前列腺癌根治术后患者生存质量评价及影响因素.doc

前列腺癌根治术后患者生存质量评价及影响因素 齐鲁护理杂志2011年第17卷第11期 前列腺癌根治术后患者生存质量评价 及影响因素 唐健宏,卓巧惠,张新莲,纪美榕 (=--4职业技术学院护理系福建三明365000) 摘要目的:探讨前列腺癌根治术后患者的生存质量及影响因素.方法:采用问卷对100例前列腺癌根治术后 患者进行调查,评估其术前1周,术后1个月,术后3～6个月的生存质量状况,对可能影响生存质量状况的因素进行单 因素和多因素分析,并且针对性提出护理干预措施.结果:前列腺癌根治术后1个月患者总的生存质量,生理功能,社会 功能均低于术前1周(Plt;0.05),术后3～6个月患者总的生存质量,生理功能,角色功能,认知功能,情感功能,社会功 能较术前1周,术后1个月均有提高(Plt;0.05,Plt;0.01).患者术后生存质量与面对,屈服,SDS,社会支持,疾病因素, 经济状况,重返工作岗位具有相关性(Plt;0.05).结论:前列腺癌根治术后患者生存质量受多种因素的影响,术后需给 予有效护理干预. 关键词前列腺癌根治术;生存质量评价;影响因素;护理干预 中图分类号:R473.73文献标识码:A文章编号:1006—7256(2011)11—0007—02 Evaluationoffthequalityoflifeofprostaticcancerpatientsafterradicalprostatectomyanditsinfluencingfactors 7ngJian—hong,ZhuoQiao—hui,ZhangXin—lian,eta1. (NursingFacultyofSanmingVocationalandTechnicalCollege,SanmingFufian365000.China) AbstractObjective:ToinvestigatethequalityoflifeofprostaticcancerpatientsafterradicalprostateIztomyanditsinfluen— cingfactors.Methods:Thequestionnairewasusedtomakeaninvestigationsurveyon100patientsafterradicalprostatectomyand thegeneralqualityoflifeofthepatientswasevaluatedrespectivelyinoneweekbe~resurgery,onemonthand3to6monthsafter surgery,meanwhiletheunivariateandmultivariateanalysisofthefactorsinfluencingthelifequalityofthepatientswasmadeand thespecificnursinginterventionmeasureswereworkedout.Resuhs:Thegeneralqualityoflife-physiologicalfunctionandsocial functionofthepatientswerepoorerinonemonthaftersurgeryeomp~edwiththoseinoneweekbeforesurgery(Plt;0.05);the generalqualityoflife,physiologicalfunction,therolefunction,cognitivefunction,emotionalfunctionandsocialfunctionwere betterin3to6monthsaftersurgerycomparedwiththoseinoneweekbeforesurgeryandonemonthaftersurgery(Plt;0.05,Plt; 0.01).Thecorrelationwasfoundbetweenthepostoperativequalityoflifeandenvisaging,succumbing,SDS,socialsupport, disease—relatedfactors,economicstatusandresumptionofwork(Plt;0.05).Conclusion:Thequalityoflifeofthepatientsis affectedbymanyfactorsafterradicalprostatectomy,thereforethepatientsneedtobegiveneffectivenursi~gintervention. KeywordsRadica