家庭干预对乳腺癌患者家庭亲密度及适应性的影响

摘要

目的：探讨家庭干预对乳腺癌患者家庭关系的影响。方法将128例术后乳腺癌患者随机分为对照组和干预组，每组各64例，对照组给予常规护理措施，干预组在此基础上针对患者家庭及主要照顾者实施干预，包括针对患者主要照顾者进行的护理指导；与患者及家属进行座谈，进行心理疏导；出院后定期电话回访，给予生活和康复指导等。干预前后用家庭亲密度和适应性量表中文版（family adaptability and cohesion scale，FACESII-CV）分别对干预组和对照组进行测评。结果干预后，干预组在家庭实际亲密度及家庭实际适应性得分均高于干预前和对照组；家庭亲密度和适应性不满意程度得分均低于干预前和对照组（均P＜0.05）。结论家庭干预能有效地提高乳腺癌患者的家庭亲密度和适应性。%Objective To study the influence of the professional family intervention on cohesion and adaptability of breast cancer patients.Methods One hundred and twenty-eight breast cancer patients were randomly divided into control group and intervention group in equal number.The control group was given conventional nursing and the intervention group interventions including nursing instruction for their families and caregivers,mental instructions,and regular follow-ups in terms of life and rehabilitative instructions.A Family Adaptability and Cohesion Scale(FACESII-CV)was used for assessment before and after intervention.Result After intervention,the score on cohesion and adaptability of the intervention group were significantly higher than those of the intervention group before intervention and the control group(P<0.05).Conclusion The professional family interventions can effectively improve the family cohesion and adaptability of breast cancer patients.