本文選題：大腸癌患者　切入點(diǎn)：生存質(zhì)量　出處：《華北理工大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

【摘要】：目的了解大腸癌患者生存質(zhì)量的現(xiàn)狀;分析大腸癌患者生存質(zhì)量的影響因素。方法于2013年10月~2014年10月對(duì)河北聯(lián)合大學(xué)附屬醫(yī)院及唐山市人民醫(yī)院確診住院的大腸癌患者248名進(jìn)行了問卷調(diào)查,包括大腸癌患者的一般人口學(xué)特征的調(diào)查表(包括年齡、性別、婚且、職業(yè)、經(jīng)濟(jì)狀況、醫(yī)保等情況)、癌癥患者生存質(zhì)量量表、微型營養(yǎng)評(píng)估表(MNA)、日常生活能力量表(ADL)、醫(yī)院焦慮抑郁量表(HAD)、社會(huì)支持評(píng)定量表(SSRS)、家庭功能評(píng)估表。所有數(shù)據(jù)采用Exce l軟件輸入建立數(shù)據(jù)庫,使用SPSS17.0統(tǒng)計(jì)軟件進(jìn)行統(tǒng)計(jì)分析。結(jié)果1大腸癌患者生存質(zhì)量現(xiàn)狀:大腸癌患者生存質(zhì)量評(píng)分:軀體功能(34.09±11.30)分,心理功能(30.29±11.59)分,癥狀/副作用(31.42±9.74)分,社會(huì)功能(28.84±8.84)分,生存質(zhì)量總評(píng)分(124.69±31.95)分。2大腸癌患者生存質(zhì)量的單因素分析:①軀體功能在居住地、婚問便是否正常、進(jìn)食是否規(guī)律、有無腹痛、疾病轉(zhuǎn)移、造瘺、化療、化療次數(shù)、手術(shù)后時(shí)間、ADL、個(gè)人收入、醫(yī)療費(fèi)用支付方式、焦慮狀態(tài)、社會(huì)功能、營養(yǎng)均有統(tǒng)計(jì)學(xué)意義(P0.05);②心理功能在是否飲酒、大便是否正常、進(jìn)食是否規(guī)律、有無腹痛、有無腹脹、惡性腫瘤是否轉(zhuǎn)移、化療時(shí)是否惡心、營養(yǎng)狀況、是否化療、化療次數(shù)、ADL、社會(huì)功能差異均有統(tǒng)計(jì)學(xué)意義(P0.05);③癥狀/副作用在居住地、職業(yè)、是否飲酒、腹痛、腹脹、惡性腫瘤是否轉(zhuǎn)移、化療時(shí)是否惡心、營養(yǎng)、造瘺、化療次數(shù)、ADL、個(gè)人月收入、醫(yī)療費(fèi)用支付方式、焦慮狀態(tài)、社會(huì)功能差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。④社會(huì)功能在居住地、職業(yè)、是否吸煙、大便是否正常、進(jìn)食是否規(guī)律、惡性腫瘤是否轉(zhuǎn)移、化療次數(shù)、ADL、個(gè)人月收入、營養(yǎng)、家庭收入、醫(yī)療總費(fèi)用、醫(yī)療費(fèi)用支付方式、焦慮狀態(tài)、抑郁狀態(tài)、家庭功能及社會(huì)功能差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。⑤生存質(zhì)量總分在居住地、職業(yè)、是否飲酒、大便是否正常、進(jìn)食是否規(guī)律、腹痛、腹脹、惡性腫瘤是否轉(zhuǎn)移、化療時(shí)是否惡心、營養(yǎng)、是否造瘺、是否化療、化療次數(shù)、ADL、個(gè)人月收入、醫(yī)療費(fèi)用自付方式、焦慮狀態(tài)、抑郁狀態(tài)、家庭功能及社會(huì)功能差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。3大腸癌患者生存質(zhì)量的多因素分析:①軀體功能的影響因素有:化療次數(shù)、ADL評(píng)分、焦慮狀態(tài)、抑郁狀態(tài)、是否飲酒;②心理功能維度的影響因素有:惡性腫瘤是否轉(zhuǎn)移、大便是否正常、ADL評(píng)分、焦慮狀態(tài)、抑郁狀態(tài)、營養(yǎng);③癥狀/副作用維度的影響因素有:是否飲酒、化療時(shí)是否惡心、抑郁狀態(tài)、ADL評(píng)分、營養(yǎng)狀態(tài);④社會(huì)功能維度的影響因素有:惡性腫瘤是否轉(zhuǎn)移、大便形態(tài)、醫(yī)療總費(fèi)用、抑郁狀態(tài)、營養(yǎng)狀態(tài);⑤生存質(zhì)量總評(píng)分的影響因素有:惡性腫瘤是否轉(zhuǎn)移、是否飲酒、腹脹、化療時(shí)是否惡性、焦慮狀態(tài)、抑郁狀態(tài)、ADL評(píng)分、營養(yǎng)狀態(tài)。結(jié)論1大腸癌患者的生存質(zhì)量總評(píng)分(124.69±31.95)分;2多因素分析顯示:化療次數(shù)、ADL評(píng)分、焦慮狀態(tài)、抑郁狀態(tài)、是否飲酒是大腸癌患者生存質(zhì)量軀體功能維度的影響因素;惡性腫瘤是否轉(zhuǎn)移、大便是否正常、ADL評(píng)分、焦慮狀態(tài)、抑郁狀態(tài)、營養(yǎng)是大腸癌患者生存質(zhì)量心理功能維度的影響因素;是否飲酒、化療時(shí)是否惡心、抑郁狀態(tài)、ADL評(píng)分、營養(yǎng)狀態(tài)是大腸癌患者生存質(zhì)量癥狀/副作用維度的影響因素;惡性腫瘤是否轉(zhuǎn)移、大便形態(tài)、醫(yī)療總費(fèi)用、抑郁狀態(tài)、營養(yǎng)狀態(tài)是大腸癌患者生存質(zhì)量社會(huì)功能維度的影響因素;惡性腫瘤是否轉(zhuǎn)移、是否飲酒、腹脹、化療時(shí)惡心程度、焦慮狀態(tài)、抑郁狀態(tài)、ADL評(píng)分、營養(yǎng)狀態(tài)是大腸癌患者生存質(zhì)量總評(píng)分的影響因素。
[Abstract]:Objective to understand the status of quality of life of patients with colorectal cancer; analysis of factors affecting the quality of life of patients with colorectal cancer. Methods from October 2013 to October ~2014 colorectal cancer patients diagnosed in Hospital Affiliated Hospital of Hebei United University and Tangshan City people's Hospital of 248 questionnaires, including the demographic characteristics of patients with colorectal cancer (including age, questionnaire gender, marriage and occupation, economic status, health insurance, etc.), the cancer patient quality of life scale, mini nutritional assessment (MNA), activity of daily living scale (ADL), hospital anxiety and Depression Scale (HAD), social support rating scale (SSRS), the family function scale. All data the input database using Exce l software and SPSS17.0 statistical software for statistical analysis. Results of the 1 colorectal cancer patients quality of life: the quality of life of patients with colorectal cancer: the scores of physical function (34.09 + 11.30), psychological The function of (30.29 + 11.59) points, symptoms / side effects (31.42 + 9.74), social function (28.84 + 8.84) points, the total score of quality of life (124.69 + 31.95) single factor analysis divided the life quality of patients with.2 colorectal cancer: physical function in place of residence, marriage will ask whether it is