摘要

Purpose: To investigate the effect of a home-based, nurse-led health program on quality of life and family function for postoperative patients with early-stage cervical cancer. Method: 226 cervical cancer patients, from two hospitals between December 2012 and April 2014, were randomly divided into intervention and control groups. Patients in the intervention group received an individual home-based, nurse-led health program (family-care team provision, physiological rehabilitation, emotion-release management, informal social support system, and follow-up monitoring), in addition to conventional nursing education. Patients in the control group only received conventional nursing education. The Functional Assessment Cancer Therapy-Cervix, Female Sexual Function Index, and the Family Adaptability and Cohesion Scale were used for assessment before and after the intervention. Results: After the intervention, significant improvements were found for the quality of life total scores (t=-7.650, p = 0.000), sexual function scores (t=-6.465, p = 0.000), cohesion scores (t=-8.417, p = 0.001) and adaptability scores (t=-10.735, p = 0.000) in the intervention group. Moreover, proportions of family types were also improved (chi(2) = 17.77, p = 0.000). However, for the control group, no significant differences were found except for a decrease in sexual function scores (t = -4.035, p = 0.000). Significant differences in change scores between groups were also found for quality of life (F = 41.980, p = 0.000), Sexual F = 37.380, p = 0.000), cohesion (F = 15.268, p = 0.000) and adaptability (F = 16.998, p = 0.000). Conclusion: A home-based, nurse-led health promotion program improves the quality of life, sexual function and family function in postoperative patients with early-stage cervical cancer.