恶性骨肿瘤术后患者功能状态与生存质量的相关性  

Relationships between quality of life and functional status in patients with malignant bone tumors

作　　者：高园[1] 向月[1] 尹军强[1] 王秀岚[2] 许红璐[1] 

机构地区：[1]中山大学附属第一医院,广东广州510080 [2]中山大学新华学院,广东广州510520

出　　处：《现代临床护理》2015年第6期7-10,共4页Modern Clinical Nursing

基　　金：国家自然青年基金项目;项目编号为81102040

摘　　要：目的了解恶性骨肿瘤术后患者功能状态与生存质量现状,探讨两者的相关性。方法应用功能状态评估量表(karnofsky performance scale,KPS)和欧洲癌症研究与治疗组织生存质量核心问卷(European organization for research and treatment of cancer,quality of life questionnaire C30,EORTC QLQ-C30)对87例恶性骨肿瘤术后患者进行调查。结果恶性骨肿瘤术后患者KPS得分为(72.64±13.59)分,健康状况总分为(58.33±18.94)分。恶性骨肿瘤术后患者KPS评分与躯体功能、角色功能、情绪功能、社会功能及总体健康状况均呈正相关(P<0.01);与疲倦、疼痛、失眠和经济影响均呈负相关(P<0.01)。结论恶性骨肿瘤术后患者功能状态处于中下水平,生存质量处于较低水平。护理人员应及时评估患者的功能状态,并根据评估结果为患者提供个性化的干预措施,以提高其生存质量。Objective To explore the relationships of quality of life（ QOL） and functional status in patients with malignant bone tumors after operation. Methods European organization for research and treatment of cancer quality of life questionnaire C30（EORTC-QLQ-C30）, social support revalued scale（SSRS） and Karnofsky performance scale（KPS） were used to investigate the levels of QOL, social support and functional status. The correlations between them were explored. Results The overall score by QOL was（58.33 ± 18.94）. The score by KPS was positively related to somatic function, role function, social function, and general health status（P〈0.01）, but negatively related to tiredness, pains, insomnia and financial burden（P〈0.01）. Conclusions The QOL in patients with malignant bone tumors after operation is at a lower level and the function is at a medium level. Nurses should assess the function and make out interventional measures for them so as to improve their QOL.

关 键 词：恶性骨肿瘤 手术 生存质量 功能状态 

分 类 号：R473.73[医药卫生—护理学]