肝硬化失代偿期患者生存质量及其影响因素调查分析

目的了解肝硬化失代偿期患者生存质量状况及其影响因素。方法2005年1月～2007年12月应用生存质量综合评定问卷对50例肝硬化失代偿期患者生存质量及其影响因素进行调查。结果50例肝硬化失代偿期患者生存质量最高分为62分,最低分为22分,平均(40.5±4.9)分;生存质量好的19例(38.0%),差的31例(62.0%);影响生存质量相关因素中,除住房、社区服务2项无统计学意义外(均P>0.05),其余14项均有统计学意义(均P<0.05)。结论肝硬化患者生存质量较差,生存质量受到心理功能、身体功能、社会功能、物质生活等多方面的影响。因此,临床护理人员不仅要做好病情观察、生活护理及基础护理,同时还要尽可能早发现并帮助患者减少或消除影响其生存质量的因素,全面提高患者的生存质量。

Objective To investigate the life quality and influencing factors of hepatic cirrhosis patients with decompensation. Method The survival quality was investigated in 50 hepatic cirrhosis patients with decompensation using the quality of life Comprehensive Assessment Questionnaire during January 2005 to July 2007. Results Of all the patients, the highest score for survival quality was 62, the lowest was 22, with an average of （40.5 ± 4.9）. Ninteen of them lived a better life （38.0%）, 31 did a worse life （62.0%）. For all the influencing factors, all the 14 factors were statistically different （P 〈 0.05）, except the factors of housing and community service （P 〉 0.05）. Conclusions Hepatic cirrhosis patients with decompensation have a poor quality of life, which is influenced by mental function, physical function, social function and material life. Therefore, nurses should not only do well in observation, life care and basic nursing care, but also find and help them to reduce the factors influencing their life quality, so as to increase their quality of life for a whole.