摘要
目的编制下咽癌术后生存质量量表并评估患者术后的生存质量,分析其相关影响因素。方法参考生存质量量表的编制原则及流程编制下咽癌术后生存质量量表。使用该量表对我科首诊行手术治疗的77例下咽癌患者进行问卷调查,评价此表的信度及效度,通过多元线性回归分析影响生存质量评分的因素。结果下咽癌术后生存质量量表的克朗巴赫α系数为0.882,效度为0.807。多因素分析显示,临床分期、手术方式、术后放疗、淋巴结清扫为术后生存质量的独立影响因素(P<0.05)。结论下咽癌术后生存质量量表信度和效度良好,可以用于评价术后生存质量。临床分期、手术方式、术后放疗及淋巴结清扫是影响术后患者生存质量的主要影响因素。
Objective To develop a quality of life(QOL)scale for patients with hypopharyngeal cancer after surgery and to evaluate the QOL of patients after surgery,and to analyze the related factors.Methods The QOL scale after hypopharyngeal cancer surgery was developed by referring to the principles and procedures of the QOL scale.A questionnaire survey was conducted among 77 hypopharyngeal cancer patients who underwent surgical treatment for the first time in our department.The reliability and validity of the questionnaire were evaluated.The factors affecting the QOL score were analyzed by multiple linear regression.Results The Chronbach a coeficient and validity of the QOL of hypopharyngeal cancer patients after surgery were 0.882 and 0.807 respectively.Multivariate analysis showed that clinical stage,surgical method,postoperative radiotherapy and lymph node dissection were independent factors affecting the QOL scores(P<0.05).Conclusions The reliability and validity of the QOL scales for hypopharyngeal cancer patients after surgery are good,and it can be used to evaluate the QOL after surgery.Clinical stages,surgical methods,postoperative radiotherapy and lymph node dissection are the main factors affecting the QOL of patients after surgery.
作者
程超
李培华
李巍
王洪江
CHENG Chao;LI Peihua;LI Wei;WANG Hongjiang(Graduate School,Xuzhou Medical University,Xuzhou,Jiangsu 221004,China;Department of Otolaryngology,Head and Neck Surgery,the Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu 221002)
出处
《徐州医科大学学报》
CAS
2019年第8期598-601,共4页
Journal of Xuzhou Medical University
关键词
下咽癌
生存质量
量表
影响因素
hypopharyngeal cancer
quality of life
scale
influencing factors
