卵巢癌患者优化健康教育内容及路径的建立及效果评价

发布时间：2018-03-25 19:52

本文选题：卵巢癌　切入点：生活质量　出处：《中南大学》2014年硕士论文

【摘要】：目的：1通过对术后恢复期卵巢癌患者访谈探讨健康教育内容及路径的优化。2优化健康教育内容路径对卵巢癌患者生活质量、社会支持、性满意度等方面的改善效果方法：(1)采用定性访谈法,以半结构式深度访谈的形式对14名卵巢癌患者与2名妇科肿瘤组专家进行访谈。为优化健康教育内容及路径提供临床资料。 (2)根据第一部分提供的临床资料和定性访谈信息,设计优化的健康教育内容和路径。应用优化的健康教育内容和路径对154例在2010年1月-2013年1月期间在长治医学院附属和平医院确诊为卵巢癌并进行手术及化疗并自愿接受调查的患者进行实验性研究。随机将154例住院卵巢癌患者分为观察组和对照组,每组各77例。干预组入院后即实施系统的健康教育内容及路径干预,对照组进行常规的健康教育。比较两组患者在生活质量、社会支持、性满意度等方面的改善情况。结果：定性访谈发现：(1)接受卵巢癌治疗患者在确诊后,性生活处于停止状态,经历并完成卵巢癌的各项治疗后,患者逐渐重新开始性生活；卵巢癌的各项治疗,将使患者的生理、心理状态发生改变。(2)患者及其性伴侣在重新开始性生活的过程中,要经历应对疾病所造成的性生活改变的过程。(3)患者对性生活知识寻求帮助的途径消极、匮乏,极少主动寻求医护人员的帮助。实验性研究发现：(1)干预组患者在角色功能、情感功能,认知功能和生活质量总分上有显著性提高,显著高于对照组(P0.05)；(2)干预组患者性生活满意度各维度较对照组显著提高；干预组在术后3个月、6个月、18个月,18个月以上时段术后性生活恢复率显著高于对照组。结论： (1)定性研究发现卵巢癌患者性知识方面有较高需求,但其相关性知识内容和获得渠道匮乏。 (2)卵巢癌患者确诊后到恢复期3个月内性生活处于停滞状态,经过一系列适应过程逐渐恢复性生活。 (3)针对卵巢癌患者各个阶段健康教育内容路径优化能显著提高患者的社会支持及性生活满意度,从而提高患者生活质量。
[Abstract]:Objective to explore the effects of optimizing the content and path of health education on the quality of life, social support and sexual satisfaction of patients with ovarian cancer through the interview of patients with ovarian cancer during the recovery period. Methods 14 patients with ovarian cancer and 2 gynecological oncology experts were interviewed by qualitative interview and semi-structured in-depth interview to provide clinical data for optimizing the content and path of health education. (2) based on the clinical information and qualitative interview information provided in part I, Design of optimized health education contents and pathways. 154 patients diagnosed with ovarian cancer during the period January 2010-January 2013 at the Peace Hospital affiliated to Changzhi Medical College were treated with surgery and chemotherapy. 154 patients with ovarian cancer were randomly divided into observation group and control group. There were 77 cases in each group. The intervention group carried out systematic health education content and path intervention immediately after admission, and the control group received routine health education. The improvement of quality of life, social support and sexual satisfaction were compared between the two groups. Results: the qualitative interview found that after the diagnosis of ovarian cancer treatment, the sexual life of the patients with ovarian cancer was at a standstill. After all the treatments for ovarian cancer were completed, the patients gradually began to have sex again. It will change the patient's physical and psychological state.) the patient and his or her sexual partner will experience the process of coping with the changes in sexual life caused by illness in the process of restarting their sexual life. 3) the way for the patient to seek help with the knowledge of sexual life is negative. Lack of, rarely ask for the help of medical staff. The experimental study found that the total scores of role function, affective function, cognitive function and quality of life in the intervention group were significantly higher than those in the control group (P 0.05). The recovery rate of sexual life in the intervention group was significantly higher than that in the control group at 3 months, 6 months, 18 months and more than 18 months after operation. Conclusion:. Qualitative study found that there was a high demand for sexual knowledge in patients with ovarian cancer, but the relevant knowledge content and access were scarce. 2) the sexual life of ovarian cancer patients was in a state of stagnation within 3 months from the diagnosis of diagnosis to the recovery period, and the sexual life was gradually restored after a series of adaptation processes. 3) optimizing the content path of health education for ovarian cancer patients at different stages can significantly improve the social support and life satisfaction of patients, thus improving the quality of life of patients.
【学位授予单位】：中南大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R737.31

【共引文献】