老年肝癌患者家庭功能对生活质量的影响研究  

Effects of family function on quality of life in elderly patients with liver cancer

作　　者：胡少华[1] 洪静芳[2] 左雪峰[3] 张志华[4] 张承菊[5] 任春霞[3] 

机构地区：[1]安徽医科大学第一附属医院护理部,合肥市230022 [2]安徽医科大学护理学院 [3]安徽医科大学第一附属医院肝胆外科,合肥市230022 [4]安徽医科大学公共卫生学院 [5]安徽医科大学第一附属医院放射介入科,合肥市230022

出　　处：《中华护理杂志》2016年第10期1180-1184,共5页Chinese Journal of Nursing

基　　金：安徽省自然科学基金项目(1508085MH160);国家自然科学基金面上项目(81573017);安徽高校自然科学研究重点项目(KJ2015A083)

摘　　要：目的调查老年肝癌患者家庭功能和生活质量的现状,并探讨家庭功能对生活质量的影响。方法采用家庭功能评定量表、肝胆肿瘤治疗功能评定量表对安徽省4所三级甲等医院肝胆外科和放射介入科的259例术前老年肝癌患者进行调查。结果老年肝癌患者家庭功能总分为(146.11±16.27)分;生活质量总分为(119.38±23.71)分;家庭功能与生活质量的总分及各领域得分均呈负相关(P<0.05);生活质量的影响因素为:问题解决、家庭角色、东部肿瘤协作组织体能状态评分、情感反应、居家锻炼、总体功能、情感介入和行为控制(P<0.05)。结论老年肝癌患者生活质量较低,家庭功能弱化,医护人员可通过提高问题解决能力和家庭角色来改善患者的家庭功能,提高其生活质量。Objective To investigate the status of family function and quality of life（QOF） in elderly patients with liver cancer,and to explore the effects of family function on quality of life. Methods Totally 259 elderly patients with liver cancer from four tertiary general hospitals were recruited to complete two questionnaires：Family Assessment Device and Functional Assessment of Cancer Therapy-Hepatobiliary. Results The total score of family function was （146.11±16.27） and QOL was（119.38±23.71 ）. There was a negative cmTelation between family function and QOL （P〈0.05）. According to the standardized regression coefficients,the influencing factors of QOL in order was problem solving,family roles,ECOG Performance Status,emotion,home exercise,general function,emotional involvement and behavioral control（P〈0.05）. Conclusion Family function and QOL of elderly patients with liver cancer is low. Clinical medical staff can improve elderly liver cancer patients＇ QOL through promoting problem solving and family roles to develop family function.

关 键 词：老年人 肝肿瘤 家庭功能 生活质量 

分 类 号：R735.7[医药卫生—肿瘤]