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    程超. 下咽癌术后患者生存质量评估及影响因素分析[J]. 徐州医科大学学报, 2019, 39(8): 598-601.
    引用本文: 程超. 下咽癌术后患者生存质量评估及影响因素分析[J]. 徐州医科大学学报, 2019, 39(8): 598-601.
    Quality of life assessment and influencing factors of patients with hypopharyngeal cancer after surgery[J]. Journal of Xuzhou Medical University, 2019, 39(8): 598-601.
    Citation: Quality of life assessment and influencing factors of patients with hypopharyngeal cancer after surgery[J]. Journal of Xuzhou Medical University, 2019, 39(8): 598-601.

    下咽癌术后患者生存质量评估及影响因素分析

    Quality of life assessment and influencing factors of patients with hypopharyngeal cancer after surgery

    • 摘要: 目的 编制下咽癌术后生存质量量表并分析患者术后的生存质量及其相关影响因素。方法 参考生存质量量表的编制原则及流程编制下咽癌术后生存质量量表。使用该量表对我科首诊行手术治疗的77位患者进行问卷调查,评价此表的信度及效度,通过多元线性回归分析影响生命质量评分的影响因素。 结果 编制下咽癌术后生存质量表。评价量表克朗巴赫α系数0.882,效度0.807。多因素分析:年龄,职业,吸烟,婚姻情况,经济情况等对术后生存质量差异无统计学意义(P>0.05)。临床分期,手术方式,术后放疗,淋巴结清扫对术后生存质量影响有统计学意义(P<0.05)。结论 下咽癌术后生存质量表信度和效度良好,可以作为评价术后生存质量;临床分期、手术方式、术后放疗及淋巴结清扫是影响术后患者生存质量的主要影响因素。

       

      Abstract: objective to prepare a scale of postoperative quality of life for patients with hypopharyngeal cancer and analyze the postoperative quality of life and its related influencing factors.Methods the quality of life scale (qol) was prepared by referring to the principles and procedures of qol.This scale was used to conduct a questionnaire survey on 77 patients who underwent surgical treatment for the first time in our department, evaluate the reliability and validity of this table, and analyze the influencing factors of quality of life score through multiple linear regression. Results the quality of life after operation of hypopharyngeal carcinoma was established.The cronbach alpha coefficient and validity were 0.882 and 0.807 respectively.Multivariate analysis: age, occupation, smoking, marital status, economic status and other factors had no statistically significant difference in postoperative quality of life (P>0.05).Clinical stages, surgical methods, postoperative radiotherapy and lymph node dissection had statistically significant effects on postoperative quality of life (P<0.05). Conclusion the table reliability and validity of postoperative quality of life of hypopharyngeal carcinoma are good and can be used to evaluate postoperative quality of life.Clinical stage, surgical method, postoperative radiotherapy and lymph node dissection are the main factors influencing postoperative quality of life.

       

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