摘要
目的了解包虫病患者手术前后生存质量(以下简称QOL)状况,为临床诊断及治疗提供理论依据。方法选取2017年7月-2018年6月在新疆某三甲医院手术治疗的包虫病人120例,发放问卷120份,其中有效问卷112份,采用自行设计的新疆包虫病手术患者生存质量量表,用均数±标准差表示患者生存质量得分,应用重复测量数据的方差分析方法分析包虫病患者手术前、术后1周、术后1月、3月、6月生存质量得分有无差异。结果结果显示:QOL总得分分析:术后1周、3月、6月与手术前比较均具有统计学意义(P<0.005);QOL 5个维度总均分分析:生理维度:术后1周、3月、6月与术前比较均具有统计学意义(P<0.005),心理维度:术后1月、3月、6月与术前比较均具有统计学意义(P<0.005),独立性维度:术后1周、1月、6月与术前比较均具有统计学意义(P<0.005),社会关系维度:此维度术后1周、1月、3月、6月与术前比较,均没有统计学意义(P>0.05);环境维度:术后3月与术前比较具有统计学意义(P<0.005);具体条目QOL得分分析:术后1周疼痛、疲乏、食欲、依赖药物、体力、影响工作、工作能力、自我照顾能力QOL得分均较术前有所降低(P<0.005);术后1月疼痛、疲乏、食欲、药物依赖QOL得分均达到或超过术前水平,环境安全达到术前水平(P>0.05),体力、影响工作、工作能力、自我照顾能力、家人精神支持、经济状况均较术前有所下降(P<0.005);术后3月家人精神支持较术前有所下降(P<0.005),体力、影响工作、工作能力、自我照顾能力、经济状况均达到或超过术前水平;术后6月家人精神支持QOL得分较术前有所下降(P<0.005),其余因素或无统计学意义(P>0.05),或超过术前水平(P<0.005)。结论包虫病患者手术前后生存质量得分有差异,应针对具体的情况给予病人及时的帮助。
Objective To investigate the quality of life of patients with the echinococcosis before and after operation,and to provide a theoretical basis for clinical diagnosis and treatment.Methods 120 cases with echinococcosis being treated with surgery from July 2017 to June 2018 at a hospital in Xinjiang were selected.120 questionnaires were issued,112 of which were valid.Self-designed quality of life scale were used?to represent the patient quality of life score with mean±standard deviation,and the repeated measurement data analysis of variance was used to analyze whether there were differences in the quality of life score of hydatid patients before surgery,one week after surgery,one month after surgery,three months after surgery,and six months after surgery.Results The total score of QOL at the 1 week,3 months and 6 months after operation were statistically significantly different from the preoperative score(P<0.005);The physical dimensions at 1 week,3 months and 6 months after operation were statistically different from the preoperative value(P<0.005).Psychological dimensions at 1 week,3 months and 6 months after operation had statistically significant difference from the preoperative value(P<0.005).Independent dimensions at 1 week,3 months and 6 months after operation also had statistically significant difference compared with preoperative score(P<0.005).Social relations dimensions at 1 week,3 months and 6 months after operation were not statistically different from the preoperative score(P>0.05);Environmental dimensions at 3 months after operation were statistically different from the value before the operation(P<0.005);The entry score of QOL analysis showed that the pain,the fatigue,the loss of appetite,the drug dependence,the physical strength,the impact on work,the work ability,self-care ability had decreased compared with the value before operation (P<0.005);After one month, the pain, fatigue, loss of appetite, drug dependence of QOL had reached orexceeded the preoperative level, environmental safety of QOL had reached the preoperative level (P>0.05), the physical strength, impacton work, the work ability, self- care ability, the family emotional support, the economic status of QOL had decreased compared with thepreoperative conditions (P <0.005);After three months, the family emotional support of QOL had decreased compared with thepreoperative value (P<0.005). The physical strength, impact on work, the work ability, self- care ability, the economic status of QOL hadreached or exceeded the preoperative level;After six months, the family emotional support of QOL continued to decrease compared with thepreoperative value(P<0.005). The rest factors were not statistically different compared with the value before operation(P>0.05), or theyhad exceeded the preoperative level (P<0.005). Conclusion There are differences in echinococcosis patients’quality of life scoresbefore and after operation.
作者
郭敏
吐尔干艾力·阿吉
冉博
温浩
邵英梅
GUO Min;Tu er gan ai li·aji;RAN Bo;WEN Hao;SHAO Yingmei(Department of Hepatobiliary and Hydatid,Digestive and Vascular Surgery Center,The First Affiliated Hospital of Xinjiang Medical University,Xinjiang,Urumqi,830054,China)
出处
《新疆医学》
2019年第7期671-675,共5页
Xinjiang Medical Journal
基金
新疆医科大学第一附属医院院内项目资助（项目编号：2014SKQNO2）
关键词
包虫病
生存质量
手术患者
Echinococcosis
QOL
surgically treated hydatid patients
作者简介
郭敏,女,卫生事业管理主管医师,研究方向:医院管理及卫生经济方向;通信作者:邵英梅,女,主任医师、教授,研究方向:普外科,Email:s yingmei1@163.com。
