喉癌患者术后生活质量的影响因素调查研究

Feasibility of university of washington quality of life questionnaire for follow up of laryngeal cancer in china

目的探讨喉癌患者术后生活质量的影响因素。方法对38例全喉切除和51例喉部分切除的喉癌患者进行UWQOL量表问卷调查,比较喉全切除术和喉部分切除术后患者生存质量(guality of life,QOL)的不同,分析喉癌患者术后影响生存质量的因素。结果喉部分切除术组患者的QOL总分(701.16±130.53)高于喉全切除术组(641.23±138.45,P<0.05),说话交流和外貌方面(78.23±20.18,82.51±20.89)显著高于喉全切除术组(41.65±22.63,70.72±23.32;P<0.001,P<0.05);而后者在疼痛方面(94.36±15.31)要高于前者(85.32±10.89;P<0.01)。手术方式、语言交流、心理因素是影响患者术后生存质量的因素。结论喉癌患者术后生活质量受多种因素影响,术后家人及朋友应给予患者更多的关怀和鼓励,使其尽快重新融入家庭和社会生活中。

Objective To detective the influence factors in laryngeal cancer patients treated by total or partial laryngectomy. Methods With UW - QOL questionnaire, a survey was conducted in patients treated by partial （51, Group A） or total （38, Group B） laryngectomy for laryngeal cancer. Results The composite QOL scores of group A （701.16 ±130. 53） were higher than those of group B （641.23 ±138.45） ,with a difference statistically significant （P 〈 0.05 ）. Group A （78.23 ±20.18,82.51 ±20.89 ） was better than group B （ 41.65 ±22.63,70.±~ 23.32 ; ） in speech and appearance （P 〈 0.001 ; P 〈 0.05 ） ; hut group B （ 94.36 ±15.31 ） was superior to group A （ 85.32 ±10.89） in pain （P 〈0.01 ）. Three factors including operative, modality, speech ,psychology were related to postlaryn- gectomy QOL. Conclusions Many factors influenced the life quality of laryngeal cancer.