喉切除术后患者生活质量的调查分析  

Analysis of Quality of Life of Patients after Laryngectomy

作　　者：丁献东[1] 陈建智[1] 付剑芬[1] 李姣俊[1] 

机构地区：[1]丽水市人民医院耳鼻喉科,浙江丽水323000

出　　处：《解放军护理杂志》2008年第8期20-22,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨喉切除术后患者的生活质量及相关影响因素。方法采用自评式生活质量量表,以问卷调查形式对107例喉切除术后患者进行生活质量调查,并对术后有关数据作统计分析。结果喉切除术后患者在术后不同时间段的社会影响与工作学习能力、日常活动与生活自理能力、医疗费用和家庭影响等的得分不同;随着生存时间的延长,患者工作学习和日常生活自理能力增加;年龄较小、经济状况富裕的患者生活质量评分高,生活质量佳。结论针对年龄大、经济状况差、家庭关系紧张的喉切除术后患者,应定期随访,采取针对性的康复指导和护理干预,建立良好的社会支持系统,可以提高患者的生活质量。Objective To studythe quality of life （QOL） and related factors of the postlaryngectomy survivors,so as to choose corresponding medical guidance and nursing service. Methods Selfassessment was carried out using a questionnaire survey on the QOL in 107 post-laryngectomy patients, and the data on different postoperative time points were subjected to statistical analysis. Results It was found that the social influence and labor or study ability,daily activities and living ability, fee-for-service, family influence on at different time points after operation were significantly different （ P〈0.05）, with the survival time of patients extended, labor or study and daily living ability increased. Patients with lower ages and better economic conditions had higher QOL scores. Conclusions For post-laryngectomy patients with higher ages, poor economic conditions, uncoordinated family relations or poor self-control ability, follow up should be done. Rehabilitation guidance and nursing intervention should be given accordingly. Good social support system should be established so at to improve their quality of life.

关 键 词：喉癌 喉切除术 生活质量 

分 类 号：R473.76[医药卫生—护理学]