围手术期健康教育对全肺切除术后患者生存质量的影响  

The Influence of Perioperative Effective Health Education on the Quality of Life after Total Pneumonectomy

作　　者：李志坚[1] 李哲 陈召[3] 王艳[4] 王居正[4] 王伟锋 李桂珍[4] 

机构地区：[1]西北工业大学医院外科,陕西西安710072 [2]西安市第九医院,陕西西安710054 [3]第四军医大学学员旅,陕西西安710032 [4]第四军医大学唐都医院胸腔外科,陕西西安710038 [5]咸阳市第一人民医院,陕西咸阳712000

出　　处：《现代生物医学进展》2014年第25期4946-4949,4953,共5页Progress in Modern Biomedicine

基　　金：陕西省自然科学基金项目(2012JM4022)

摘　　要：目的:探讨围手术期有效健康教育对患者全肺切除术后长期生活质量(QOL)的影响。方法:随机将100例全肺切除术后患者分为二组,分别采取对患者及家属有效健康教育干预和无干预措施,采用欧洲癌症治疗与研究组织癌症生存量表核心量表(EORTC QLQ-C30,简称QLQ-C30)中文版评估病人的生活质量,对术前及术后1,3,6和12个月的QLQ-C30得分与参考值进行比较。结果:1)两组患者术后长期生活质量中的功能得分无统计学差异(P>0.05);2)症状方面,术后呼吸困难,疼痛明显加重;术后第6个月疲乏及经济困难明显加重;术后第12个月起,经济困难状况好转,较术前无明显差异(P>0.05);3)无干预组与有效健康教育组在体力功能、角色功能、情绪功能及总体状况方面有统计学差异(P<0.05);4)在术后,无干预组在疲劳和呼吸困难方面的QLQ-C30得分比有效健康教育组的低,且有统计学差异(P<0.05),但是在12月之后直至病人基本恢复与有效健康教育组之间无统计学差异(P>0.05)。结论:围手术期实施有效健康教育,可使全肺切除患者术后生活质量明显提高;比较两种护理措施术后生活质量,有效健康教育组较无干预组患者功能恢复较快,自觉不良症状更少。Objective： To evaluate the influence of effective health education in Peroperative Period on the quality of life （QOL） after total pneumonectomy. Methods： 100 patients after pneumonectomy were divided into two groups randomly, the patients and their families received the effective health education intervention and non-intervention respectively. The Chinese version of The EORTC QLQ-C30 （European organization for research and treatment of cancer quality of life questionnaire, EORTC QLQ-C30） was used to assess the patient＇s quality of life. The EORTC QLQ-C30 scores of preoperative and postoperative 1, 3, 6 and 12 months were compared to each other and compared with the reference value. Results： 1）There was no statistical difference between two groups of patients with postoperative functional scores of long-term quality of life. （P〉0.05）. 2） The dyspnea and pain aggravated obviously after pneumonectomy; the fatigue and economical burden after the six mouth had increased significantly; the economic condition had been improved after 12mouths but had no statistical difference compared with pre-operative; 3）The non-intervention group＇s socres had significantly reduced compared with the effective health education group in physical function, role function, emotional function and the overall QOL situation. 4） The nonintervention group＇s QOL socres is lower than the effective health education intervention group in fatigue and dyspnea after surgery and has statistical difference（P〈0.05 ）,but there is no statistical difference after 12 mouths and even the patients almost recovered （P〉0.05）. Conclusions： The effective health education in Peroperative Period on the patient who received pneumonectomy can significantly improve the quality of life, comparing the quality of life of two kinds of postoperative nursing method, the effective health education group can recovere more rapidly in functional domain and had less bad symptoms.

关 键 词：生存质量 有效健康教育 全肺切除术 

分 类 号：R734.2[医药卫生—肿瘤]