本文關鍵詞：肝囊型包蟲病手術患者生命質(zhì)量的對比與評價　出處：《新疆醫(yī)科大學》2014年碩士論文　論文類型：學位論文

  更多相關文章： 肝囊型包蟲病 生命質(zhì)量 影響因素

【摘要】：目的：評價2013年在新疆A、B兩所三級甲等醫(yī)院進行手術并確診為肝臟囊型包蟲病的患者術后6月的生命質(zhì)量，并分析其可能的影響因素，為干預措施的制定提供科學依據(jù)。評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，運用包蟲病患者生命質(zhì)量測定量表對肝囊型包蟲病手術患者生命質(zhì)量進行測評，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；采用獨立樣本T檢驗等統(tǒng)計學方法對兩所醫(yī)院的生命質(zhì)量進行比較分析。運用因子分析及相關分析的方法對量表的信度和效度進行評價。結果：A院肝囊型包蟲病手術患者生命質(zhì)量的影響因素為年齡、職業(yè)、住院天數(shù)、有無既往手術史和住院費用；B院肝囊型包蟲病手術患者生命質(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)、有無既往手術史、包蟲數(shù)量、包蟲平均直徑和住院費用。A、B兩院共同影響因素為住院天數(shù)、有無既往手術史和住院費用。兩所醫(yī)院生命質(zhì)量比較結果顯示在生理領域、獨立性領域、環(huán)境領域和量表總分均有差異。A院在生理領域、環(huán)境領域的得分，以及量表總分方面高于B院；在獨立性領域得分低于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個公因子，累計方差貢獻率為80.32％。這5個公因子與量表的5個領域相符合。各領域與量表總分間的相關系數(shù)均大于各領域之間的相關系數(shù)。結論：從兩院肝囊型包蟲病手術患者生命質(zhì)量的影響因素出發(fā)，在患者住院前、中、后均需提供合理、有效的干預措施，以預防為主，加大健康宣教力度，提高疾病知曉率患；同時推進對當?shù)匕x病相關醫(yī)、護、技人員的培訓工作進程，實現(xiàn)屬地治療；在院期間實行醫(yī)生、護士、志愿者三位一體模式；出院后由家人、社區(qū)等進行延續(xù)性關注。
[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.
【學位授予單位】：新疆醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R657.3;R532.32

【參考文獻】

相關期刊論文 前10條

1 祁玉珍,賈新民,靳忠洋,張玉花,張兆品,馮宇,任德毅,陳生邦,楊成明;甘肅省天祝藏族自治縣包蟲病流行病學調(diào)查[J];地方病通報;2003年02期

2 姚明琴,師茂林;1213例包蟲病住院病例的回顧性調(diào)查分析[J];地方病通報;2004年04期

3 鄧玲,陳冠民,譚曉東;生命質(zhì)量在醫(yī)學領域中的應用現(xiàn)狀[J];湖北預防醫(yī)學雜志;2001年03期

4 張輝清;肺包蟲病圍手術期的健康教育[J];護士進修雜志;2001年11期

5 薛福敏;賈超;陳永忠;馮百歲;;臨床路徑在ERCP取石中的應用[J];鄭州大學學報(醫(yī)學版);2011年04期

6 楊炬;劉天錫;;包蟲病流行病學研究進展[J];寧夏醫(yī)學雜志;2008年04期

7 劉學宗 ,張建,于書彥;關于量表的信度和效度[J];首都醫(yī)科大學學報;2001年04期

8 安勝利,陳平雁,黃爽;三個內(nèi)部一致性信度評價指標的比較[J];數(shù)理醫(yī)藥學雜志;2002年01期

9 張俊茹;肖瑋;石蕊;陳建章;;癌癥患者生活質(zhì)量特點調(diào)查分析[J];陜西醫(yī)學雜志;2012年04期

10 萬崇華,陳明清,張燦珍,湯學良,孟瓊,張曉磬;癌癥患者生命質(zhì)量測定量表EORTC QLQ-C30中文版評介[J];實用腫瘤雜志;2005年04期

，

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