喉癌术后患者创伤后成长与生存质量的相关性研究

发布时间：2018-01-12 18:52

本文关键词：喉癌术后患者创伤后成长与生存质量的相关性研究　出处：《湖南师范大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:1.了解喉癌术后患者创伤后成长和生存质量现状;2.分析喉癌术后患者创伤后成长的影响因素;3.探讨喉癌术后患者创伤后成长与生存质量之间的相关性,为采取有效干预措施提高喉癌术后患者生存质量提供理论依据。方法:本研究为描述性研究。采用随机抽样的方法,选取2014年9月~2015年12月在湖南省内4所三级医院治疗且符合纳入标准的81例喉癌术后患者为研究对象,采用自制一般人口学资料和临床资料调查表、创伤后成长量表和华盛顿医科大学生存质量量表对其进行问卷调查。采用SPSS 18.0软件进行统计学分析。统计方法包括描述性统计分析、t检验、方差分析、Kruskal-Willis H检验、多元线性逐步回归、Pearson相关分析等。结果:1.对符合纳入标准的88例喉癌术后患者进行问卷调查,回收有效问卷81份,有效回收率92.05%;2.喉癌术后患者创伤后成长总均分为(53.58±7.01)分,人际关系、新可能性、个人力量、精神变化、欣赏生活5个维度得分分别为(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.喉癌术后患者的生存质量总均分为(777.72±122.09)分;4.单因素分析显示,宗教信仰、家庭居住地、婚姻状况、术后时间、手术方式、合并其他疾病、放疗、术后功能锻炼对喉癌术后患者创伤后成长有影响,差异有统计学意义(P0.05);多元线性逐步回归分析显示,宗教信仰(X1)、家庭居住地(X2)、婚姻状况(X3)、手术方式(X5)、放疗(X7)和术后功能锻炼(X8)进入逐步回归方程,且拟合的多元线性回归方程有统计学意义(F=11.562,P=0.000),其中有宗教信仰、居住在农村、已婚、喉部分切除、无放疗、术后进行功能锻炼患者的创伤后成长现象更明显;5.Pearson相关分析显示,喉癌术后患者创伤后成长与生存质量呈一定程度的正相关(r=0.398),差异有统计学意义(P0.01)。结论:1.喉癌术后患者在与疾病抗争过程中能获得心理上的积极正性改变,存在创伤后成长现象,成长均分为(53.58±7.01)分;2.喉癌术后患者的生存质量均分为(777.72±122.09)分,处于中等水平;3.宗教信仰、家庭居住地、婚姻状况、手术方式、放疗和术后功能锻炼是其创伤后成长的主要影响因素;4.喉癌术后患者生存质量与创伤后成长呈正相关。
[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.

【学位授予单位】：湖南师范大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R473.73

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