摘要
目的：调查口腔恶性肿瘤患者手术后生活质量状况及其影响因素。方法：选择郑州大学第一附属医院口腔颌面外科2011年5月~2013年1月收治的85例口腔恶性肿瘤患者,使用中文版口腔健康影响程度量表（oral health impact profile,OHIP-49）及华盛顿大学头颈肿瘤生活质量量表（University of Washington Quality of Life Scale,UW-QOL）,在患者术后至少12个月后进行生活质量评测。结果：发出问卷85份,回收76份,完成问卷调查89.4%。UW-QOL调查问卷得分最高的项目是疼痛（77.3±6.3）分,其次是焦虑（76.4±7.8）分,第三是活力（74.3±8.2）分;得分最低的3项依次是：咀嚼（34.5±8.3）分、唾液（46.4±4.8）分、味觉（49.9±3.9）分。OHIP-14量表得分最好的项目是残障（38.5±7.4）分,其次是生理性疼痛（46.8±10.2）分,第三是心理障碍（50.9±5.8）;得分差的3项依次是：功能限制（62.4±12.3）分、心理不适（57.8±9.2）分、社交障碍（55.8±12.8）分。结论：口腔癌根治性治疗对患者生活质量有显著的影响。对口腔恶性肿瘤应切实做好疾病护理,同时加强营养支持和心理疏导,并加强社会支持。
Objective：To investigate the level and influencing factors of health related quality of life（HRQoL）in patients with oral cancer.Methods：Totally 85 patients who had had oral cancer surgery between May 2011 and January 2013 in the Department of Stomatology at the First Affiliated Hospital of Zhengzhou University were eligible.HRQoL of patients was assessed by means of the 14-item oraI health impact profile（OHIP-14）and University of Washington Quality of Life（UW-QOL）questionnaires 12 months after operation.Results：76questionnaires were collected（89.4%）.UW-QOL：The highest-scoring domains were pain（77.3±6.3）,anxiety（76.4±7.8）and activity（74.3±8.2）,the lowest scoring domains were chewing（34.5±8.3）,followed by saliva（46.4±4.8）and taste（49.9±3.9）.OHIP-14：the best scoring domains were handicap（38.5±7.4）,physical pain（46.8±10.2）and psychological disability（50.9±5.8）,the worst-scoring domains were functional limitation（62.4±12.3）,psychological discomfort（57.8±9.2）and physical pain（55.8±12.8）.Conclusion：Oral cancer surgery could significantly influence the patients＇ HRQoL.In order to improve the HRQoL of patients with oral cancer,nurses should make efforts to do well in nursing and strengthen nutritional support,psychological guidance and social support.
出处
《口腔医学研究》
CAS
CSCD
北大核心
2016年第5期478-482,共5页
Journal of Oral Science Research
基金
国家青年自然科学基金项目(编号:81402578)
