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目的了解乳腺癌根治术后患者的婚姻质量,为护理工作提供依据。方法应用婚姻质量问卷(ENRICH)对乳腺癌根治术术后6个月的150例患者进行调查,并与同期在门诊进行健康体检的165例妇女相比较。结果乳腺癌根治术患者婚姻质量评分在过分理想化、婚姻满意度、性格相容度、解决冲突的方式、经济安排、业余活动、性生活、与亲友的关系等8个维度与健康体检者比较,差异有统计学意义(均P<0.01)。患者年龄、文化程度、婚龄等因素与婚姻质量的多个维度相关(P<0.05或P<0.01)。结论乳腺根治术患者的婚姻质量低于健康体检者,应开展针对性社区护理,加强患者及其配偶的健康教育,提高其婚姻质量。
Objective To understand the quality of marriage in patients with radical mastectomy and to provide basis for nursing work. Methods A total of 150 patients at 6 months after radical mastectomy for breast cancer were enrolled in the ENRICH study and compared with 165 women who underwent physical examinations during the same period. Results Marital quality scores of patients with radical mastectomy were significantly different from those of healthy controls in eight dimensions of over-idealization, marital satisfaction, personality compatibility, ways of resolving conflicts, economic arrangements, leisure activities, sexual life, relationships with relatives and friends , The difference was statistically significant (both P <0.01). Factors such as patient’s age, educational level and age of marriage were correlated with multiple dimensions of marital quality (P <0.05 or P <0.01). Conclusions The quality of marriage in patients undergoing radical mastectomy is lower than that of healthy people. Targeted community nursing should be carried out to enhance the health education of patients and their spouses and improve the quality of marriage.