摘要
目的探讨家院互融手法淋巴引流在下肢淋巴水肿(LLL)中青年宫颈癌患者中的应用效果。方法便利选取郑州大学第二附属医院2018年2月至2020年6月收治的80例宫颈癌治疗后发生LLL的中青年患者作为研究对象,按住院顺序分为对照组和观察组,各40例。对照组接受院内常规治疗及居家常规护理,观察组在对照组的基础上接受配偶居家手法淋巴引流。患者出院时及居家引流3个月后通过下肢体积测量、妇科肿瘤淋巴水肿问卷(GCLQ)、婚姻调适量表(MAT)、宫颈癌生存质量评估量表(FACT-Cx)分析干预效果。结果干预过程中观察组退出1例,对照组退出1例,共78例患者完成研究。出院时,两组患者下肢体积差>5%,≤10%例数比较,差异无统计学意义(P>0.05)。3个月居家配偶手法引流后,观察组下肢体积差>5%,≤10%例数多于出院时,差异有统计学意义(P<0.05)。出院时,两组GCLQ评分比较,差异无统计学意义(P>0.05)。3个月居家配偶手法引流后,观察组GCLQ评分低于对照组且低于出院时,差异均有统计学意义(P<0.05)。出院时,两组MAT评分比较,差异无统计学意义(P>0.05)。3个月居家护理后,观察组MAT评分高于出院时且高于对照组,差异均有统计学意义(P<0.05)。出院时,两组FACT-Cx各项评分比较,差异无统计学意义(P>0.05)。3个月居家配偶手法引流后,观察组FACT-Cx各项评分高于对照组,且高于出院时,差异均有统计学意义(P<0.05)。结论家院互融手法淋巴引流可以减轻中青年宫颈癌患者LLL程度,降低LLL症状感,促进患者与配偶之间的亲密关系,提高患者的生活质量。
Objective To explore the application effect of hospital-at-home integrated care in young and middle-aged cervical cancer patients with lower extremity lymphedema(LLL).Methods Convenient selection of the Second Affiliated Hospital of Zhengzhou University from February 2018 to June 2020 treated 80 cases of young and middle-aged patients with LLL after treatment of cervical cancer as the research object,according to the order of hospitalization were divided into control group and observation group,40 cases in each group.The control group treated with routine treatment in hospital and routine home care,while the observation group treated with spouse home-based manual lymphatic drainage on the basis of the control group.At discharge and 3 months after home drainage,the intervention effect was analyzed by lower limb volume measurement,gynecological tumor lymphedema questionnaire(GCLQ),marital adjustment scale(MAT)and cervical cancer quality of life assessment scale(FACT-Cx).Results At the time of discharge,there was no significant difference in the number of patients with lower limb volume difference>5%and≤10%between the two groups(P>0.05).After 3 months of home spouse manual drainage,the number of patients with lower limb volume difference>5%and≤10%in the observation group was more than that at discharge,and the difference was statistically significant(P<0.05).At discharge,there was no significant difference in GCLQ score between the two groups(P>0.05).After 3 months of home spouse manual drainage,the GCLQ score of the observation group was lower than that of the control group and lower than that at discharge,the differences were statistically significant(P<0.05).At discharge,there was no significant difference in MAT score between the two groups(P>0.05).After 3 months of home care,the MAT score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).At discharge,there was no significant difference in FACT-Cx scores between the two groups(P>0.05).After 3 months of home spouse manual drainage,the FACT-Cx scores of the observation group were higher than those of the control group,and higher than those at discharge,the differences were statistically significant(P<0.05).Conclusion The hospital-at-home intergrated care can reduce the LLL degree of young and middle-aged patients with cervical cancer,reduce the LLL symptom,promote the intimate relationship between patients and their spouses,and improve the quality of life of patients.
作者
端木艳丽
陈晓娟
齐琳娜
谢艳秋
王丛尧
宿春茹
DUANMU Yanli;CHEN Xiaojuan;QI Linna;XIE Yanqiu;WANG Congyao;SU Chunru(Department of Radiotherapy,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《河南医学研究》
CAS
2021年第20期3676-3680,共5页
Henan Medical Research
基金
河南省医学科技攻关计划联合共建项目(LHGJ20190312)。
关键词
家院互融手法
淋巴引流
下肢淋巴水肿
宫颈癌
中青年
hospital-at-home integrated care
manual lymphatic drainage
lymphedema of lower extremity
cervical cancer
young and middle-aged people
作者简介
通信作者:陈晓娟,E-mail:497761163@qq.com。
