摘要
目的评价配偶同步教育对乳腺癌术后乳房重建者家庭功能的影响。方法选取2015年1月至2017年8月在乳腺肿瘤整形外科接受手术的130例乳腺癌术后乳房重建者为研究对象，采用随机数字表随机分组法分为观察组和对照组各65例。对照组患者接受常规教育；观察组患者及配偶接受同步教育。于术前、术后3个月、术后6个月时使用女性性功能指数问卷（FSFI）评估患者性功能，采用家庭亲密度和适应性量表评估患者的家庭亲密度及适应性，比较2组患者的各项指标。结果2组术后6个月比较，2组性功能评分比较，干预组（24．82±3．75）分，对照组（22．32±4．75）分，差异有统计学意义（t=-3．35，P〈0．05）。2组家庭亲密度、适应性评分比较，干预组分别为（76．80±8．14）、（59．98±3．56）分；对照组分别为（68．48±11．46）、（52．27±9．49）分，差异有统计学意义（t=-4．81，-6．18，P〈0．05）。结论配偶同步教育可提高乳腺癌术后乳房重建者性功能和家庭亲密度及适应性，值得推广。
Objective To evaluate the effect of education on the family function of breast reconstruction after breast cancer. Methods Totally 130 cases of breast reconstruction after breast cancer were selected from January 2015 to August 2017, and 65 cases were divided into observation group and control group by random number table method. The control group received routine education; The observation group and the spouse received synchronous education. In the preoperative and postoperative 3 months, 6 months after the Female Sexual Function Index （FSFI） to assess patients sexual function, the Family Intimacy and Adaptability Scale to assess the patient＇s family intimacy and adaptability, comparing the indicators of two groups of patients. Results After 6 months of operation, the two groups were compared, and the intervention group was （24.82 ± 3.75） points, and the control group was （22.32±4.75）, with statistically significant difference（t=-3.35, P 〈 0.05）. Comparison of familial closeness and adaptability score of the two groups, the intervention group was （76.80 ± 8.14） points, （59.98± 3.56） points; The control group was （68.48 ± 11.46） points, （52.27 ± 9.49） points, with statistically significant difference（t=-4.81, -6.18, P 〈 0.05）. Conclusion The simultaneous education can improve the sexual function and familial intimacy and adaptability of breast reconstruction after breast cancer.
作者
彭翠娥
李赞
周波
吕春柳
毛煌兴
陈小兵
彭文
柳泽洋
Peng Cui＇e＇;Li Zan;Zhou Bo;Lyu Chunliu;Mao Huangxing;Chen Xiaobing;Peng Wen;Liu Zeyang(Oncology Plastic Surgery,Hunan Cancer Hospital,Changsha 410013,China)
出处
《中国实用护理杂志》
2018年第23期1772-1776,共5页
Chinese Journal of Practical Nursing
基金
湖南省卫生计生委科研计划课题（C20180353）
2016年度中国癌症基金会北京希望马拉松基金（LC2016W07）
2018年湖南省自然科学基金（2018JJ2242）
关键词
乳房重建手术
性功能
家庭功能
亲密度及适应性
Breast reconstruction surgery
Sexual function
Family functions
Intimacy and adaptability.
