37例门静脉高压症患者手术后生存质量的追踪调查

Follow-up survey on the quality of life of 37 patients with portal hypertension after operation

目的了解门静脉高压症患者手术后生存质量的变化,为实施临床护理提供实证依据。方法采用消化病生存质量指数追踪测定37例门静脉高压症手术患者在术前、术后2周至2年的生存质量值。结果患者术前平均消化病生存质量指数值为（101.2±12.2）分;术后2周和5周时分别为（93.7±13.5）分、（93.3±9.4）分,下降明显,与术前比较,P〈0.05;术后10-16周为94.3-97.6分,与术前比较无显著性差异,P〉0.05;术后6月-2年,稳定在99.5-102.3分。结论术后2-5周是生存质量最低阶段,是临床护理最关键的时期,术后5周起消化病生存质量指数开始提升,术后16周恢复术前水平。

Objective To study the change of quality of life after operation for patients with portal hypertension in order to provide evidence for clinical nursing care. Methods The value of life quality for 37 patients with portal hypertension were studied by Gastrointestinal Quality of Life Index（GLQI）before operation and from two weeks to two years after the operation. Results The average GLQI was （101.2 ±12.2 ）before operation, while （93.7 ± 13.5） and （93.3 ± 9.4） in 2w and 5w after operation respectively, which were declined obviously compared with pre- operation, P 〈 0.05. There was no difference between the GLQI before operation and 10w to 16w after operation in which GLQI was 94.3 to 97.6, P 〉0.05. The GLQI maintained between 99,5 and 102.3 6w to 2y after operation. Conclusions 2 w to 5 w after operation is the most important period for clinical nursing, when patients had the lowest GLQI. GLQI increased after 5w, and reached the level before operation at 16w. K