家庭干预对子宫内膜癌术后患者心理状态及生活质量的影响

Effect of family intervention on the mental state and quality of life of patients with endometrial cancer after operation

目的探讨家庭干预对子宫内膜癌术后患者心理状态及生活质量的影响。方法回顾性分析90例子宫内膜癌患者的临床资料。根据术后干预方式的不同将患者分为观察组和对照组,每组45例。对照组患者术后给予常规干预措施,观察组患者术后给予常规干预结合家庭干预措施。比较两组患者干预前后的焦虑自评量表(SAS)、抑郁自评量表(SDS)、癌症患者生活质量量表(QLQ-C30)和Herth希望量表(HHI)的评分情况。结果干预后,两组患者的SAS、SDS评分均低于本组干预前(P<0.05);干预后,观察组患者的SAS、SDS评分均明显低于对照组患者(P<0.01)。干预后,两组患者的QLQ-C30量表功能领域各项评分均高于本组干预前(P<0.05),且观察组患者的QLQ-C30量表功能领域各项评分均明显高于对照组患者(P<0.01)。干预后,两组患者的QLQC30量表症状领域各项评分均低于本组干预前(P<0.05);且观察组患者的QLQ-C30量表症状领域的各项评分均明显低于对照组患者(P<0.01)。干预后,两组患者HHI量表中对现实和未来的态度、采取积极行动、与他人保持亲密关系的评分均高于本组干预前(P<0.05),且观察组患者对现实和未来的态度、采取积极行动、与他人保持亲密关系的评分均明显高于对照组患者(P<0.01)。结论积极的家庭干预可有效改善子宫内膜癌术后患者的心理状态和生活质量,临床应用价值高,值得临床推广应用。

Objective To study the effect of family intervention on the mental state and quality of life of patients with endometzial cancer after operation. Method The clinical data of 90 patients with endometzial cancer were analyzed retro- spectively. According to different methods of intervention after operation, those patients were divided into the observation group （n=45） and the control group （n=45）, the patients in control group were treated withroutine intervention after operation, and the patients in observation group were treated with routine intervention combined with family intervention. The changes of self-rating anxiety scale （SAS）, self-rating depression scale （SDS） and quality of life measurement scale （QLQ- c30） and herth hope scale （HHI） scores before and after intervention in the two groups were compared. Result After the intervention, the SAS and SDS scores of patients in both groups were significantly lower than those before the intervention （P〈0.05）, and the SAS and SDS scores of patients in the observation group were significantly lower than those of patients in the control group （P〈0.01）. After the intervention, the scores of QLQ-C30 scale in each dimension functional field area of two groups were significantly higher than those before the intervention （P〈0.05）, and the scores of the QLQ- c30 scale in functional field area in the observation group were all significantly higher than those of the control group （P〈 0.01）. After the intervention, the scores of QLQ-C30 scale in each dimensionof symptomatic field area of both groups were significantly lower than those before the intervention （P〈0.05）, and the scores of QLQ-C30 scale symptomatic field area in the observation group were significantly lower than those of the control group （P〈0.01）. After the intervention, the each dimension score of the HHI scale of two groups, including the attitude towards reality and future, positive action, and close relationship scores were significantly higher than those before the intervention （P〈0.05）, and the attitude to- wards reality and future, positive action and close relationship scores in the observation group were significantly higher than those of the control group （P〈0.01）. Conclusion Family intervention is well for patients with endometzial cancer af- ter operation, which can effectively improve the mental state and quality of life, and is worthy of the clinical application.