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目的探讨原发性肝癌患者生存质量及其影响因素,为采取有效的护理措施提供依据。方法随机抽取2014年1月至2015年1月住院的130例原发性肝癌患者,采用肝癌生存质量测定量表(QOL-LC))进行调查。结果原发性肝癌患者的生存质量各领域得分及总分均偏低,生活质量总分为(121.67±34.7)分,得分最高的领域是躯体功能(34.17±11.86)分,得分最低的领域是社会功能(24.47±10.39)分;单因素分析结果显示,文化程度、工作类型、经济收入、居住条件、住院次数、肝功能Child-Pugh分级等6因素对肝癌患者的生活质量得分有显著影响,差异具有统计学意义(P<0.05,P<0.01)。多元线性回归分析结果显示,患者的文化程度、居住条件、经济收入与生活质量得分呈正相关,肝功能Child-Pugh分级与生活质量得分呈负相关(P均<0.01)。结论应根据原发性肝癌患者的具体情况,采取积极的有针对性的干预措施,以提高其生存质量。
Objective To investigate the quality of life and its influencing factors in patients with primary liver cancer and provide evidence for effective nursing measures. Methods A total of 130 patients with primary liver cancer hospitalized from January 2014 to January 2015 were randomly selected and investigated by QOL-LC. Results The scores of quality of life in all patients with primary liver cancer were lower than those of patients with primary liver cancer (121.67 ± 34.7), and the highest score was the body function (34.17 ± 11.86). The lowest scores were (24.47 ± 10.39). The results of univariate analysis showed that 6 factors such as educational level, type of work, income, living conditions, number of hospitalizations and Child-Pugh classification of liver function had a significant effect on the quality of life scores of patients with liver cancer, The difference was statistically significant (P <0.05, P <0.01). Multivariate linear regression analysis showed that the level of education, living conditions, income and quality of life were positively correlated. The Child-Pugh classification of liver function was negatively correlated with the quality of life scores (all P <0.01). Conclusion According to the specific conditions of patients with primary liver cancer, aggressive interventions should be taken to improve their quality of life.