| 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. |
