脑功能区胶质瘤切除术后病人健康行为与家庭功能的相关性研究  

Study on correlation between health behaviors and family function of patients after undergoing cerebral functional area glioma resection

作　　者：王可杰[1] 徐善才[1] 

机构地区：[1]哈尔滨医科大学附属第一医院

出　　处：《护理研究（下旬版）》2016年第11期4149-4152,共4页Chinese Nursing Researsh

基　　金：吴阶平医学基金项目;编号:320.6750.1329

摘　　要：[目的]研究脑功能区胶质瘤切除术后病人健康行为与家庭功能的相关性。[方法]选择2011年2月—2016年8月在我院诊治的脑功能区胶质瘤切除术后病人72例为观察组,同期选择在我院进行诊治的非脑功能区胶质瘤切除术后病人72例为对照组。采用简易智能精神状态检查量表(MMSE)及家庭功能模式(MMFF)对两组病人进行健康行为和家庭功能评定,并进行影响因素分析。[结果]观察组术后健康行为障碍率为16.7%,对照组术后健康行为障碍率为5.6%,观察组术后健康行为障碍率明显高于对照组(P<0.05)。观察组的定向力、记忆力、注意及计算力、语言及视空间、问题解决、沟通、角色、情感反应、情感介入评分低于对照组(P<0.05)。观察组回归分析显示:情感反应评分、问题解决评分、多发病灶与肿瘤部位为导致术后健康行为障碍发生的主要危险因素(P<0.05)。[结论]脑功能区胶质瘤切除术后病人的健康行为与家庭功能都有所降低,且家庭功能状况会影响病人的健康行为,因此在手术中要注意保护脑功能区,保护病人的健康行为。Objective:To study the correlation between health behaviors and family function of patients after undergoing cerebral functional area glioma resection.Methods:A total of 72 cases of patients after undergoing cerebral functional area glioma resection in our hospital were selected as observation group from August 2016 to February 2011.In the same period,another 72 patients were selected as control group who received the diagnosis and treatment as non cerebral functional area glioma in our hospital.The health behaviors and family function of patients were assessed by using Mini-mental State Examination(MMSE)and McMaster Model of Family Functioning model(MMFF)between both groups,and the influencing factors were analyzed.Results:The rate of health behavior disorder after operation in observation group was 16.7%;it was 5.6% in control group.The rate of health behavior disorder after operation was significantly higher in observation group than that in control group(P<0.05).The directional force,memory,attention and computing power,language and visual spatial score,problem solving,communication,roles,emotion reaction,and emotion intervention in observation group were lower than those in control group(P<0.05).The regression analysis in observation group showed that:the main risk factors induced the postoperative health behavior disorder included the emotional response score,the problem solving score,the multiple lesions and the tumor location(P<0.05).Conclusion:The health behaviors and family function of patients after undergoing cerebral functional area glioma resection were reduced,and the family function status would affect the patient's health behaviors,so the operation should pay attention to the protection of brain function area,so as to protect the patient's health behavior.

关 键 词：肢质瘤 脑功能区 健康行为 家庭功能 相关性 

分 类 号：R473.6[医药卫生—护理学]