以家庭为中心的干预模式对宫颈癌术后患者负性情绪、睡眠质量和生活质量的影响  

Effects of family-centered intervention model on negative emotions,sleep quality and quality of life in patients with cervical cancer after surgery

作　　者：吕艳 李靖雯 吴淑贞[3] LYU Yan;LI Jingwen;WU Shuzhen(Department of Obstetrics,Zhengzhou Yihe Hospital,Zhengzhou 450018,He’nan,China;Department of Gynecology,Zhengzhou Yihe Hospital,Zhengzhou 450018,He’nan,China;Disinfection Supply Center,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450003,He’nan,China)

机构地区：[1]郑州颐和医院产科,郑州450018 [2]郑州颐和医院妇科,郑州450018 [3]郑州大学第一附属医院消毒供应中心,郑州4500030

出　　处：《癌症进展》2022年第15期1613-1616,1620,共5页Oncology Progress

摘　　要：目的探讨以家庭为中心的干预模式对宫颈癌术后患者负性情绪、睡眠质量和生活质量的影响。方法根据干预方式的不同将70例宫颈癌患者分为对照组和观察组,每组35例,对照组患者给予常规护理干预,观察组患者给予以家庭为中心的干预模式。比较两组患者的手术相关指标、负性情绪(采用症状自评量表评估)、睡眠质量[匹兹堡睡眠质量指数(PSQI)]、生活质量[健康调查简表(SF-36)]和并发症发生情况。结果观察组患者的切口愈合时间及住院时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者症状自评量表、PSQI量表各维度评分均明显低于本组干预前,且观察组患者症状自评量表、PSQI量表各维度评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SF-36量表各维度评分均高于本组干预前,且观察组患者SF-36量表各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组并发症总发生率为2.86%,低于对照组患者的20.00%,差异有统计学意义(P﹤0.05)。结论以家庭为中心的干预模式可有效缓解宫颈癌术后患者的负性情绪,改善生活质量和睡眠质量,降低并发症发生率。Objective To explore the effect of family-centered intervention mode on negative emotions,sleep quality and quality of life in patients after cervical cancer surgery.Method According to the different intervention methods,70patients with cervical cancer were divided into control group and observation group,35 cases in each group.Patients in the control group were given routine nursing intervention,and patients in the observation group were given family-centered intervention mode.The operation-related indicators,negative emotions(assessed by symptom self-rating scale),sleep quality[Pittsburgh sleep quality index(PSQI)],quality of life[the MOS 36-item short form health survey(SF-36)]and complications were compared between the two groups.Result The incision healing time and hospitalization time of the observation group were significantly shorter than those of the control group,and the differences were statistically significant(P<0.01).After the intervention,the scores of each dimension of the symptom self-rating scale and PSQI scale in the two groups were significantly lower than those before the intervention,and the scores of the symptom self-rating scale and each dimension of the PSQI scale in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the scores of each dimension of the SF-36 scale in the two groups were higher than those before the intervention,and the scores of each dimension of the SF-36 scale in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was 2.86%,which was lower than 20.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion The family-centered intervention model can effectively improve the negative emotions of patients after cervical cancer surgery,improve the quality of life and sleep quality,and reduce the incidence of complica

关 键 词：宫颈癌 以家庭为中心的干预模式 负性情绪 生活质量 睡眠质量 

分 类 号：R737.33[医药卫生—肿瘤]