家庭亲密度及适应性对结肠造口患者生活质量的影响  

The effect of family cohesion and adaptability on quality of life of patients with colostomy

作　　者：梁冬红[1] 陈华土[1] 方文[1] 

机构地区：[1]广东医学院附属医院住院部,广东湛江524001

出　　处：《国际护理学杂志》2012年第3期485-487,共3页international journal of nursing

摘　　要：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（FACESII—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〉165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〈0．01），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。Objective To explore the effect of family cohesion and adaptability on quality of life of patients with colosto- my. Methods Totaled of 80 patients with rectal cancer colostomy were investigated with FACES 1I - 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 com- pared 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 patientg family cohesion and adaptability had a positive correlation with their physical func- tion, 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.

关 键 词：家庭亲密度 适应性 直肠肿瘤 结肠造口 生活质量 

分 类 号：R473.73[医药卫生—护理学]