子宫切除术后患者生活质量的变化及家庭关怀度的影响因素分析

摘要 目的：探讨子宫切除术后患者生活质量的变化及家庭关怀度的影响因素。方法：选取2017年1月~2020年1月期间在我院行子宫切除术的158例患者为研究对象，采用生活质量评价量表（SF-36）、家庭关怀度指数问卷（APGAR）对子宫切除术后患者的生活质量、家庭关怀度进行评估。根据患者的APGAR评分分为家庭功能良好组（123例）和家庭功能障碍组（35例），采用多因素Logistic回归分析子宫切除术后患者家庭关怀度的影响因素。结果：158例子宫切除术后患者的SF-36中得分最高的维度为生理功能（PF）（88.97±9.28）分，最低为心理健康（MH）（62.39±7.93）分，而术前评分中最高为PF（90.89±8.97）分，最低为MH（74.83±8.87）分，术后患者的MH评分有显著下降（P<0.05）。158例患者APGAR总得分为（7.37±2.32）分，其中家庭功能良好（7~10分）患者123例、中度障碍（4~6分）28例、重度障碍（0~3分）7例。经单因素分析显示：两组患者年龄、手术切除方式、原发疾病类型、居住地、文化程度对比无统计学差异（P>0.05），而两组在切除时长、家庭年收入、婚姻状况、家庭关系方面对比有统计学差异（P<0.05）。经多因素Logistic回归分析显示：切除时长、婚姻状况、家庭关系及家庭年收入均是子宫切除术后患者家庭关怀度的影响因素。结论：子宫切除术后患者生活质量及家庭关怀度均处于中等水平。其家庭关怀度受多种因素的影响，临床中应结合患者实际情况和其可能存在的相关因素进行适当干预，以减少家庭功能障碍的发生风险。

Changes of Quality of Life and Analysis of Influencing Factors of Family Care Degree in Patients after Hysterectomy

ABSTRACT Objective: To investigate the changes of quality of life in patients after hysterectomy and the influencing factors of family care degree. Methods: 158 patients with hysterectomy in our hospital from January 2017 to January 2020 were selected as the research objects. The quality of life evaluation scale (SF-36) and family care degree index questionnaire (APGAR) were used to evaluate the quality of life and family care degree of patients after hysterectomy. According to the APGAR score, the patients were divided into good family function group (123 cases) and family dysfunction group (35 cases). Multivariate Logistic regression were used to analyze the influencing factors of family care degree of patients after hysterectomy. Results: Among 158 patients after hysterectomy, the highest score of SF-36 was physiological function (PF) (88.97±9.28) score, the lowest was mental health (MH) (62.39±7.93) score, while the highest before operation score was PF (90.89±8.97) score, and the lowest was MH (74.83±8.87) score. The MH score of patients after operation decreased significantly (P>0.05). The total APGAR score of 158 patients was (7.37±2.32) score, including 123 patients with good score(7-10 scores), 28 cases with moderate disorder (4-6 scores), and 7 cases with severe disorder (0-3 scores). By univariate analysis, there were no significant differences in age, surgical resection method, primary disease type, residence and education level between the two groups(P>0.05), while there were statistically significant differences between the two groups in resection time, annual family income, marital status and family relationship(P<0.05). Multivariate Logistic regression analysis showed that the resection time, marital status, family relationship and annual family income were all factors influencing the family care degree of patients after hysterectomy. Conclusion: The quality of life and family care degree of patients after hysterectomy are in the middle level. The family care degree is affected by many factors, and appropriate intervention should be carried out in clinical practice based on the actual situation of patients and their possible related factors, so as to reduce the risk of family dysfunction.