术后干预对子宫颈癌患者生命质量的影响

Effect of postoperative intervention on the quality of life of patients with cervical cancer

目的探讨术后干预对子宫颈癌患者生命质量的影响，为针对性改善患者术后生命质量提供依据。方法将86例子宫颈癌患者按简单随机分组方法分为对照组及干预组，每组43例。术后对干预组患者采取干预措施，包括心理评估和个体教育、盆底康复治疗、开通服务热线并定期随访，共干预3个月。对照组不做任何处理。分别于术前及术后6个月应用自编问卷、生命质量测定量表、盆底功能问卷对患者生命质量进行调查。结果干预组子宫颈癌患者术后6个月在社会关系、心理领域、环境领域、生理指标、独立性、生活质量方面得分均优于对照组，差异均有统计学意义[（48．84±4．63）分比（40．72±3．74）分，（73．72±2．84）分比（64．07±4．06）分，（64．07±4．08）分比（55．70±4．86）分，（44．77±4．22）分比（36．53±4．29）分，（64．81±5．85）分比（53．95±5．91）分，（88．30±5．75）分比（76．65±5．21）分，均P〈0．05]。多元逐步回归分析发现，干预组子宫颈癌患者生命质量与患者对疾病了解程度、术后放化疗、术后并发症、家属照顾情况、术后心理干预均有相关性（均P〈0．05），与是否保留卵巢及文化程度均无关（均P〉0．05）。结论子宫颈癌患者术后的生命质量较差，受很多因素影响。在临床工作中采取针对性的干预措施可以提高患者的生命质量。

Objective To research the effect of postoperative intervention on the quality of life of cervical cancer patients, in order to provide the basis for improve the quality of life of patients after operation. Methods 86 cases of cervical cancer were divided into control group and intervention group by simple random grouping method, each group contained 43 cases. The postoperative interventions were used in the intervention group after 3 months, including psychological assessment, individual education, pelvic floor rehabilitation therapy, open patient service hotline and regular follow-up. Before and after 6 months of surgery, the quality of life of cervical cancer patients were investigated. Results The index score of social relations [（48.84 ± 4.63） scores vs. （40.72 ± 3.74） scores], psychological field [（73.72 ± 2.84） scores vs. （64.07 ± 4.06） scores], environmental field [（64.07 ± 4.08） scores vs. （55.70 ± 4.86） scores], physiological index [（44.77 ± 4.22） （36.53±4.29） scores], independence [（64.81±5.85） scores vs. （53.95 ±5.91）], quality of life [（88.30 ± 5.75） scores vs. （76.65 ± 5.21） scores] in cervical cancer patients were lower than those in the control group （all P 〈 0.05）. Multiple stepwise regression analysis showed that the understanding degree of cervical cancer, radiotherapy and chemical therapy after surgery, postoperative complications, caregivers care in place and psychological intervention had correlation with the quality of life of patients in intervention group （all P 〈 0.05）, while retain ovarian and education degree had no correlation with the quality of life of patients after operation （both P 〉 0.05）. Conclusions The quality of life of cervical cancer patients after surgery is poor, and it is affected by many factors. The targeted interventions should be used in clinical works, which can significantly improve the quality of life of patients.