WHOQOL-BREF量表评估喉癌患者两种术后生存质量的比较

APPLICATION OF WHOQOL-BREF SCALE IN EVALUATION AND COMPARISON OF THE QUALITY OF LARYNGEAL CANCER PATENTS FOLLOWING TWO KINDS OF SURGICAL OPERATIONS

目的应用WHO生存质量测定量表(the world health organization quality of Life,WHOQOL-BREF)评估外科治疗喉癌患者的生存质量,从而探讨影响喉癌患者术后生存质量的因素。方法 2006年1月-2008年6月,对35例喉部分切除和30例喉全切除的喉癌患者进行WHOQOL-BREF量表问卷调查,比较2组患者术后生存质量的差异,分析喉癌患者术后生存质量的影响因素。结果喉癌术后患者生存质量的WHOQOL-BREF量表评分提示,喉部分切除组在生理状况、心理状态以及对生存质量主观感受、自身健康状况总主观感觉等得分明显高于喉全切除组(P<0.05)。结论喉部分切除患者生存质量高于喉全切除患者,因此,在彻底切除喉癌组织的同时尽量保留喉功能,对提高患者的生存质量有重要意义。

Objective The world health organization quality of life （WHOQOL- BREF） was used to assess the quality of life in laryngeal cancer patients underwent two kinds of surgical operations, and to explore the relevant factors. Methods Thirty -five patients with partial laryngectomy and thirty patients with total laryngectomy for laryngeal cancer, from January 2006 to June 2008, were investigated with WHOQOL- BREF questionnaire, so as to compare the partial laryngectomy patients＇and the total laryngectomy patients quality of life and to analyze the influencing factors on quality of life of laryngeal cancer patients. Results The WHOQOL - BREF of laryngeal cancer patients showed that the physiological conditions,mental state and the quality of lifes＇subjective feeling, overall health subjective feeling and so on of partial laryngectomy group were significantly higher than total laryngectomy group （P 〈 0.05）. Conclusion The quality of life of the patients after partial laryngectomy is higher than total laryngectomy,therefore ,carcinoma should be resected thoroughly,at the same time,the laryngeal function should be preserved as far as possible, which is important in improving the quality of life of patients after laryngectomy.