肝囊型包虫病手术患者生命质量的对比与评价

发布时间：2018-01-14 19:06

本文关键词：肝囊型包虫病手术患者生命质量的对比与评价　出处：《新疆医科大学》2014年硕士论文　论文类型：学位论文

【摘要】：目的：评价2013年在新疆A、B两所三级甲等医院进行手术并确诊为肝脏囊型包虫病的患者术后6月的生命质量，并分析其可能的影响因素，为干预措施的制定提供科学依据。评估包虫病患者生命质量测定量表的信度和效度。方法：通过查询病案获取一般资料，运用包虫病患者生命质量测定量表对肝囊型包虫病手术患者生命质量进行测评，选择多元线性回归分析的方法筛选出生命质量影响因素；采用独立样本T检验等统计学方法对两所医院的生命质量进行比较分析。运用因子分析及相关分析的方法对量表的信度和效度进行评价。结果：A院肝囊型包虫病手术患者生命质量的影响因素为年龄、职业、住院天数、有无既往手术史和住院费用；B院肝囊型包虫病手术患者生命质量的影响因素为年龄、职业、文化程度、家庭平均年收入、住院天数、有无既往手术史、包虫数量、包虫平均直径和住院费用。A、B两院共同影响因素为住院天数、有无既往手术史和住院费用。两所医院生命质量比较结果显示在生理领域、独立性领域、环境领域和量表总分均有差异。A院在生理领域、环境领域的得分，以及量表总分方面高于B院；在独立性领域得分低于B院。包虫病生命质量测定量表的整体量表Cronbach’s α系数为0.76，分半信度系数为O.84；因子分析提取5个公因子，累计方差贡献率为80.32％。这5个公因子与量表的5个领域相符合。各领域与量表总分间的相关系数均大于各领域之间的相关系数。结论：从两院肝囊型包虫病手术患者生命质量的影响因素出发，在患者住院前、中、后均需提供合理、有效的干预措施，以预防为主，加大健康宣教力度，提高疾病知晓率患；同时推进对当地包虫病相关医、护、技人员的培训工作进程，实现属地治疗；在院期间实行医生、护士、志愿者三位一体模式；出院后由家人、社区等进行延续性关注。
[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 伪 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.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R657.3;R532.32

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