家属参与护理模式对妊娠合并宫颈癌患者胎儿结局及生活质量的改善

Improvement of fetal outcomes and maternal postpartum quality of life with involvement of family members in caring of pregnant women with cervical cancer

目的探讨家属参与护理模式对妊娠合并宫颈癌患者胎儿结局及产妇产后生活质量的改善情况。方法选取2019年8月至2021年8月间中国人民解放军空军军医大学第二附属医院收治的110例妊娠合并宫颈癌患者,采用随机数表法分为研究组和对照组,每组55例。对照组患者采用常规护理模式,研究组患者采用家属参与护理模式,比较两组患者的心理状态、胎儿结局及产后生活质量。结果护理前,两组患者心理状态评分比较,差异无统计学意义(P>0.05);护理后,两组患者抑郁和焦虑评分均降低,且研究组低于对照组,差异均有统计学意义(均P<0.05)。研究组患者胎儿结局较对照组好,差异均有统计学意义(均P<0.05)。护理前,两组患者产后生活质量评分比较,差异无统计学意义(P>0.05);护理后,两组患者产后生活质量评分均升高,且研究组高于对照组,差异均有统计学意义(均P<0.05)。结论妊娠合并宫颈癌患者采用家属参与护理模式,可缓解患者心理状态,提升产后生活质量,改善胎儿结局,值得临床研究与借鉴。

Objective To analyze the fetal outcomes and maternal postpartum quality of life with involvement of family members in caring of pregnant women with cervical cancer. Methods A total of 110 pregnant patients with cervical cancer were selected at The Second Affiliated Hospital of Air Force Military Medical University between August 2019 and August 2021. They were divided into an experimental group and a control group with 55 patients each using a random number table. In the experimental group, family members were involved in caring of pregnant women with cervical cancer and the control group received the conventional nursing care. Psychological status, fetal outcomes, and postpartum quality of life were compared between the two groups. Results Before nursing, there was no significant difference in maternal psychological status between the two groups(P>0.05). After nursing, Hamilton depression scale(HAMD) and Hamilton anxiety scale(HAMA) decreased in both groups with the scores lower in the experimental group than in the control group(all P<0.05). Fetal outcomes were better in the experimental group than in the control group(all P<0.05). Maternal postpartum quality of life score was improved in both groups after nursing compared with before nursing and quality of life score was higher in the experimental group than in the control group(all P<0.05). Conclusion Involvement of family members in caring of pregnant women with cervical cancer can actively relieve maternal mental state and improve maternal postpartum quality of life as well as fetal outcomes. It is worthy of clinical research and reference.