normal, whether eating there are no rules, abdominal pain, fistula, metastatic disease, chemotherapy, chemotherapy times, surgery time, ADL, personal income, payment of medical expenses, the state of anxiety, social function, nutrition had statistical significance (P0.05); the psychological function in drinking, the stool is normal, whether eating rules, there is no pain there is no abdominal distension, malignant tumor, metastasis, chemotherapy or nausea, nutritional status, chemotherapy, chemotherapy times, ADL, social function, the differences were statistically significant (P0.05); the symptoms / side effects in the place of residence, occupation, drinking, abdominal pain, abdominal distension, malignant tumor metastasis, chemotherapy is No nausea, nutrition, fistula, number of chemotherapy, ADL, personal income, payment of medical expenses, anxiety, social function, the differences were statistically significant (P0.05). The social function of residence, occupation, smoking, eating stool is normal, whether the law, malignant tumor metastasis, number of chemotherapy, ADL. Personal income, nutrition, family income, total medical expenses, payment of medical expenses, the state of anxiety, depression, family function and social function of the differences were statistically significant (P0.05). The total score of quality of life in the place of residence, occupation, drinking, eating stool is normal, whether the law, abdominal pain, abdominal distension, malignant tumor transfer, whether chemotherapy nausea, nutrition, whether fistula, chemotherapy, chemotherapy cycles, ADL, personal monthly income, medical expenses paid, the state of anxiety, depression, family function and social function were statistically differences Statistically significant (P0.05) multivariate analysis of the quality of life of patients with.3 colorectal cancer: factors affecting the physical function are: the number of chemotherapy, ADL score, anxiety, depression, alcohol consumption; influence factor of psychological function: malignant tumor metastasis, the stool is normal, ADL score, anxiety third, depression, nutrition; symptoms / side effects of the dimensions of the factors are: whether drinking, whether chemotherapy nausea, depression, ADL score, nutritional status; influencing factors and social function dimensions are: malignant tumor metastasis, stool form, total medical cost, depression, nutritional status; influencing factors the total score of quality of life are: malignant tumor metastasis, whether drinking, abdominal distension, chemotherapy is malignant, anxiety, depression, ADL score and nutritional status. The total score of quality of life of patients with colorectal cancer 1 (124.69 + 31.95) points; More than 2 factor analysis showed that the number of chemotherapy, ADL score, anxiety, depression, alcohol consumption are the factors influencing the quality of life of patients with colorectal cancer in the body function dimension; malignant tumor metastasis, stool is normal, ADL score, anxiety, depression, nutrition is the factors affecting the quality of life of patients with colorectal cancer psychological function dimension whether drinking, whether chemotherapy; nausea, depression, ADL score and nutritional status are influencing factors of quality of life of patients with colorectal cancer symptoms / side effects of dimension; malignant tumor metastasis, stool form, total medical cost, depression, nutritional status are the factors influencing the quality of life of patients with colorectal cancer and social function dimensions; malignant tumor metastasis is drinking, abdominal distension, chemotherapy nausea, anxiety, depression, ADL score and nutritional status are influencing factors of colorectal cancer patients with the total score of quality of life.

【學(xué)位授予單位】：華北理工大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R735.34

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相關(guān)期刊論文 前1條

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本文編號(hào)：1652269