论文部分内容阅读
目的探讨骨肿瘤患者术后症状困扰与生活质量的相关性。方法选取2011年11月至2013年1月间80例骨肿瘤手术患者,通过症状困扰量表和生活质量问卷了解患者术后1周的症状困扰和生活质量情况,并进行多变量相关性分析。结果骨肿瘤患者术后1周内普遍存在症状困扰(97.4%),患者生活质量总分为(45.67±27.87)分,明显低于国际常模(51.56±24.61)分,差异有统计学意义(P<0.05)。影响骨肿瘤患者症状困扰的因素有年龄、受教育程度、工作状态、手术方式和疾病阶段;症状困扰与生活质量总分、躯体功能、社会功能、角色功能、疼痛、疲乏程度均呈负相关(r=-0.248~-0.541,P<0.01)。结论对骨肿瘤患者的护理,应重视疾病和治疗带给患者的症状困扰,尤其对于截肢患者应给予更多关注,加强症状管理,进而提高患者术后的生活质量。
Objective To investigate the correlation between postoperative symptoms and quality of life in patients with bone tumor. Methods Eighty patients with bone tumor who underwent surgery between November 2011 and January 2013 were selected. Symptom disturbances and quality of life (QOLs) were observed at 1 week after operation by questionnaire of symptom disturbance and quality of life questionnaire. Multivariate correlation analysis was performed. Results The patients with bone tumor had widespread symptoms (97.4%) within 1 week after operation and the total quality of life (45.67 ± 27.87), which was significantly lower than that of the international norm (51.56 ± 24.61), the difference was statistically significant ( P <0.05). The factors influencing the symptoms of patients with bone cancer were age, education level, work status, operation mode and disease stage. Symptom disturbance was negatively correlated with total quality of life score, body function, social function, role function, pain and fatigue r = -0.248 ~ -0.541, P <0.01). Conclusion Nursing of patients with bone tumors should pay attention to the symptoms brought by diseases and treatment. Especially for amputees, more attention should be paid to the management of symptoms so as to improve the postoperative quality of life.