颅内肿瘤患者社会支持及疾病认知对其生活质量水平的影响  

Effects of Social Support and Disease Cognition on Quality of Life in Patients with Intracranial Tumors

作　　者：孙艳杰[1] 高萌[1] 肖霞[2] 

机构地区：[1]解放军海军总医院神经外科,北京100048 [2]解放军海军总医院骨科

出　　处：《解放军护理杂志》2017年第6期13-17,共5页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨颅内肿瘤患者社会支持及疾病认知能力对其生活质量水平的影响,以期为护士的临床工作提供更多的理论依据。方法 2015年7-12月,便利抽样法选择在海军总医院神经外科住院的颅内肿瘤患者214例为研究对象,采用一般状况调查量表、疾病认知测评量表、社会支持评定量表(social support revalued scale,SSRS)、生活质量测定量表(quality of life questionnare-core 30,QLQ-C30)对其进行调查。结果患者疾病认知得分为(25.07±8.04)分。患者社会支持总分为(42.47±5.58)分,与国内常模比较,差异有统计学意义(t=21.261,P<0.001);其中:主观支持为(25.35±4.03)分,客观支持为(9.14±2.49)分,对支持的利用度为(7.99±1.74)分。除整体健康状况外,其他患者生活质量的功能领域评分与欧洲癌症治疗组织推荐的参考值比较,差异均有统计学意义(均P<0.05)。在症状领域,疼痛、恶心呕吐的评分与参考值比较,差异均有统计学意义(均P<0.05)。在单一条目方面,失眠、食欲下降、经济困难的评分与参考值比较,差异均有统计学意义(均P<0.05)。颅内肿瘤患者的社会支持、疾病认知与生活质量功能领域的各维度呈正相关(均P<0.05),与症状领域的各维度呈负相关(均P<0.05)。结论在临床工作中,护士应完善颅内肿瘤患者的社会支持系统,提高其对社会支持系统的利用度以及疾病认知水平,从而达到提高患者生活质量的目的。Objective To explore the effects of social support and level of disease cognition on quality of life in patients with intracranial tumors, so as to provide more theoretical basis for clinical nursing work and more service for the patients.Methods By convenience sampling, 214 patients with intracranial tumors were selected and investigated with self-designed general condition questionnaire, disease cognition scale, social support revalued scale （SSRS） and quality of life questionnare-core30 （QLQ-C30）.Results The average score of disease cognition scale was（25.07±8.04）.The score of SSRS was （42.47±5.58）,and it was higher than the domestic norm （t =21.261, P 〈0.001 ）, in which the subjective support scored （25.35±4.03）, and objective support was （ 9.14±2.49）, and the utilization of support was （7.99 ± 1.74）. Except of general health status, the statistical significances were found between functional dimensions score in other quality of life and the indexes recommended by European Cancer Treatment Organization （all P〈0.05）.The statistical significance in terms of symptoms was found between pain, nausea and reference value （all P〈0.05）.The statistical significances were found between the scores of insomnia, loss of appetite, financial difficulty and reference indexes （all P〈0.05）.The social support, disease recognition and quality of life were positively correlated with various functional dimensions in quality of life （all P〈0.05）, but were negatively correlated with the symptoms of QOL （all P〈0.05）.Conclusion In clinical practice, nurses should strive to strengthen the patients＇ social support system and improve the level of disease cognition, so as to improve the quality of life in patients with intracranial tumors, thus to improve patients＇ quality of life.

关 键 词：颅内肿瘤 社会支持 疾病认知 生活质量 

分 类 号：R739.41[医药卫生—肿瘤]