一侧全肺切除术后肺癌患者生命质量及影响因素分析  

Analasis of quality of life and its influential factors of patients with cancer after pneumonectomy

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

机构地区：[1]山东省胸科医院胸外科,250013 [2]山东大学齐鲁医院

出　　处：《临床肺科杂志》2008年第5期590-591,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨一侧全肺切除术后，肺癌患者生命质量（QOL）状况及影响因素。方法对一侧全肺切除术后6～18个月的肺癌患者，采用SF-36量表和自制量表进行调查。采用t检验、秩和检验和逐步回归进行统计分析。结果一侧全肺切除术后，肺癌较非肺癌患者的QOL差。QOL受咳嗽、疼痛、性别、城市与农村、年龄等因素影响较大。结论一侧全肺切除术后肺癌患者近期QOL下降。改善呼吸功能和心理行为干预，可改善躯体功能，减轻心理压力，提高QOL。Objective To study on the quality of life （QOL） and its influential factors of patients with cancer after pneumonecto- my. Methods Patients after pneumonectomy were investigated with SF-36 and self-made questionnaire at 6 - 18 months after operation. Data were analyzed by t-test, rank sum test （ Kruskal-Wallis test） and stepwise regression analysis. Results QOL of patients with cancer was lower than those of non-cancer after pneumoneetomy. The dimensions of QOL were much lower in patients with cough, pain and chem- otherapy or radiotherapy than those without that after operation. Factors of pain, cough, sex, location and age were the most important to the dimensions of QOL. Conclusion QOL decreases in patients with cancer after pneumonectomy. It can improve their body function and alleviate psyological pressure by improving respiratory function using behavioral and psychological intervention. By doing so, QOL of the patients could become better.

关 键 词：生命质量 影响因素 肺切除 肺癌 

分 类 号：R734.2[医药卫生—肿瘤]