摘要
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 research on the correlation of postoperative symptom distress and quality of life in patients with bone tumor, to provide bases for improving symptoms and quality of life. Methods From November 2011 to November 2013, 80 patients with surgical treatment for bone tumor were enrolled in this study, questionnaire was used to understand the symptom distress and quality of life of patients after one weeks of surgical treatment, and multivariate analysis were used. Results 97.4% of patients with surgical treatment after one week had symptom distress ; quality of life scores for overall patients （45.67 ± 27. 87 ） were significantly lower than the international norm scores （51.56 ± 24. 61 ） , the difference was statistically significant （ P 〈 0. 05 ） ; The influencing factors of symptom distress include age, level of education, work- ing status, operation mode and stage of disease; symptom distress had negative correlation with quality of life scores, physical function, social function, role function, pain, fatigue dimensions （r =-0. 248 ~ -0. 541, P 〈 O. O1 ）. Conclusion For nursing patients with bone tumors, attention to patient＇s symptom distress should be given to disease and treatment, especially for patients with amputation; in order to im- prove the postoperative quality of life of patients, the management of symptoms should be strengthened.
出处
《中国肿瘤临床与康复》
2014年第4期499-501,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
骨肿瘤
术后
症状困扰
生活质量
Bone nesoplams
Postoperative
Symptom distress
Quality of life
