同步实施家属健康教育对甲状腺癌手术患者生活质量的影响

Effect of Simultaneous Implementation of Health Education for the Families on the Quality of Life of the Postoperative Patients with Thyroid Cancer

目的:探讨同步实施家属健康教育对甲状腺癌手术患者生活质量的影响,为改善甲状腺癌手术患者的生活质量提供可能的途径。方法:选择78例甲状腺癌手术患者及其家属作为研究对象,并将其随机分为对照组和干预组,每组39例,对照组给予常规治疗、护理及健康教育;干预组在接受常规治疗、护理及健康教育的同时,同步对其家属实施健康教育。分别于健康教育干预前、干预1个月、6个月后采用生活质量问卷(QL-Index)及抑郁自评量表(SDS)评价和比较两组患者的生活质量评分和抑郁症状评分。结果:健康教育干预1个月、6个月后,干预组的角色功能、社会功能、情绪功能、总体生活质量得分均显著高于干预前(P<0.05),且高于同时点的对照组(P<0.05);干预组的抑郁症状评分均显著低于干预前(P<0.05),且明显低于同时点的对照组(P<0.05)。结论:同步实施家属健康教育可以显著提高甲状腺癌手术患者的生活质量,并降低患者的抑郁水平。

Objective： To investigate the effects of simultaneous implementation of health education on the quality of family life in the postoperative patients with thyroid cancer, in order to provide possible ways to improve their quality of life. Methods： 78 cases of postoperative patients with thyroid cancer and their families were selected in this study, and were randomly divided into the control group and the intervention group, 39 cases in each group, the control group received conventional treatment, care and health education; the intervention group received conventional therapy plus nursing and health education, health education sync their families. The quality of life questionnaire（QL-Index） and self-rating depression scale（SDS） were used to evaluate and compare the quality of life scores and the depressive symptom scores before the health education intervention, one month, six months after the health education intervention.Results： At one month, six months after the health education intervention, the role function, social function, emotional function, the overall quality of life scores were significantly higher in the intervention group than those before the intervention（P〈0.05）, and higher than those of the control group at the same time point（P〈0.05）; while the depressive symptoms scores in the intervention group were significantly lower than those those before the intervention（P〈0.05）, and significantly lower than those of the control group at the same time points（P〈0.05）. Conclusions： Simultaneous implementation of family health education could significantly improve the quality of life and lower the depression of postoperative patients with thyroid cancer.