本文選題：腎癌根治術(shù)后 + 生命質(zhì)量��； 參考：《醫(yī)學(xué)與哲學(xué)(B)》2017年04期

【摘要】：了解腎癌根治手術(shù)后患者生命質(zhì)量現(xiàn)狀,探討影響腎癌根治患者術(shù)后生命質(zhì)量的因素,為有針對(duì)性地制定提高腎癌根治患者術(shù)后生命質(zhì)量的干預(yù)措施提供科學(xué)依據(jù)。采用橫斷面調(diào)查研究,應(yīng)用領(lǐng)悟社會(huì)支持量表(PSSS)、醫(yī)學(xué)應(yīng)對(duì)問(wèn)卷(MCMQ)以及自行編制的腎癌術(shù)后生命質(zhì)量調(diào)查評(píng)定表,采用問(wèn)卷調(diào)查的方法對(duì)195例腎癌根治患者的生命質(zhì)量進(jìn)行測(cè)量和評(píng)價(jià)。運(yùn)用SPSS 19.0軟件對(duì)調(diào)查數(shù)據(jù)進(jìn)行統(tǒng)計(jì)學(xué)分析,運(yùn)用t檢驗(yàn)、F檢驗(yàn)進(jìn)行組間差異的比較,運(yùn)用多重線性逐步分析進(jìn)行多因素分析。結(jié)果,經(jīng)向后的逐步線性回歸分析,影響生命質(zhì)量因素包括社會(huì)支持中的家庭內(nèi)、家庭外支持、應(yīng)對(duì)方式中的面對(duì)、回避、屈服。腎癌根治手術(shù)后患者生命質(zhì)量與患者社會(huì)支持、應(yīng)對(duì)方式有關(guān)。腎癌術(shù)后患者在應(yīng)對(duì)方式與常模有差異,表現(xiàn)為回避與屈服。腎癌術(shù)后患者在社會(huì)支持得分高于直腸癌患者的得分,說(shuō)明有更好的社會(huì)支持。
[Abstract]:To understand the quality of life (QOL) of patients with renal cell carcinoma after radical resection, to explore the factors affecting the quality of life (QOL) of patients with renal cell carcinoma (RCC), and to provide scientific basis for improving the quality of life (QOL) of patients with RCC. A cross-sectional study was conducted with the perceived Social support scale (PSSS), the Medical coping questionnaire (MCMQ) and the quality of Life (QOL) questionnaire developed by ourselves. The quality of life (QOL) of 195 patients with RCC was measured and evaluated by questionnaire. SPSS 19.0 software was used to analyze the data of investigation statistically, t test F test was used to compare the differences among groups, and multiple linear stepwise analysis was used to carry out multivariate analysis. The results of stepwise linear regression analysis showed that the factors affecting the quality of life included social support in the family, external support, coping style in the face, avoidance, and submission. The quality of life of patients after radical nephrectomy is related to social support and coping style. The coping style of patients with renal carcinoma after operation was different from that of norm, showing avoidance and submission. The score of social support in patients with renal cancer was higher than that in patients with rectal cancer, indicating that there was better social support.
【作者單位】： 大連醫(yī)科大學(xué)附屬第一醫(yī)院泌尿外二科;大連醫(yī)科大學(xué)流行病與衛(wèi)生統(tǒng)計(jì)教研室;大連醫(yī)科大學(xué)附屬第一醫(yī)院護(hù)理部;
【分類號(hào)】：R737.11

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