臂丛损伤患者的生存质量调查分析  

Investigation and analysis of the quality of life on brachial plexus injury patients

作　　者：傅国[1] 顾立强[1] 秦本刚[1] 李平[1] 向剑平[1] 戚剑[1] 朱庆棠[1] 李智勇[1] 劳镇国[1] 刘小林[1] 朱家恺[1] 

机构地区：[1]中山大学附属第一医院显微创伤外科,广州510080

出　　处：《中华显微外科杂志》2010年第2期125-128,共4页Chinese Journal of Microsurgery

基　　金：国家自然科学基金（30973059）

摘　　要：目的 通过调查臂丛损伤患者生存质量,分析影响因素,探讨改善患者生存质量的干预方式.方法 向患者发放世界卫生组织生存质量测定量表中文版（WHOQOL-BREF）调查问卷,对男性患者附加国际勃起功能评分-5（IIEF-5）问卷,将数据输入SPSS 13.0软件并根据WHOQOL-BREF在生理、心理、社会、环境4个领域的评分公式计算相应得分,对结果进行统计分析.结果 共收回51份有效问卷,臂丛损伤患者的生理、心理、环境领域得分分别（11.47±2.36）分、（12.37±2.28）分和（11.62±2.22）分,而正常国人的相关领域得分分别为（15.8±2.9）分、（14.3±2.5）分和（13.2±2.4）分,经单样本t检验,差异有统计学意义（P＜0.01）;患者的IIEF-5得分为（17.83±4.65）分,低于正常值（≤21分诊断勃起功能障碍）,经单样本t检验,差异有统计学意义（P＜0.01）.生理领域得分与年龄、家庭经济收入和勃起功能评分有显著相关性,分别为P＜0.05、P＜0.05和P＜0.01;心理领域与勃起功能评分、环境领域与家庭月收入之间亦有显著相关性,均为P＜0.05.结论 臂丛损伤患者的生存质量明显下降,且影响因素较为复杂,应联合家属加强对患者生理和心理双方面的护理和治疗.Objective To investigate the quality of life on brachial plexus injury patients in crosssectional study method and acquire related data. To analysis the effect factors and try to study on the methods which help to improve the quality of life of these patients. To our knowledge, this is the first study that measures quality of life of the brachial plexus injury patients in China. Methods Research participants completed the Chinese version of the World Health Organization Quality of Life Assessment-Bref （WHOQOL-BREF） and the 5-items version of International Index of Erectile Dysfunction Questionnaire （IIEF-5） for male.Data were typed into computer and analyzed with SPSS version 13.0. Correlations between domain scores and hospital stay, age, and family monthly income variables were analyzed with Spearman non-parameter correlation analysis. Results Fifty-one valid questionnaires were retrieved. The average score of these patients in physical, psychological, environment domains were 11.47 ± 2.36, 12.37 ± 2.28 and 11.62 ± 2.22, respectively. They were significantly lower than the norm groups in national studies which were 15.8 ± 2.9, 14.3 ±2.5 and 13.2 ± 2.4 （P 〈 0.01 ）. The average score of IIEF-5 was （ 17.83 ± 4.65）, significantly lower than the normal score of 22 （P 〈 0.01 ）. Significant correlation was found among physical domain and age（P 〈 0.05）,family monthly income （P 〈 0.05） and IIEF-5 score（P 〈 0.01）. Psychological domain also has significant correlation with IIEF-5 score （P 〈 0.05） and so does environment domain with family monthly income （P 〈0.05）. Conclusion Brachial plexus injury patients showed a reduction in quality of life scores. Even though the physical aspect was the most affected, there is evidence that the psychological, environmental domains and erectile function remained far from the ideal conditions expected for the general population. The effect factors are complex and there still remain much work to do.

关 键 词：臂丛 损伤 生存质量 国际勃起功能评分 

分 类 号：R651.3[医药卫生—外科学]