个月的生活质量和婚姻质量。结果两组患者术后2个月的SF-36生活量表评分和Olson婚姻质量问卷评分比较差异均无统计学意义(均P>0.05)。观察组患者术后6个月的SF-36生活量表评分中的总体健康、生理职能、躯体疼痛、情感职能、精力、社会功能和精神健康等7个维度得分均显著高于对照组患者,差异均有统计学意义(均P<0.05),观察组患者的婚姻满意度、夫妻交流和夫妻性生活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)。结论对宫颈癌患者广泛子宫切除术后实施延续性护理可显著提高患者生活质量,促进夫妻和谐。
Objective To study the effect of transitional care on quality of life and marriage in patients after hysterectomy. Methods A total of 158 patients who underwent radical hysterectomy were selected from March 2012 to March 2015 in Guangzhou Baiyun District Maternal and Child Health Care Hospital. Patients were divided into two groups： continuity of care group（ 82 patients） and conventional nursing group（ 76 patients） according to the nursing method. SF-36 and Olson marriage quality questionnaire were used to evaluate and compare quality of life and marriage at 2 months and 6 months after operation between the two groups. Results There were no significant differences in scores of SF-36 and Olson marriage quality questionnaire at 2 months after operation between two groups（ P〉0. 05）. At 6 months after the operation,scores in the aspects of overall health,physiological functions,pain,emotional function,social function and mental health were significantly higher in the continuity group than in the convention group（ P〈0. 05）. Scores of satisfaction with marriage,communications between husband and wife and sexual life were significantly higher in the continuity group than in the convention group（ P〈0. 05）. Conclusion Continuity of care can obviously promote the quality of life and facilitate harmonization of the couples in patients underwent radical hysterectomy.
作者
陈小惠
汪玉芳
许庆萍
CHEN Xiao-hui WANG Yu-fang XU Qing-ping(Department of Gynaecology, Guangzhou Baiyun District Maternal and Child Health Care Hospital, Guangzhou 510410, China)
出处
《中国肿瘤临床与康复》
2017年第4期484-487,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
延续性护理
宫颈肿瘤
子宫切除术
生活质量
婚姻质量
Transitional care
Cervical neoplasms
Hysterectomy
Quality of life
Marriage quality
