延续护理对宫颈癌全子宫切除术后患者生活质量的影响  

Effect of extended care on quality of life of cervical cancer patients undergoing hysterectomy

作　　者：尤海鸿[1] 许美华[1] 邱锡坚[1] 

机构地区：[1]广东医学院附属医院妇科,湛江524001

出　　处：《中华现代护理杂志》2013年第23期2774-2776,共3页Chinese Journal of Modern Nursing

摘　　要：目的 探讨延续护理对宫颈癌全子宫切除术后患者生活质量的影响.方法 采用随机数字表法将56例宫颈癌行全子宫切除的患者分为观察组和对照组各28例,对照组给予常规的出院指导,观察组在出院指导基础上给予延续护理,分别于患者出院后1,3,6个月采用CRES-SF量表评价患者的生活质量.结果 干预后1,3,6个月,观察组生理维度得分分别为（15.36±1.77）,（11.07±2.19）,（7.75±1.58）分；心理社会维度得分分别为（14.32±1.74）,（9.79±2.36）,（6.71±1.49）分；与医务人员关系维度的得分分别为（4.21±1.10）,（4.29±1.08）,（2.96±1.14）分.对照组干预后1,3,6个月生理维度得分分别为（17.36±1.64）,（14.39±1.42）,（9.79±2.32）分；心理社会维度得分分别为（16.21±2.04）,（14.07±1.59）,（9.14±1.94）分；与医务人员关系维度的得分分别为（6.71±1.27）,（6.86±1.33）,（5.79±1.40）分.两组患者健康相关生活质量总分随时间的变化而变化,两组比较差异均有统计学意义（t值分别为-4.391,-6.723,-3.845,-3.729,-7.971,-5.260,-7.863,-7.947,-8.285;P ＜0.05）.结论 延续护理方法能够改善宫颈癌全子宫切除术后患者的生活质量,有助于患者心理健康状态提升及健康行为的建立.Objective To discuss the effect of extended care on quality of life of cervical cancer patients with hysterectomy.Methods A total of 56 cases of cervical cancer patients with hysterectomy were randomly divided into the experimental group and the control group,each with 28 cases.The control group received routine discharge instructions,while the experimental group was given extended nursing in addition.Cancer rehabilitation evaluation system-short form （CARESSF） scale was used to evaluate patients＇quality of life respectively 1,3 and 6 months after discharge.Results 1,3 and 6 months after intervention,the scores of biological dimensions were respectively （15.36 ± 1.77）,（11.07 ± 2.19）,（7.75 ± 1.58）,the scores of psychological and social dimensions were （14.32 ± 1.74）,（9.79 ± 2.36）,（6.71 ± 1.49）,and the scores of relationship with medical staff were （4.21 ± 1.10）,（4.29 ± 1.08）,（2.96 ± 1.14） in the experimental group.1,3 and 6 months after intervention,the scores of biological dimensions were respectively （17.36 ± 1.64）,（14.39 ± 1.42）,（9.79 ± 2.32）,the scores of psychological and social dimensions were （16.21 ± 2.04）,（14.07± 1.59）,（9.14 ± 1.94）,and the scores of relationship with medical staff were （6.71 ± 1.27）,（6.86 ± 1.33）,（5.79 ± 1.40）.Quality of life related to health changed with time in both groups,with statistically significant difference （P ＜0.01）.Quality of life was much better in the experimental group than in the control group,and the differences were statistically significant （t =-4.391,-6.723,-3.845,-3.729,-7.971,-5.260,-7.863,-7.947,-8.285,respectively; P ＜0.05）.Conclusions Extended care can improve the quality of life of cervical cancer patients with hysterectomy,and help to develop healthy mental status and establish health behaviors.

关 键 词：子宫肿瘤 手术 延续护理 生活质量 

分 类 号：R473.73[医药卫生—护理学]