肺癌手术后在院患者生命质量调查及影响因素分析  

Quality of life of hospitalized patients after lung cancer operation and analysis of influencingfactors

作　　者：胡一凡 黄修明[2] 肖莎 周静[1] 王硕敏 吴祺晟 周炳贤 范世恒 范雅妍 陈献珊[2] 张静 HU Yi-fan;HUANG Xiu-ming;XIAO Sha;ZHOU Jing;WANG Shuo-min;WU Qi-sheng;ZHOU Bing-xian;FAN Shi-heng;FAN Ya-yan;CHEN Xian-shan;ZHANG Jing(International School of Public Health and Whole Health,Hainan Medical University,Haikou 571199,China;Department of Thoracic Surgery,Hainan Hospital Affiliated to Hainan Medical College,Hainan Provincial People's Hospital,Haikou 571199,China)

机构地区：[1]海南医学院公共卫生与全健康国际学院,海南海口571199 [2]海南省人民医院胸外科,海南海口571199

出　　处：《海南医学院学报》2023年第12期922-927,共6页Journal of Hainan Medical University

基　　金：海南省重点研发计划项目(社会发展)(ZDYF2021SHFZ086);海南省自然科学基金青年基金项目(820QN268)。

摘　　要：目的:探究海南省某三甲医院肺癌手术后在院患者生命质量现状及其影响因素。方法:采用横断面调查研究方法,对海南省某三甲医院肺癌手术后在院患者进行调查,探究肺癌手术后在院患者生命质量的影响因素。结果:海南省某三甲医院186名肺癌手术后在院患者的失眠症状、食欲丧失症状、便秘症状疼痛症状领域得分明显高于参考值。多重线性回归分析显示,年龄大(>60岁)的患者躯体功能领域得分低(β=-0.193),女性患者食欲丧失症状明显(β=0.245);汉族较其他少数民族角色功能领域得分低(β=0.179),汉族(β=-0.162)疲倦症状重,少数民族总体健康水平高(β=0.166);职工医保的患者情绪功能得分较低(β=0.194),认知功能得分较低(β=0.281),社会功能领域得分最低(β=0.188),其他部位痛的症状重(β=-0.227);吸烟患者咳嗽症状比不吸烟患者轻(β=0.175),手臂肩膀痛症状重(β=-0.21);有二手烟接触的患者认知功能得分较低(β=-0.158),口腔溃疡的症状明显(β=0.185);经常饮酒的患者(饮酒频率>1次/天)咳嗽症状重(β=0.27);子女数量少(0~1个)的患者咳嗽症状轻(β=0.178);不了解病情的患者手臂肩膀痛的症状明显(β=0.151);肺癌病理分期较早的患者(Ⅰ~Ⅱ期)气促症状重(β=-0.159),疼痛症状重(β=-0.181);居住在城市的患者食欲丧失症状明显(β=0.192);外周神经病变的症状更为明显(β=0.174);经常食用腌制食物的患者疼痛症状重(β=-0.219),其他部位痛(β=-0.149)症状明显;男性患者脱发症状明显(β=-0.306)。结论:年龄、民族、居住地归属、医保类型、子女数量、肺癌病理分期、吸烟、二手烟接触、饮酒、经常食用腌制食物等因素与肺癌手术后在院患者生命质量相关;在肺癌手术后在院患者的治疗过程中,医护人员及病人家属应注意患者的情绪沟通;患者应避免吸烟、饮酒与二手烟的接触,减少食用腌制食物。Objective:To explore the current status and influencing factors of quality of life in patients with lung cancer af-ter surgery in a tertiary hospital in Hainan province.Methods:To investigate the influencing factors of quality of life of lung cancer patients after surgery in a tertiary hospital in Hainan province by cross-sectional survey method.Results:The scores of insomnia,appetite loss,constipation and pain in 186 lung cancer patients after surgery in a tertiary hospital in Hainan Province were signifi-cantly higher than the reference value.Multiple linear regression analysis showed that older patients(>60 years)had lower scores in physical function domain(β=−0.193),and female patients had more appetite loss symptoms(β=0.245).Compared with oth-er minority ethnic groups,Han ethnic group had lower scores in role function domain(β=0.179),more severe fatigue symptoms(β=−0.162),and higher general health level(β=0.166).Patients with employee medical insurance had lower scores of emotion-al function(β=0.194),cognitive function(β=0.281),the lowest score in social function(β=0.188),and severe pain in other parts(β=−0.227).Smokers had less cough symptoms(β=0.175)and more arm and shoulder pain symptoms(β=−0.21)than non-smokers.Patients with secondhand smoke exposure had lower cognitive function scores(β=−0.158)and more obvious symptoms of oral ulcer(β=0.185).Patients who drank alcohol frequently(drinking frequency>1 time/day)had more severe cough symptoms(β=0.27).Patients with small number of children(0-1)had milder cough symptoms(β=0.178).Patients who did not understand the disease had obvious symptoms of arm and shoulder pain(β=0.151).Patients with early pathological stage(stage I-II)had more severe shortness of breath(β=−0.159)and pain(β=−0.181).The symptoms of appetite loss were more obvious in patients living in cities(β=0.192).The symptoms of peripheral neuropathy were more obvious(β=0.174).Patients who often consumed pickulated food had severe pain symptoms(β=−0.219),and pain

关 键 词：肺癌 肺癌手术后在院患者 生命质量 影响因素 回归分析 

分 类 号：R473.73[医药卫生—护理学]