肺癌患者术后咳嗽相关生活质量现况及其影响因素  

The Quality of Life Related to Cough in Postoperative Patients with Lung Cancer and Its Influencing Factors

作　　者：黄群[1] 陈兰[2] 周淋琳 陈晓敏 Huang Qun;ChenLan;ZhouLinlin;Chen Xiaomin(Department of Chest Surgery, Shanghai GeneralHospital, Shanghai 200080, China;Department of Nursing, Shanghai General Hospital;PulmonaryFunction Test Room , Shanghai General Hospital)

机构地区：[1]上海市第一人民医院胸外科,上海200080 [2]上海市第一人民医院护理部 [3]上海市第一人民医院肺功能室

出　　处：《解放军护理杂志》2018年第8期18-22,共5页Nursing Journal of Chinese People's Liberation Army

基　　金：上海市卫生计生基金项目"上海市卫生计生系统重要薄弱学科建设(护理学)"(2015ZB0304)

摘　　要：目的了解肺癌患者术后咳嗽相关生活质量现状,并探讨其影响因素。方法 2015年10月至2016年12月,便利抽样法选取上海市某三级甲等综合性医院接受手术治疗的135例肺癌患者为研究对象,采用中文版莱切斯特咳嗽问卷(Mandarin Chinese version of the Leicester cough questionnaire,LCQ-MC)调查患者术后咳嗽情况及咳嗽相关生活质量现况,并在单因素分析的基础上,进行多元线性回归分析,了解其影响因素。结果 4个时间点肺癌患者的LCQ-MC评分主效应差异有统计学意义(P<0.01)。与术前相比,手术后(拔除胸管前和拔除胸管后24h内)患者的LCQ-MC评分以及生理、心理和社会维度评分都有所降低(P<0.05);单因素分析显示,对自身疾病认知水平不同及肿瘤分期不同的肺癌患者,其LCQ-MC评分的差异均有统计学意义(均P<0.01)。多因素分析显示,患者对自身疾病的认知和肿瘤分期是影响肺癌患者术后拔除胸管前LCQ-MC评分的独立因素,共解释了17.3%的变异。结论肺癌患者术后咳嗽症状明显,生活质量降低,医护人员应重视其术后咳嗽情况,针对各影响因素制定相应措施。Objective To investigate the quality of life related to cough in postoperative patients with lung cancer,and analyze its influencing factors.Methods By convenience sampling,135 patients with lung cancer who underwent surgical treatment in our hospital from October 2015 to December 2016 were selected.Mandarin Chinese version of the Leicester cough questionnaire（LCQ-MC）was used to measure patients＇ postoperative cough severity and quality of life related to cough.Its influencing factors were analyzed by single factor analysis and multivariate linear regression analysis.Results There were significant differences in the main effects of LCQ-MC score at 4 time points（P0.01）.The LCQ-MC score of the patients（before removal of chest tube and within 24 hafter removal of chest tube）,and its physical,psychological and social dimension scores were significantly lower than those before the operation（P〈0.05）.Single factor analysis result showed that the statistical significance of LCQ-MC score was found in patients with different disease cognition level and pathological clinical stages（all P〈0.01）.The multiple-factor analysis result showed that＇pathological clinical stage＇and＇disease cognition＇were the independent influencing factors of postoperative LCQ-MCscore,which explained the 17.3%of the variance.Conclusions The cough symptom of lung cancer patients is obvious,and their quality of life is low.Medical and nursing staff s should pay attention to their postoperative cough,and take measures for itsinfluencing factors.

关 键 词：肺癌 咳嗽 生活质量 影响因素 

分 类 号：R743.2[医药卫生—神经病学与精神病学]