CAJ | 학술논문

目的：分析家属同步健康教育对宫颈癌术后化疗患者抑郁、应对方式、社会支持、生活质量及家属C型行为的影响。方法选取2010年1月~2015年1月浙江省湖州市中心医院收治的宫颈癌术后化疗患者182例及182名家属为研究对象，按入院时间分为对照组90例和观察组92例，对照组采用传统健康教育方式，观察组采用家属同步健康教育。干预前、后采用抑郁自评量表(SDS)、特质应对方式问卷、社会支持量表、生活质量核心量表对患者进行调查，同时采用C型行为问卷对患者家属进行调查。结果干预后观察组SDS、消极应对评分均明显低于对照组(P<0.05)；积极应对、客观支持、主观支持、对支持利用度和社会支持总分均明显高于对照组(P<0.05)。干预后观察组躯体功能、情绪功能、认知功能、社会功能、角色功能均明显高于对照组(P<0.05)；疲乏、恶心呕吐均明显低于对照组(P<0.05)。干预后观察组家属焦虑、抑郁、愤怒、愤怒向内、愤怒向外评分均明显低于对照组(P<0.05)；情绪控制、乐观、社会支持评分均明显高于对照组(P<0.05)。 SDS评分与家属焦虑、抑郁、愤怒、愤怒向外评分呈正相关(r=0.345、0.542、0.325、0.412，均P<0.05)，与家属情绪控制、乐观、社会支持评分呈负相关(r=-0.429、-0.431、-0.358，均P<0.05)。结论宫颈癌术后化疗患者普遍存在抑郁情绪，家属的情绪行为可能影响患者抑郁症状，家属同步健康教育可有效改善患者的抑郁症状、应对方式、社会支持和生活质量，并改善家属情绪行为。
목적：분석가속동보건강교육대궁경암술후화료환자억욱、응대방식、사회지지、생활질량급가속C형행위적영향。방법선취2010년1월~2015년1월절강성호주시중심의원수치적궁경암술후화료환자182례급182명가속위연구대상，안입원시간분위대조조90례화관찰조92례，대조조채용전통건강교육방식，관찰조채용가속동보건강교육。간예전、후채용억욱자평량표(SDS)、특질응대방식문권、사회지지량표、생활질량핵심량표대환자진행조사，동시채용C형행위문권대환자가속진행조사。결과간예후관찰조SDS、소겁응대평분균명현저우대조조(P<0.05)；적겁응대、객관지지、주관지지、대지지이용도화사회지지총분균명현고우대조조(P<0.05)。간예후관찰조구체공능、정서공능、인지공능、사회공능、각색공능균명현고우대조조(P<0.05)；피핍、악심구토균명현저우대조조(P<0.05)。간예후관찰조가속초필、억욱、분노、분노향내、분노향외평분균명현저우대조조(P<0.05)；정서공제、악관、사회지지평분균명현고우대조조(P<0.05)。 SDS평분여가속초필、억욱、분노、분노향외평분정정상관(r=0.345、0.542、0.325、0.412，균P<0.05)，여가속정서공제、악관、사회지지평분정부상관(r=-0.429、-0.431、-0.358，균P<0.05)。결론궁경암술후화료환자보편존재억욱정서，가속적정서행위가능영향환자억욱증상，가속동보건강교육가유효개선환자적억욱증상、응대방식、사회지지화생활질량，병개선가속정서행위。
Objective To analyze health education for family postoperative chemotherapy in patients with cervical can-cer, depression, coping style, social support, quality of life and their families C-type behavior. Methods 182 patients with cervical cancer postoperative chemotherapy and their 182 families from January 2010 to January 2015 in Huzhou Central Hospital were selected as the study objects, and they were divided into two groups according to admission time, 92 cases of the observation group and 90 cases of the control group. Control group was given traditional health educa-tion, while observation group was given health education for family. Before and after intervention, patients were investi-gated by depression self rating scale (SDS), trait coping style questionnaire, social support scale, quality of life core scale, while patients' families were investigated by C type behavior questionnaire. Results After intervention, SDS, neg-ative coping scores of the observation group were significantly lower than those of the control group (P< 0.05), positive response, objective support, subjective support, support utilization and social support scores were significantly higher than those of the control group (P< 0.05). After intervention, physical function, emotional function, cognitive function, social function, role function of the observation group were significantly higher than those of the control group (P<0.05);fatigue, nausea and vomiting were significantly lower than those of the control group (P<0.05). After intervention, anx-iety, depression, anger, anger inward, outward anger scores of the family members in the observation group were signifi-cantly lower than those of the control group (P<0.05), emotional control, optimism, social support scores were significantly higher than those of the control group (P < 0.05). SDS scores was positively correlated with the anxiety, depression, anger, anger outward score of family members (r=0.345, 0.542, 0.325, 0.412, all P< 0.05), and negatively correlated with the emotional control, optimism, social support score of family members (r=-0.429, -0.431,-0.358, all P< 0.05). Conclusion The prevalence of depression, emotional behavior in patients with cervical cancer treating with chemotherapy after surgery may be promoted by the emotional behavior of their families health education for family can effectively improve depressive symptoms, coping style, social support and quality of life of patients, and improved emo-tional behavior of family members.