摘要
目的分析恶性梗阻性黄疸患者治疗前的生活质量状况,并探讨影响因素。方法方便性抽样选择2010年12月至2011年10月于第二军医大学东方肝胆外科医院胆道外科确诊的150例恶性梗阻性黄疸患者,应用欧洲癌症研究治疗组织(European Organization for Research and Treatment of Cancer,EORTC)生活质量测定量表(quality of life questionnaire,QLQ-C30)和恶性梗阻性黄疸患者特异性条目池(quality of life questionnaire of malignant obstructive jaundice 11,QLQ-MOJ11)对其治疗前生活质量进行测评,并对影响生活质量因素的差异程度进行统计学分析。结果恶性梗阻性黄疸患者治疗前QLQ-C30得分大部分领域(角色功能、社会功能、总健康状况)指标均低于参考值(P<0.05),症状领域和单一条目得分高于参考值(P<0.05)。年龄、性别、文化程度、医疗保险、胆红素水平对恶性梗阻性黄疸患者生活质量均有不同程度的影响(P<0.05)。结论恶性梗阻性黄疸患者在治疗前的生活质量严重低下,人口学因素及胆红素水平均可影响患者治疗前的生活质量。
Objective To analyze the quality of life （QOL） in patients with malignant obstructive jaundice before treatment and to discuss the influencing factors. Methods Using convenience sampling, 150 patients who were diagnosed with malignant obstructive jaundice by our biliary surgical department from December 2010 to October 2011 were enrolled in the study. Their QOL before treatment was evaluated with quality of life questionnaire（QLQ-C30）of European Organization for Research and Treatment of Cancer（EORTC） and QLQ of malignant obstructive jaundice 11（QLQ-MOJ 11）. The influence differences of QOL factors were statistically analyzed. Results The majority fields scores of QLQ-C30 were lower than those of reference values for malignant obstructive jaundice patients before treatment（P〈0. 05）. Age, gender, 0 education,medical treatment insurance and bilirubin level influenced the QOL of patients with malignant obstructive jaundice in different degrees（P〈0.05）. Conclusion The patients with malignant obstructive jaundice experience very poor QOL before treatment. Both demographic factors and bilirubin level can affect the QOL of patients with malignant obstructive jaundice before treatment.
出处
《解放军护理杂志》
2012年第8期5-8,35,共5页
Nursing Journal of Chinese People's Liberation Army
基金
上海市重点学科项目(B903)
关键词
恶性梗阻性黄疸
生活质量
影响因素
malignant obstructive jaundice ~ quality of life （QOL） ~influence factor
