本文關(guān)鍵詞：喉癌術(shù)后患者創(chuàng)傷后成長與生存質(zhì)量的相關(guān)性研究　出處：《湖南師范大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 創(chuàng)傷后成長 喉癌 影響因素 生存質(zhì)量 相關(guān)

【摘要】：目的:1.了解喉癌術(shù)后患者創(chuàng)傷后成長和生存質(zhì)量現(xiàn)狀;2.分析喉癌術(shù)后患者創(chuàng)傷后成長的影響因素;3.探討喉癌術(shù)后患者創(chuàng)傷后成長與生存質(zhì)量之間的相關(guān)性,為采取有效干預(yù)措施提高喉癌術(shù)后患者生存質(zhì)量提供理論依據(jù)。方法:本研究為描述性研究。采用隨機抽樣的方法,選取2014年9月~2015年12月在湖南省內(nèi)4所三級醫(yī)院治療且符合納入標(biāo)準的81例喉癌術(shù)后患者為研究對象,采用自制一般人口學(xué)資料和臨床資料調(diào)查表、創(chuàng)傷后成長量表和華盛頓醫(yī)科大學(xué)生存質(zhì)量量表對其進行問卷調(diào)查。采用SPSS 18.0軟件進行統(tǒng)計學(xué)分析。統(tǒng)計方法包括描述性統(tǒng)計分析、t檢驗、方差分析、Kruskal-Willis H檢驗、多元線性逐步回歸、Pearson相關(guān)分析等。結(jié)果:1.對符合納入標(biāo)準的88例喉癌術(shù)后患者進行問卷調(diào)查,回收有效問卷81份,有效回收率92.05%;2.喉癌術(shù)后患者創(chuàng)傷后成長總均分為(53.58±7.01)分,人際關(guān)系、新可能性、個人力量、精神變化、欣賞生活5個維度得分分別為(17.35±3.94)分、(12.64±3.89)分、(11.17±2.54)分、(5.21±2.27)分、(7.21±2.77)分;3.喉癌術(shù)后患者的生存質(zhì)量總均分為(777.72±122.09)分;4.單因素分析顯示,宗教信仰、家庭居住地、婚姻狀況、術(shù)后時間、手術(shù)方式、合并其他疾病、放療、術(shù)后功能鍛煉對喉癌術(shù)后患者創(chuàng)傷后成長有影響,差異有統(tǒng)計學(xué)意義(P0.05);多元線性逐步回歸分析顯示,宗教信仰(X1)、家庭居住地(X2)、婚姻狀況(X3)、手術(shù)方式(X5)、放療(X7)和術(shù)后功能鍛煉(X8)進入逐步回歸方程,且擬合的多元線性回歸方程有統(tǒng)計學(xué)意義(F=11.562,P=0.000),其中有宗教信仰、居住在農(nóng)村、已婚、喉部分切除、無放療、術(shù)后進行功能鍛煉患者的創(chuàng)傷后成長現(xiàn)象更明顯;5.Pearson相關(guān)分析顯示,喉癌術(shù)后患者創(chuàng)傷后成長與生存質(zhì)量呈一定程度的正相關(guān)(r=0.398),差異有統(tǒng)計學(xué)意義(P0.01)。結(jié)論:1.喉癌術(shù)后患者在與疾病抗?fàn)庍^程中能獲得心理上的積極正性改變,存在創(chuàng)傷后成長現(xiàn)象,成長均分為(53.58±7.01)分;2.喉癌術(shù)后患者的生存質(zhì)量均分為(777.72±122.09)分,處于中等水平;3.宗教信仰、家庭居住地、婚姻狀況、手術(shù)方式、放療和術(shù)后功能鍛煉是其創(chuàng)傷后成長的主要影響因素;4.喉癌術(shù)后患者生存質(zhì)量與創(chuàng)傷后成長呈正相關(guān)。
[Abstract]:Objective: to understand the 1. trauma patients after laryngectomy after the growth and quality of life status; influencing factors analysis of 2. trauma patients after laryngectomy after growth; 3. of trauma patients after laryngectomy after growth and survival correlation between quality and provide a theoretical basis for the quality of life of patients to take effective measures to improve postoperative laryngeal cancer. Methods: the study this study is descriptive. By using random sampling method, from September 2014 ~2015 year in December in Hunan province 4 three hospitals and 81 patients met the inclusion criteria of postoperative laryngeal cancer patients as the research object, using the self-made general demographic data and clinical information questionnaire, posttraumatic growth inventory and the University of Washington quality of life scale the questionnaire. Statistical analysis was performed using SPSS 18 software. The statistical methods include descriptive statistical analysis, variance analysis, t test, Kruskal-Willis H test , multiple linear regression, Pearson correlation analysis. Results: 1. of 88 patients met the inclusion criteria of postoperative laryngeal cancer patients were surveyed, 81 valid questionnaires, the effective recovery rate of 92.05%; 2. trauma patients after laryngectomy after the growth of the total average score was (53.58 + 7.01), interpersonal relationship, new possibilities personal strength, spirit, change, enjoy life scores in 5 dimensions respectively (17.35 + 3.94), (12.64 + 3.89), (11.17 + 2.54), (5.21 + 2.27), (7.21 + 2.77); 3. laryngeal cancer patients after total score for the survival quality of patients (777.72. 122.09); 4. single factor analysis showed that the religious belief, family residence, marital status, postoperative time, surgery, radiotherapy, combined with other diseases, postoperative functional exercise of postoperative laryngeal trauma patients after growth, the difference was statistically significant (P0.05); multiple linear stepwise regression analysis showed that religious beliefs (X1) family. Place of residence (X2), marital status (X3), surgery (X5), radiotherapy (X7) and postoperative functional exercise (X8) into the regression equation, and the fitting of the multiple linear regression equation was statistically significant (F=11.562, P=0.000), which have religious beliefs, living in the village, married, partial laryngectomy without resection, radiotherapy, postoperative functional exercise of patients with posttraumatic growth phenomenon is more obvious; the 5.Pearson correlation analysis showed that the trauma patients after laryngectomy after the growth and quality of life in a certain degree of positive correlation (r=0.398), the difference was statistically significant (P0.01). Conclusion: 1. of patients in the struggle against disease the process can obtain positive positive psychological change, existing posttraumatic growth growth phenomenon, divided into (53.58 + 7.01); 2. of postoperative laryngeal cancer patients' quality of life for the average (777.72 + 122.09) points at the intermediate level; 3. religion, family residence, marital status, surgery Methods, radiotherapy and postoperative functional exercise are the main factors affecting posttraumatic growth, and the quality of life after 4. laryngectomy is positively correlated with posttraumatic growth.

【學(xué)位授予單位】：湖南師范大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R473.73

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