护理干预对宫颈癌术后妇女性功能和生活质量影响

Effects of Nursing Intervention to Sexual Function and Quality of Life of the Women with Cervical Carcinoma after Treatment

目的探讨护理干预对宫颈癌术后患者的性功能和生活质量的影响。方法选择宫颈癌术后的157例患者，根据随机原则将患者分为干预1组（53例）、干预2组（53例）和对照组（51例）。干预1组患者配偶未参与护理干预，干预2组患者配偶参与护理干预。干预1、2组每月进行护理干预3次，疗程2个月。对照组进行常规护理。干预前后分剐用简明女性性功能指数（BISF—W）和诺丁汉健康量表（NHP—QOL）进行评估。结果干预前三组患者的BISF-W和NHP—QOL评分接近（P均〉0．05）。干预1、2组经过护理干预后BISF-W和NHP—QOL评分均明显优于干预前（P均〈0．05）。对照组仅NHP—QOL评分优于干预前（P均〈0．05），而BISF—W评分均无明显变化（P均〉0.05）。组间比较中，干预1、2组经护理干预后的BISF-W和NHP—QOL中的全部分项评分均明显高于同期对照组（P均〈0．05），干预2组的BISF-W和NHP—QOL中的全部分项评分均明显高于同期干预1组（P均〈0．05）。结论护理干预可提高妇女性功能和生活质量，患者和丈夫共同参与护理干预对提高患者性功能和生活质量更显著。

Objective To explore the effects of nursing intervention to sexual function and quality of life of the women with cervical carcinoma after treatment. Methods 157 patients with cervical carcinoma after treatment, patients were randomly divided into the intervention group （106 cases） and the control group （51 cases）, and the intervention group was randomly divided into two groups, namely the intervention 1 group and the intervention 2 group. Patients＇husband didn＇t join in the nursing intervention as intervention 1 group （53 cases） , Patients＇husband joined in the nursing intervention as intervention 2 group （53 cases）. All the intervention groups joined in the nursing intervention three times monthly for two month. The control group joined in the usual care. The Brief Index of Sexual Functioning for Women （BISF-W）and Nottingham Health Profile （NHP） were used in three group before and after intervention. Results Before invention all the scores mentioned above in the thress groups were similar （all P〉0.05）.After intervention the scores of BISF-W and NHP in the intervention 1 and 2 groups were significantly superior to those before intervention. （all P 〈0.05 ）.But in the control group only the scores of NHP were significantly higher than those before treatment （all P 〈0.05）, scores of BISF-W were similar to those before （all P〉0.05）.Comparison among groups , the intervention land 2 groups of scores of BISF-W and NHP were significantly higher than the control group （all P 〈0.05）. The intervention 2 group of scores of BISF-W and NHP were significantly higher than the intervention 1 group （all P 〈 0.05）. Conclusion The nursing intervention can improve sexual function and quality of life of the women. Patients and husbands join in the nursing intervention together are better than only patients join in the intervention.