CAJ | 학술논문

目的探讨家庭亲密度及适应性对结肠造口患者生活质量的影响.方法将80例直肠癌结肠造口术后患者采用家庭亲密度和适应性量表中文版( FACES Ⅱ - CV)作为测评工具,以患者对自己家庭亲密度和适应性现状的实际感受评定计分进行分组,选取家庭亲密度评分≥65分,适应性≥55分的患者35例为高分组,家庭亲密度评分＜65分,适应性＜55分的患者45例为低分组,对两组患者分别采用生活质量综合评定问卷(GQOLI - 74)评价两组患者的生活质量,并进行比较.结果家庭亲密度及适应性高的患者其生活质量评分明显高于低分组,两者比较(P＜0.0l),差异有统计学意义；患者的家庭亲密度及适应性与患者的躯体功能、心理功能、社会功能及生活质量总分成正相关.结论护理中应注意患者对家庭亲密度的感受,有针对性地对患者及家属开展社会心理干预,以提高患者生活质量.
목적 탐토가정친밀도급괄응성대결장조구환자생활질량적영향.방법 장80례직장암결장조구술후환자채용가정친밀도화괄응성량표중문판( FACES Ⅱ - CV)작위측평공구,이환자대자기가정친밀도화괄응성현상적실제감수평정계분진행분조,선취가정친밀도평분≥65분,괄응성≥55분적환자35례위고분조,가정친밀도평분＜65분,괄응성＜55분적환자45례위저분조,대량조환자분별채용생활질량종합평정문권(GQOLI - 74)평개량조환자적생활질량,병진행비교.결과 가정친밀도급괄응성고적환자기생활질량평분명현고우저분조,량자비교(P＜0.0l),차이유통계학의의；환자적가정친밀도급괄응성여환자적구체공능、심리공능、사회공능급생활질량총분성정상관.결론 호리중응주의환자대가정친밀도적감수,유침대성지대환자급가속개전사회심리간예,이제고환자생활질량.
Objective To explore the effect of family cohesion and adaptability on quality of life of patients with colostomy.Methods Totaled of 80 patients with rectal cancer colostomy were investigated with FACES Ⅱ - CV and were divided into high scores group and low scores group according to the scores of family cohesion and adaptability.The quality of life of patients were evaluated and compared between two groups with GQOLI -74.Results The scores of the quality of life in high scores group were higher than those in low scores group,the difference was significant.The patient's family cohesion and adaptability had a positive correlation with their physical function,psychological function,social function and quality of life.Conclusions The feeling of family cohesion should be paid attention to,the patients and their families should be treated with psychosocial interventions to improve quality of life of patients.