本文關(guān)鍵詞：肝囊型包蟲病手術(shù)患者生命質(zhì)量的對(duì)比與評(píng)價(jià)　出處：《新疆醫(yī)科大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 肝囊型包蟲病 生命質(zhì)量 影響因素

【摘要】：目的：評(píng)價(jià)2013年在新疆A、B兩所三級(jí)甲等醫(yī)院進(jìn)行手術(shù)并確診為肝臟囊型包蟲病的患者術(shù)后6月的生命質(zhì)量，并分析其可能的影響因素，為干預(yù)措施的制定提供科學(xué)依據(jù)。評(píng)估包蟲病患者生命質(zhì)量測定量表的信度和效度。方法：通過查詢病案獲取一般資料，運(yùn)用包蟲病患者生命質(zhì)量測定量表對(duì)肝囊型包蟲病手術(shù)患者生命質(zhì)量進(jìn)行測評(píng)，選擇多元線性回歸分析的方法篩選出生命質(zhì)量影響因素；采用獨(dú)立樣本T檢驗(yàn)等統(tǒng)計(jì)學(xué)方法對(duì)兩所醫(yī)院的生命質(zhì)量進(jìn)行比較分析。運(yùn)用因子分析及相關(guān)分析的方法對(duì)量表的信度和效度進(jìn)行評(píng)價(jià)。結(jié)果：A院肝囊型包蟲病手術(shù)患者生命質(zhì)量的影響因素為年齡、職業(yè)、住院天數(shù)、有無既往手術(shù)史和住院費(fèi)用；B院肝囊型包蟲病手術(shù)患者生命質(zhì)量的影響因素為年齡、職業(yè)、文化程度、家庭平均年收入、住院天數(shù)、有無既往手術(shù)史、包蟲數(shù)量、包蟲平均直徑和住院費(fèi)用。A、B兩院共同影響因素為住院天數(shù)、有無既往手術(shù)史和住院費(fèi)用。兩所醫(yī)院生命質(zhì)量比較結(jié)果顯示在生理領(lǐng)域、獨(dú)立性領(lǐng)域、環(huán)境領(lǐng)域和量表總分均有差異。A院在生理領(lǐng)域、環(huán)境領(lǐng)域的得分，以及量表總分方面高于B院；在獨(dú)立性領(lǐng)域得分低于B院。包蟲病生命質(zhì)量測定量表的整體量表Cronbach’s α系數(shù)為0.76，分半信度系數(shù)為O.84；因子分析提取5個(gè)公因子，累計(jì)方差貢獻(xiàn)率為80.32％。這5個(gè)公因子與量表的5個(gè)領(lǐng)域相符合。各領(lǐng)域與量表總分間的相關(guān)系數(shù)均大于各領(lǐng)域之間的相關(guān)系數(shù)。結(jié)論：從兩院肝囊型包蟲病手術(shù)患者生命質(zhì)量的影響因素出發(fā)，在患者住院前、中、后均需提供合理、有效的干預(yù)措施，以預(yù)防為主，加大健康宣教力度，提高疾病知曉率患；同時(shí)推進(jìn)對(duì)當(dāng)?shù)匕x病相關(guān)醫(yī)、護(hù)、技人員的培訓(xùn)工作進(jìn)程，實(shí)現(xiàn)屬地治療；在院期間實(shí)行醫(yī)生、護(hù)士、志愿者三位一體模式；出院后由家人、社區(qū)等進(jìn)行延續(xù)性關(guān)注。
[Abstract]:Objective: to evaluate the quality of life (QOL) of patients with hepatic cystic hydatid disease diagnosed as hepatic cystic hydatid disease in two Grade 3A hospitals in Xinjiang on 2013 and analyze the possible influencing factors. To provide scientific basis for the formulation of intervention measures and to evaluate the reliability and validity of the quality of life measurement scale for patients with hydatid disease. Methods: general information was obtained by consulting the medical records. The quality of life (QOL) of patients undergoing hepatocystis hydatidosis surgery was evaluated by using the quality of life scale (QOL) of hydatid disease patients, and the influencing factors of QOL were selected by multiple linear regression analysis. The quality of life (QOL) of the two hospitals was compared and analyzed by independent sample T test. The reliability and validity of the scale were evaluated by factor analysis and correlation analysis. The influencing factors of quality of life of patients with hepatic cystic hydatid disease in hospital A were age. Occupation, length of stay, history of operation and hospitalization expenses; The influencing factors of quality of life of patients with hepatic cystic hydatid disease in Hospital B were age, occupation, education level, average annual income of family, length of stay, history of operation and the number of hydatid worms. Average diameter of hydatid and hospitalization cost. The common influencing factors were days of hospitalization, history of operation and cost of hospitalization. The results showed that the quality of life of the two hospitals was in the field of physiology and independence. There were differences in the total scores of environmental field and scale. The scores of college A were higher than those of hospital B in physiological field, environmental field, and total score of scale; The score in the field of independence was lower than that in hospital B. the Cronbach's 偽 coefficient and split-half reliability coefficient of the overall scale for measuring the quality of life of hydatidosis were 0.76 and 0.84 respectively. Five common factors were extracted by factor analysis. The cumulative contribution rate of variance was 80.32.The five common factors were consistent with the five fields of the scale. The correlation coefficients between each domain and the total score of the scale were higher than those between the different fields. Conclusion:. The factors affecting the quality of life of patients with hepatic cystic hydatid disease were analyzed. Before and after hospitalization, reasonable and effective intervention measures should be provided, mainly to prevent, to increase health education, and to improve disease awareness rate. At the same time, to promote the local hydatidosis related doctors, nurses, technical personnel training process, to achieve territorial treatment; In the hospital during the implementation of doctors, nurses, volunteers trinity model; After discharge from the hospital by the family, the community and so on for continuous attention.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R657.3;R532.32

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