胃癌患者手术前后生存质量的影响因素分析

Analysis of the influencing factors of the survival quality in stomach cancer patients before and after surgery

目的探讨胃癌患者手术前后生存质量的变化情况及其影响因素。方法选取住院经确诊的胃癌患者202例，通过QLQ-C30量表对手术前后行生存质量调查，以及多变量（条件Logistic回归）方法筛选出胃癌患者的生存质量相关性因素。结果与治疗前比较，术后1个月患者QLQ—C30各项生存质量指标基线状态相比基本恢复，差异无统计学意义（P〉0．05），而术后1周QLQ-C30各项生存质量指标与治疗前差异均有统计学意义（均P〈0．05）。结论影响胃癌患者手术前后生存质量的因素主要为人口社会学特征因素，社会支持、男性、手术方式和医疗费用，应加强患者心理和社会功能的改善。

Objective To explore the changes of the survival quality in stomach cancer patients before and after surgery and its influencing factors. Methods The patoents with stomach cancer have been diagnosed in 202 cases,through the QLQ-C30 scale before another opponent live quality investigation, as well as many variables（ conditional Logistic regression） method, the life quality of correlation factors of gastric cancer patients were anelyzed. Results Compared with before treatment, after a month QLQ-C30 various quality of life index compared to baseline state basic recovery, the difference was not statistically significant （ P 〉 0.05 ）, and a week after QLQ-C30 various quality of life index and before treatment is statistically significant （ all P 〈 0.05 ）. Conclusion Gastric cancer pa- tients before and after surgery survival influence factors on the quality of the main factors for the population sociology characteristics, social support, male, operation methods and medical expenses, should strengthen the psychological and social function of patients to improve.