Li Jue, Huang Jiliang, Zhang Jun, Li Yajie
Department of Nursing Teaching and Research, Shantou University Medical College, Shantou, Guangdong, PR China.
Reproductive Center, Department of Obstetrics and Gynecology, The First Affiliated Hospital, Shantou University, Shantou, Guangdong, PR China.
Eur J Oncol Nurs. 2016 Apr;21:174-80. doi: 10.1016/j.ejon.2015.09.009. Epub 2015 Oct 21.
To investigate the effect of a home-based, nurse-led health program on quality of life and family function for postoperative patients with early-stage cervical cancer.
226 cervical cancer patients, from two hospitals between December 2012 and April 2014, were randomly divided into intervention and control groups. Patients in the intervention group received an individual home-based, nurse-led health program (family-care team provision, physiological rehabilitation, emotion-release management, informal social support system, and follow-up monitoring), in addition to conventional nursing education. Patients in the control group only received conventional nursing education. The Functional Assessment Cancer Therapy-Cervix, Female Sexual Function Index, and the Family Adaptability and Cohesion Scale were used for assessment before and after the intervention.
After the intervention, significant improvements were found for the quality of life total scores (t=-7.650, p=0.000), sexual function scores (t=-6.465, p=0.000), cohesion scores (t=-8.417, p=0.001) and adaptability scores (t=-10.735, p=0.000) in the intervention group. Moreover, proportions of family types were also improved (χ2 = 17.77, p=0.000). However, for the control group, no significant differences were found except for a decrease in sexual function scores (t = -4.035, p=0.000). Significant differences in change scores between groups were also found for quality of life (F=41.980, p=0.000), Sexual function (F=37.380, p=0.000), cohesion (F=15.268, p=0.000) and adaptability (F=16.998, p=0.000).
A home-based, nurse-led health promotion program improves the quality of life, sexual function and family function in postoperative patients with early-stage cervical cancer.
探讨以家庭为基础、由护士主导的健康项目对早期宫颈癌术后患者生活质量和家庭功能的影响。
选取2012年12月至2014年4月期间来自两家医院的226例宫颈癌患者，随机分为干预组和对照组。干预组患者除接受常规护理教育外，还接受以家庭为基础、由护士主导的个体化健康项目（家庭护理团队服务、生理康复、情绪释放管理、非正式社会支持系统及随访监测）。对照组患者仅接受常规护理教育。采用癌症治疗功能评价量表-宫颈癌、女性性功能指数及家庭亲密度和适应性量表在干预前后进行评估。
干预后，干预组患者的生活质量总分（t=-7.650，p=0.000）、性功能得分（t=-6.465，p=0.000）、亲密度得分（t=-8.417，p=0.001）和适应性得分（t=-10.735，p=0.000）均有显著改善。此外，家庭类型比例也有所改善（χ2 = 17.77，p=0.000）。然而，对照组除性功能得分下降外（t = -4.035，p=0.000），未发现显著差异。两组在生活质量（F=41.980，p=0.000）、性功能（F=37.380，p=0.000）、亲密度（F=15.268，p=0.000）和适应性（F=16.998，p=0.000）的变化得分上也存在显著差异。
以家庭为基础、由护士主导的健康促进项目可改善早期宫颈癌术后患者的生活质量、性功能和家庭功能。
