化疗期间肺癌患者生命质量、心理健康的影响因素分析

Influence factor of quality of life,psychological health in lung cancer patients during chemotherapy

目的探讨肺癌患者在全程化疗期间生命质量、心理健康等的影响因素,从而指导护理人员制定更具个体化的护理措施。方法选取就诊于我院的208例肺癌患者,调查分析过程以QLQ-C30生活质量量表为主,同时也采用了医学应对问卷(MCMQ)及凯斯勒量表。结果单因素分析结果QLQ-C30量表显示婚姻状态、吸烟、饮酒与否方面具有统计学意义(P<0.05);凯斯勒心理健康量表显示职业、吸烟、饮酒与否方面具有统计学意义(P<0.05)。医学应对量表评价显示均无统计学意义。多因素分析结果QLQ-C30量表显示年龄、学历水平、婚姻状态以及饮酒与否具有统计学意义;凯斯勒量表显示年收入、吸烟、饮酒与否、自评健康具有统计学意义;医学应对量表显示饮酒与否具有统计学意义。QLQ-C30与凯斯勒量表中提示身体功能的相关系数明显升高;MCMQ总分与QLQ-C30中提示健康有关经济情况的相关系数明显升高。结论肺癌患者的生命质量与其年龄、学历、婚姻状况、饮酒与否密切相关,在临床工作中护理人员可依据以上内容针对性地制定个体化护理方案,从而提升患者的生活质量。

Objective To explore obvious influence factor quality of life,mental health in patients with lung cancer during chemotherapy,so as to provide basis for making targeted nursing plans.Methods Two hundred and eight patients with lung cancer in our hospital were selected and analysis process was mainly by using QLQ-C30 quality of life scale,as well as MCMQ and Kessler scale.Results The univariate analysis showed that QLQ-C30 showed significant differences in marital status,smoking and alcohol consumption(P<0.05),and Kessler scale showed significant differences in occupation,smoking and alcohol consumption(P<0.05).There was no statistical significance in the evaluation of MCMQ.Multivariate analysis results showed that QLQ-C30 scale showed significant differences in age,education level,marital status and whether drinking or not;Kessler scale showed that annual income,smoking,drinking or not,self-rated health were statistically significant;medical coping scale showed that drinking was statistically significant.The correlation coefficient between QLQ-C30 and Kessler scale indicated that the correlation coefficient of body function was significantly increased;the correlation coefficient between MCMQ total score and QLQ-C30 indicating health-related economic situation significantly increased.Conclusion The quality of life of patients with lung cancer is closely related with their age,education background,marital status,drinking or not.In clinical work,nurses can formulate individualized nursing programs according to the above contents,so as to further improve the quality of life of patients.