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目的探讨延续性护理对宫颈癌患者广泛子宫切除术后生活质量和婚姻质量的影响。方法选取2012年3月至2015年3月间在广州市白云区妇幼保健院行广泛子宫切除术的158例宫颈癌患者,按照手术日期单双号分为观察组和对照组,双号编入观察组,观察组患者82例,采用延续性护理。单号编入对照组,对照组患者76例,采用常规护理。采用SF-36生活量表和Olson婚姻质量问卷分别评价并比较两组患者术后2个月和6个月的生活质量和婚姻质量。结果两组患者术后2个月的SF-36生活量表评分和Olson婚姻质量问卷评分比较差异均无统计学意义(均P>0.05)。观察组患者术后6个月的SF-36生活量表评分中的总体健康、生理职能、躯体疼痛、情感职能、精力、社会功能和精神健康等7个维度得分均显著高于对照组患者,差异均有统计学意义(均P<0.05),观察组患者的婚姻满意度、夫妻交流和夫妻性生活评分均显著高于对照组患者,差异均有统计学意义(均P<0.05)。结论对宫颈癌患者广泛子宫切除术后实施延续性护理可显著提高患者生活质量,促进夫妻和谐。
Objective To investigate the effect of continuous nursing on the quality of life and the quality of marriage after extensive hysterectomy in patients with cervical cancer. Methods A total of 158 patients with cervical cancer who underwent extensive hysterectomy from March 2012 to March 2015 in Guangzhou Baiyun District MCH hospital were divided into observation group and control group according to single and double operation date. Observation group, observation group of 82 patients, using continuous care. A single number into the control group, 76 patients in the control group, the use of routine care. The quality of life and the quality of marriage at 2 months and 6 months after surgery were evaluated and compared using the SF-36 questionnaire and the Olson Marital Quality Questionnaire. Results There was no significant difference in SF-36 subscales scores and Olson Marital Quality Questionnaire scores between the two groups after 2 months (all P> 0.05). The score of SF-36 subscales in observation group was significantly higher than that of control group in overall dimensions of health, physical function, physical pain, emotional function, energy, social function and mental health in 6 months after operation. (All P <0.05). The degree of marital satisfaction, exchange of husband and wife and marital sex life in the observation group were significantly higher than those in the control group (all P <0.05). Conclusions The implementation of continuous nursing after extensive hysterectomy for cervical cancer patients can significantly improve the quality of life of patients and promote the harmony between husband and wife.