原发性大肝癌患者术后生存质量的调查研究

摘要

Objective:To investigate the quality of life of large primary liver cancer patients. Methods:All 70 ca-ses of primary liver cancer patients were studied. Before surgery,after surgery,one month,three months after surgery, to investgate the quality of life. Results:After surgery four dimensions one month,three months,compared with before surgery,the quality of life of patients,QOL total score were improved(P<0. 05). Compare 1 month and 3 months af-ter surgery,the four dimensions of quality of life scores and QOL scores were higher. Piper fatigue scale correction sco-ring four dimensions were decreased(P<0. 05). No significant difference in the self-assessment score. Conclu-sion:Primary liver cancer patients after surgery can improve the quality of life,it is necessary for preoperative,postop-erative quality of life should be assessed.%目的：研究原发性大肝癌患者术后的生存质量。方法：以我院收治的70例原发性大肝癌患者作为研究对象，对70例大肝癌患者分别在手术前、手术后1个月、手术后3个月进行自身调查，采用肝癌患者生活质量测定量表和Piper疲乏修正量表。结果：手术后1个月、3个月分别与手术前相比，患者生存质量的四个维度、QOL评分总分以及自评总分均较前提高，Piper疲乏修正量表评分四个维度均较前降低，P值均<0.05，差异有统计学意义。术后3个月和术后1个月比较，生存质量的四个维度以及QOL评分总分均有所提高， Piper疲乏修正量表评分四个维度均有所降低，P值均<0.05，差异有统计学意义，自评总分无明显差异。患者手术后1个月生存质量维度等级分类与治疗前相比有明显差异，8~10分的比例明显提高，0~3分的比例减少，P值均<0.05，差异有统计学意义。结论：原发性大肝癌患者经过手术治疗以后能够改善患者的生存质量。在临床护理中，有必要对患者术前、术后的生存质量进行评定，通过评价的结果采取有针对性的护理干预，有助于提高大肝癌患者的生存质量。