原发性大肝癌患者术后生存质量的调查研究

Clinical research of postoperative quality of life in patients with large primary liver cancer

目的：研究原发性大肝癌患者术后的生存质量。方法：以我院收治的70例原发性大肝癌患者作为研究对象，对70例大肝癌患者分别在手术前、手术后1个月、手术后3个月进行自身调查，采用肝癌患者生活质量测定量表和Piper疲乏修正量表。结果：手术后1个月、3个月分别与手术前相比，患者生存质量的四个维度、QOL评分总分以及自评总分均较前提高，Piper疲乏修正量表评分四个维度均较前降低，P值均＆lt;0.05，差异有统计学意义。术后3个月和术后1个月比较，生存质量的四个维度以及QOL评分总分均有所提高， Piper疲乏修正量表评分四个维度均有所降低，P值均＆lt;0.05，差异有统计学意义，自评总分无明显差异。患者手术后1个月生存质量维度等级分类与治疗前相比有明显差异，8~10分的比例明显提高，0~3分的比例减少，P值均＆lt;0.05，差异有统计学意义。结论：原发性大肝癌患者经过手术治疗以后能够改善患者的生存质量。在临床护理中，有必要对患者术前、术后的生存质量进行评定，通过评价的结果采取有针对性的护理干预，有助于提高大肝癌患者的生存质量。

Objective：To investigate the quality of life of large primary liver cancer patients. Methods：All 70 ca-ses of primary liver cancer patients were studied. Before surgery,after surgery,one month,three months after surgery, to investgate the quality of life. Results：After surgery four dimensions one month,three months,compared with before surgery,the quality of life of patients,QOL total score were improved（P〈0. 05）. Compare 1 month and 3 months af-ter surgery,the four dimensions of quality of life scores and QOL scores were higher. Piper fatigue scale correction sco-ring four dimensions were decreased（P〈0. 05）. No significant difference in the self-assessment score. Conclu-sion：Primary liver cancer patients after surgery can improve the quality of life,it is necessary for preoperative,postop-erative quality of life should be assessed.