摘要
目的探讨达芬奇机器人辅助腹腔镜下肾癌根治术后患者生活质量及其影响因素。方法选取2016年1月至2017年12月于本院行达芬奇机器人辅助腹腔镜下肾癌根治术的38例患者纳入观察组,并选取同期于本院行传统开放肾癌根治术的38例患者纳入对照组。采用肾癌根治手术后生活质量调查问卷分析两组患者术后生活质量,并探讨基线资料、社会支持、医学应对方式与患者术后生活质量的相关性。结果两组患者术后生活质量量表中社会维度平均分最高,其次为生理维度和躯体维度,心理维度的平均分最低。观察组患者的生理、躯体、心理与社会维度各条目平均分与量表全部条目的总均分均显著高于对照组(P_均<0.05)。观察组中男性患者的心理维度和社会维度平均分均显著高于女性(P_均<0.05),年龄≥65岁患者的躯体维度平均分显著低于<65岁患者(P<0.05),初中及以下文化程度患者的社会维度平均分显著低于高中及以上文化程度患者(P<0.05)。各基线资料的亚组患者生活质量总均分比较差异均无显著性(P_均>0.05)。观察组患者社会支持评定量表评分、医学应对问卷(medical coping mode questionnaire,MCMQ)中面对维度评分与躯体、心理、社会维度的平均分和总均分均呈显著正相关(P_均<0.05),MCMQ中屈服维度评分与心理、社会维度的平均分和总均分均呈显著负相关(P_均<0.05),MCMQ中回避维度评分与躯体、心理、社会维度的平均分和总均分均呈显著负相关(P_均<0.05)。结论达芬奇机器人辅助腹腔镜下肾癌根治术患者术后生活质量优于传统开放肾癌根治术,其与社会支持、医学应对方式有关,社会支持水平越高,医学应对方式越积极,患者术后生活质量越高。
ObjectiveTo analyze the quality of life and influencing factors in patients treated by Da Vinci robotic assisted laparoscopic radical nephrectomy. Method38 patients underwent Da Vinci robotic assisted laparoscopic radical nephrectomy from January 2016 to December 2017 in our hospital were enrolled in observation group, and 38 patients underwent traditional open radical nephrectomy during the same period were enrolled in control group. The organizational questionnaire for the life quality of post radical nephrectomy was performed to analyze the quality of life, and the correlation between baseline data, social support, medical coping mode and quality of life were analyzed. ResultThe average score of social dimension was the highest, followed by physical dimension and physical dimension, and the average score of psychological dimension was the lowest. The average scores of physiological, physical, psychological and social dimensions and the total average scores of all items in the scale in observation group were signiffcantly higher than those in control group （Pall〈0.05）. In observation group, the average scores of psychological dimension and social dimension of male patients were signiffcantly higher than those of female patients （Pall〈 0.05）. The average scores of somatic dimension of patients＇s age≥ 65 years old were signiffcantly lower than those of age〈65 years old （P〈 0.05）. The average scores of social dimension of those with junior middle school and lower education was signiffcantly lower than those of high school and above （P 〈0.05）. There were no signiffcant differences in the total score of quality of life among the subgroups of baseline data （Pall〉 0.05）. The score of social support rating scale and the score of face dimension in medical coping mode questionnaire （MCMQ） were positively correlated with the average scores of body, psychology, society dimension and the total average score in observation group （Pall〈0.05）, the score of yield dimension in MCMQ w
作者
黄媛媛
王良梅
李萍
把赛君
杨媛媛
金萍
HUANG Yuan-yuan;WANG Liang-mei;LI Ping;BA Sai-jun;YANG Yuan-yuan;JIN Ping(Department of Urology Surgery,Drum Tower Hospital,Medical School of Nanjing University,Nanjing 210008,China)
出处
《中国医学前沿杂志（电子版）》
2018年第9期123-127,共5页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
