乳腺癌保乳手术和改良根治术对女性婚姻质量影响对比

摘要

Objectives:To discuss the influence of breast conserving surgery and modified radical operation on the marriage quality of patients with breast cancer.Methods:160 patients with breast cancer in our hospital from January 2014 to January 2016 were selected and randomly divided into conserving surgery group and modified radical operation group.Before operation and 6 months after operation,both groups received the general questionnaire and ENRICH to analyze the influence of different operations on their marriage quality.Results:After operation,the level of marriage satisfaction,sex life,and communication between couples were lower than the norms,with significant difference (P ＜ 0.05).The scores of the above three marriage quality factors of the conserving surgery group were higher than theses of modified radical operation group,with significant difference (P ＜ 0.05).After the operation,the three factors of both groups were decreased (P ＜ 0.05).Conclusion:After operation,the marriage quality of patients with breast cancer shows a declining trend.The marriage quality of patients receiving conserving surgery is better than those receiving modified radical operation,which indicates the conserving surgery helps improve the marriage quality of patients with breast cancer.%目的:探讨保乳手术和改良根治术对乳腺癌患者婚姻质量的影响.方法:选取2014年1月至2016年1月于我院住院诊治的160例乳腺癌患者作为研究对象,在接受手术治疗前依据随机数表方法将入选研究对象分为保乳手术组和改良根治手术组,两组患者在接受相应的手术治疗前及治疗6个月后均采取一般情况调查问卷及Olson婚姻质量调查问卷(ENRICH)等调查量表调查分析不同的手术治疗方式对患者婚姻质量的影响.结果:在接受手术治疗后,患者在婚姻满意度、夫妻性生活、夫妻交流3个婚姻质量因子评分方面均显著低于常模,差异具有统计学意义(P＜0.05);其中保乳手术组患者在术后的3个婚姻质量因子评分方面均显著高于改良根治手术组患者,差异具有统计学意义(P＜0.05);而在手术治疗前后比较,术后两组患者的3个婚姻质量因子评分均低于手术前(P＜0.05),且两组患者在3个婚姻质量因子评分的下降差值方面有差异,差异具有统计学意义(P＜0.05).结论:乳腺癌患者接受手术治疗后其婚姻质量会出现下降,其中接受保乳手术治疗的患者术后婚姻质量要显著优于接受改良根治术治疗的患者,表明对乳腺癌患者实施保乳术治疗有助于提升患者的婚姻质量.