本文選題：卵巢癌　切入點：生活質(zhì)量　出處：《中南大學》2014年碩士論文

【摘要】：目的：1通過對術(shù)后恢復期卵巢癌患者訪談探討健康教育內(nèi)容及路徑的優(yōu)化。2優(yōu)化健康教育內(nèi)容路徑對卵巢癌患者生活質(zhì)量、社會支持、性滿意度等方面的改善效果 方法：(1)采用定性訪談法,以半結(jié)構(gòu)式深度訪談的形式對14名卵巢癌患者與2名婦科腫瘤組專家進行訪談。為優(yōu)化健康教育內(nèi)容及路徑提供臨床資料。 (2)根據(jù)第一部分提供的臨床資料和定性訪談信息,設(shè)計優(yōu)化的健康教育內(nèi)容和路徑。應用優(yōu)化的健康教育內(nèi)容和路徑對154例在2010年1月-2013年1月期間在長治醫(yī)學院附屬和平醫(yī)院確診為卵巢癌并進行手術(shù)及化療并自愿接受調(diào)查的患者進行實驗性研究。隨機將154例住院卵巢癌患者分為觀察組和對照組,每組各77例。干預組入院后即實施系統(tǒng)的健康教育內(nèi)容及路徑干預,對照組進行常規(guī)的健康教育。比較兩組患者在生活質(zhì)量、社會支持、性滿意度等方面的改善情況。 結(jié)果：定性訪談發(fā)現(xiàn)：(1)接受卵巢癌治療患者在確診后,性生活處于停止狀態(tài),經(jīng)歷并完成卵巢癌的各項治療后,患者逐漸重新開始性生活；卵巢癌的各項治療,將使患者的生理、心理狀態(tài)發(fā)生改變。(2)患者及其性伴侶在重新開始性生活的過程中,要經(jīng)歷應對疾病所造成的性生活改變的過程。(3)患者對性生活知識尋求幫助的途徑消極、匱乏,極少主動尋求醫(yī)護人員的幫助。 實驗性研究發(fā)現(xiàn)：(1)干預組患者在角色功能、情感功能,認知功能和生活質(zhì)量總分上有顯著性提高,顯著高于對照組(P0.05)；(2)干預組患者性生活滿意度各維度較對照組顯著提高；干預組在術(shù)后3個月、6個月、18個月,18個月以上時段術(shù)后性生活恢復率顯著高于對照組。 結(jié)論： (1)定性研究發(fā)現(xiàn)卵巢癌患者性知識方面有較高需求,但其相關(guān)性知識內(nèi)容和獲得渠道匱乏。 (2)卵巢癌患者確診后到恢復期3個月內(nèi)性生活處于停滯狀態(tài),經(jīng)過一系列適應過程逐漸恢復性生活。 (3)針對卵巢癌患者各個階段健康教育內(nèi)容路徑優(yōu)化能顯著提高患者的社會支持及性生活滿意度,從而提高患者生活質(zhì)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.
【學位授予單位】：中南大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R737.31

【共引文獻】

相關(guān)期刊論文 前1條

1 蔡樂,萬崇華,張燦珍,和麗梅;卵巢癌患者生命質(zhì)量研究概況[J];中國腫瘤;2002年06期

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本文編號：1664591