一侧全肺切除术后病人生命质量及影响因素分析  

ANALYSIS OF THE QUALITY OF LIFE AND ITS INFLUENTIAL FACTORS OF PATIENTS AFTER PNEUMONECTOMY

作　　者：侯庆宝[1] 张秀芳[2] 侯敬超[3] 姜文航 姜鹏辉 吴正杰[1] 

机构地区：[1]山东省胸科医院胸外科,山东济南250013 [2]山东省千佛山医院 [3]山东大学齐鲁医院

出　　处：《齐鲁医学杂志》2006年第5期427-428,430,共3页Medical Journal of Qilu

摘　　要：目的探讨一侧全肺切除术后病人生命质量（QOL）状况及影响因素。方法对一侧全肺切除术后6～18个月的病人，采用SF-36量表辅以自制量表进行随访，采用多元逐步回归分析法对随访结果进行统计分析。结果生命质量的各维度领域受疾病的良恶性（包括肺癌分期及类型）、术后咳嗽、疼痛等症状及术后放化疗等因素的影响最大。结论一侧全肺切除术后病人生命质量下降。术后进行呼吸功能锻炼，对术后症状和放、化疗副作用进行治疗及心理干预可以提高病人的生命质量。Objective To study the quality of life （QOL） and influential factors of patients after total pneumonectomy. Methods SF-36 formula and self-made questionnaire were used to investigate the patients who underwent total pneumonectomy 6- 18 months before. The data were analyzed by stepwise regression analysis. Results The analysis showed that the important factors that influenced the quality of life of the patients were degree of malignancy of the disease, postoperative complications, chemotherapy and/or radiotherapy. Conclusion The quality of life of patients after pneumonectomy declines. Postoperative respiratory functional exercises, treatment of the complications and side effects of chemotherapy and/or radiotherapy, and mental intervention can improve their quality of life.

关 键 词：生活质量 肺切除术 影响因素 

分 类 号：R734.2[医药卫生—肿瘤]