护理学报
護理學報
호이학보
JOURNAL OF NURSING
2015年
10期
1-4
,共4页
宫颈癌%家庭护理%家庭功能%生活质量%性生活质量
宮頸癌%傢庭護理%傢庭功能%生活質量%性生活質量
궁경암%가정호리%가정공능%생활질량%성생활질량
cervical cancer%family nursing%family function%quality of life%quality of sexual life
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。
目的：探討傢庭護理榦預對早期宮頸癌患者術後傢庭功能和生活質量的影響。方法採用便利抽樣的方法，選取廣東省某2傢三級甲等醫院共226例患者，按照入院順序編號,運用隨機數字錶法隨機分為對照組和榦預組，對照組實施常規術後護理，而榦預組則實施傢庭護理榦預，包括傢庭護理服務糰隊、生理機能康複訓練、情緒釋放管理、非正式社會支持繫統、傢庭隨訪鑑測。分彆于術後1週、6箇月時應用宮頸癌治療功能評價量錶、女性性功能量錶及傢庭親密度和適應性量錶進行測評，併用兩獨立樣本t檢驗及配對t檢驗進行統計學分析。結果榦預後6箇月時，榦預組宮頸癌治療功能總分（t=6.906，P=0.000）、性生活質量得分（t=8.843，P=0.000）及傢庭親密度得分（t=3.524，P=0.001）和適應性評分得分（t=3.704，P=0.000），均高于對照組。結論對早期宮頸癌術後患者進行傢庭護理榦預可提高患者傢庭親密度和適應性，改善患者的生活質量及性生活質量。
목적：탐토가정호리간예대조기궁경암환자술후가정공능화생활질량적영향。방법채용편리추양적방법，선취광동성모2가삼급갑등의원공226례환자，안조입원순서편호,운용수궤수자표법수궤분위대조조화간예조，대조조실시상규술후호리，이간예조칙실시가정호리간예，포괄가정호리복무단대、생리궤능강복훈련、정서석방관리、비정식사회지지계통、가정수방감측。분별우술후1주、6개월시응용궁경암치료공능평개량표、녀성성공능량표급가정친밀도화괄응성량표진행측평，병용량독립양본t검험급배대t검험진행통계학분석。결과간예후6개월시，간예조궁경암치료공능총분（t=6.906，P=0.000）、성생활질량득분（t=8.843，P=0.000）급가정친밀도득분（t=3.524，P=0.001）화괄응성평분득분（t=3.704，P=0.000），균고우대조조。결론대조기궁경암술후환자진행가정호리간예가제고환자가정친밀도화괄응성，개선환자적생활질량급성생활질량。
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.
