家庭护理干预对早期宫颈癌术后患者家庭功能和生活质量的影响

Effect of Family Nursing Intervention on Quality of Life and Family Function of Postoperative Patients with Early-stage Cervical Cancer

目的探讨家庭护理干预对早期宫颈癌患者术后家庭功能和生活质量的影响。方法采用便利抽样的方法 ,选取广东省某2家三级甲等医院共226例患者,按照入院顺序编号,运用随机数字表法随机分为对照组和干预组,对照组实施常规术后护理,而干预组则实施家庭护理干预,包括家庭护理服务团队、生理机能康复训练、情绪释放管理、非正式社会支持系统、家庭随访监测。分别于术后1周、6个月时应用宫颈癌治疗功能评价量表、女性性功能量表及家庭亲密度和适应性量表进行测评,并用两独立样本t检验及配对t检验进行统计学分析。结果干预后6个月时,干预组宫颈癌治疗功能总分(t=6.906,P=0.000)、性生活质量得分(t=8.843,P=0.000)及家庭亲密度得分(t=3.524,P=0.001)和适应性评分得分(t=3.704,P=0.000),均高于对照组。结论对早期宫颈癌术后患者进行家庭护理干预可提高患者家庭亲密度和适应性,改善患者的生活质量及性生活质量。

Objective To investigate the effect of family nursing intervention on quality of life and family function of postoperative patients with early-stage cervical cancer. Methods With convenience sampling, 226 patients from general hospitals were divided into experiment group and control group. Patients in control group received routine postoperative nursing while those in experiment group individual family nursing intervention including a family care team, physiology rehabilitation, emotional release management, informal social support systems and home follow-up monitoring. Functional Assessment Cancer Therapy-Cervix （FACT-CX）, Female Sexual Function Index （FSFI）and Family Adaptability and Cohesion Evaluation Scales （FACES） were used for the evaluation, and two independent samples t-test and paired t-test were applied one week and six months after operation, respectively. Results Six months after the intervention, in experiment group the total score of the quality of life （t=6.906, P=0.000）, the score of sexual function （t=8.843, P=0.000） , that of cohesion （t=3.524, P=0.001） and that of adaptability （t=3.704, P=0.000） were higher than those in control group. Conclusion Family nursing intervention should be enhanced for postoperative patients with early-stage cervical cancer since the improvement of family adaptability and cohesion benefits patients ’ quality of life and sexual life.