结构式家庭疗法在胃癌术后患者随访的应用研究  

Application of Structural Family Therapy in Follow-up Visit on Patients with Gastric Cancer Surgery

作　　者：周兴平 王海燕 章剑飞 

机构地区：[1]临海市第二人民医院

出　　处：《医院管理论坛》2016年第12期70-72,共3页Hospital Management Forum

摘　　要：目的探讨基于结构式家庭疗法的随访管理在胃癌患者手术后的应用效果。方法选择2015年6月至2016年6月于我院行手术治疗的48例胃癌患者,随机分为观察组和对照组,每组24例。对照组术后给予常规随访,观察组给予基于结构式家庭疗法的随访。比较干预后两组患者的健康行为、自我效能以及胃癌特异症状评分的差异。结果干预后,观察组患者的健康行为总分以及自我效能总分明显优于对照组,差异有统计学意义(P<0.05)。观察组胃部不适、返流、饮食受限、焦虑等症状的严重程度明显轻于对照组,差异有统计学意义(P<0.05)。结论基于结构式家庭疗法的随访管理可以延伸胃癌患者术后的健康指导,提升患者术后的健康行为和自我效能,减轻患者的各类不适,具有一定的应用价值。Objective To discuss the application effect of flow-up visit management based on structural family therapy on patients with gastric cancer after surgery. Methods 48 patients with gastric cancer after surgery from June 2015 to June 2016 in our hospital were selected. They were randomly divided into observation group and control group with 24 cases respectively. The control group received routine follow-up visit while observation group received flow-up visit management based on structural family therapy. The scores of health behavior, self-efficacy and gastric cancer specific symptoms in two groups were compared. Results After intervention, the total scores of health behavior and self-efficacy in observation group were higher than those in control group（P〈0.05）. The severity of stomach discomfort, reflux, dietary restriction and anxiety in observation group were significantly lower than those in control group（P〈0.05）. Conclusion The follow-up visit based on structural family therapy can effectively extend health education of postoperative patients with gastric cancer, improve their health behavior and self-efficacy and ease all kinds of discomfort. Therefore, it is worth promoting.

关 键 词：结构式家庭疗法 随访 胃癌 术后 

分 类 号：R454.1[医药卫生—治疗学]