超声消融子宫肌瘤患者的生活质量问卷的分析

发布时间：2018-07-03 18:47

本文选题：平滑肌瘤 + SF-量表　；参考：《重庆医学》2017年06期

【摘要】：目的通过对子宫肌瘤患者的健康相关生活质量问卷的分析,了解子宫肌瘤患者的症状严重程度与生活质量的关系及生活质量各领域之间的相关性。方法回顾性分析重庆医科大学附属第一医院HIFU中心2013年行超声消融的共302例患有子宫肌瘤的女性患者的子宫肌瘤症状及健康相关生活质量问卷(UFS-QOL)量表及SF-36量表。结果 UFS-QOL量表中症状严重程度领域(SSS)的Cronbach′sα系数为0.794,健康相关生活质量亚量表(HRQL)的Cronbach′sα系数为0.953,说明量表的内部一致性较好。症状组子宫肌瘤患者的SSS得分明显高于无症状组(P0.05),除性功能领域外,该组子宫肌瘤患者的HRQL评分明显低于无症状组子宫肌瘤患者(P0.05)。无症状组子宫肌瘤患者的SSS与HRQL各领域的相关程度一般,而UFS-QOL中的活动受限、精力/心情和生活失控三领域之间呈线性正相关(P0.05),症状组子宫肌瘤患者其UFS-QOL量表中SSS与对疾病的顾虑、活动受限及精力/心情3个领域间呈线性负相关(P0.05),其中活动受限与对疾病的顾虑、精力/心情领域呈线性正相关(r=0.776、0.741,P0.05)。结论子宫肌瘤的相关症状对子宫肌瘤患者的生活质量有影响,且患者对生活质量各领域间的评价也相互影响。
[Abstract]:Objective to investigate the relationship between symptom severity and quality of life (QOL) in patients with uterine leiomyoma by analyzing the health-related quality of life questionnaire (QOL). Methods the symptoms of uterine leiomyoma and health-related quality of life (UFS-QOL) and SF-36 scale were retrospectively analyzed in 302 women with uterine leiomyoma who underwent ultrasound ablation at HIFU Center of the first affiliated Hospital of Chongqing Medical University in 2013. Results in UFS-QOL, the Cronbachs 伪 coefficient in the area of symptom severity (SSS) was 0.794, and the Cronbachs 伪 coefficient in the health related quality of life (HRQL) was 0.953, which indicated that the internal consistency of the scale was good. The SSS score of hysteromyoma patients in symptom group was significantly higher than that in asymptomatic group (P0.05). The HRQL score of hysteromyoma patients in this group was significantly lower than that in asymptomatic hysteromyoma patients (P0.05). In asymptomatic patients with uterine leiomyoma, the correlation between SSS and HRQL was general, but the activity of UFS-QOL was limited. There was a positive linear correlation between energy / mood and life loss of control (P0.05). The SSS in UFS-QOL was correlated with disease in patients with hysteromyoma in symptom group. There was a linear negative correlation between activity limitation and energy / mood (P0.05), among which the activity limitation was positively correlated with disease, and the energy / mood was positively correlated (r 0.776 ~ 0.741p0.05). Conclusion the related symptoms of uterine leiomyoma have an effect on the quality of life of patients with uterine leiomyoma, and the evaluation of each field of quality of life also affects each other.
【作者单位】：重庆医科大学生物医学工程学院;西南医科大学附属医院超声医学诊断科;中国科学院上海临床中心/上海市徐汇区中心医院医学影像科;重庆医科大学附属第一医院HIFU中心;
【基金】：国家重点基础研究发展计划(973计划)资助项目(2011CB707900)
【分类号】：R737.33

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