对女性乳腺癌患者开展同伴教育模式婚姻质量干预效果评价

摘要

Objective The aim of this study was to evaluate the effect of marriage quality intervention in peer education model among women with breast cancer.Methods Marginal quality questionnaire was used to assess in the intervention and control groups during the perioperative period.There had 120 breast cancer patients in the intervention group and 135 normal subjects for control group.The patients were followed by the peer education model and the marriage and quality education during the chemotherapy period.The marriage quality questionnaires were carried out one year after the operation.Results Marital satisfaction(38.73±7.45),couples communication(38.12±7.03)and sex life(36.77±6.96)were significantly higher than those of the patients who participated in the traditional health education group after 1 year of operation.The control subjects with traditional health education had lower satisfaction of marital life(32.59±9.29),husband and wife communication(34.41±7.39)and sexual life(32.59±6.59)in one year after surgery(P<0.001).The scores of marital satisfaction,husband and wife communication,and sex scores were significantly lower in patients with traditional health education after 1 year of operation(P<0.001).Conclusion Marriage quality interventions in the peer education model can effectively affect the marital quality of postoperative patients with breast cancer.%目的 评价女性乳腺癌患者同伴教育模式婚姻质量干预的效果.方法 在围手术期分别对干预组和对照组患者进行婚姻质量问卷调查,在化疗期间对患者分别进行同伴教育模式婚姻质量干预和传统健康教育,并在患者手术后1年再次进行婚姻质量问卷调查.结果 手术1年后干预组婚姻满意度(38.73±7.45)、夫妻交流(38.12±7.03)、性生活(36.77±6.96)评分均显著高于对照组的婚姻满意度(32.59±9.29)、夫妻交流(34.41±7.39)、性生活(32.59±6.59)(P<0.001).同时手术1年后干预组的婚姻满意度及夫妻交流评分也显著高于围手术期的评分(P<0.05).而手术1年后对照组的患者婚姻满意度、夫妻交流、性生活评分均显著降低(P<0.001).结论 同伴教育模式婚姻质量干预能够有效提高女性乳腺癌术后患者的婚姻质量.