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目的评价乳腺癌患者术后生活质量,并探讨相关危险因素,制定合理的护理措施,有效提高患者术后生活质量。方法将2012年7月—2013年6月收治的63例经手术治疗的乳腺癌患者和60例健康女性分别作为研究组和对照组,采用健康调查简表(SF-36)对2组的生活质量进行评价。收集患者的相关暴露因素(年龄、性别、病理分期、治疗方式、文化程度、家庭经济状况、有无配偶、有无子女、是否独居、医疗费用报销方式、焦虑和抑郁状况等),采用单因素和多因素Logistic回归分析筛选影响生活质量的危险因素。结果研究组和对照组的PF、SF、RP、BP、MH、RE、VI、GH和平均分比较差异均具有统计学意义(P<0.05)。Logistic回归分析显示生活质量与病理分期(OR=0.427,95%CI 0.327~0.558)、保乳手术(OR=2.673,95%CI 1.852~3.858)、辅助化疗(OR=0.343,95%CI 0.236~0.499)、独居(OR=0.385,95%CI 0.267~0.555)、自费(OR=0.291,95%CI0.186~0.455)、焦虑(OR=0.428,95%CI 0.269~0.681)和抑郁(OR=0.411,95%CI 0.287~0.589)有关。结论乳腺癌患者术后生活质量明显低于常人,并且受生理、心理和社会等多种主观和客观因素的影响。应有针对性的采取合理有效的干预措施,提高患者术后的生活质量,改善预后。
Objective To evaluate the postoperative quality of life of patients with breast cancer and to explore the relevant risk factors, develop reasonable nursing measures, and effectively improve the postoperative quality of life of patients. Methods Sixty-three patients with breast cancer and 60 healthy women who underwent surgery between July 2012 and June 2013 were selected as the study group and the control group respectively. The health survey profile (SF-36) Quality evaluation. Patients were collected for relevant exposure factors (age, sex, stage of staging, treatment, education, family economic status, spouse with or without children, living alone, reimbursement of medical expenses, anxiety and depression, etc.) And multivariate Logistic regression analysis to screen the risk factors affecting the quality of life. Results The differences of PF, SF, RP, BP, MH, RE, VI, GH and average scores between study group and control group were statistically significant (P <0.05). Logistic regression analysis showed that the quality of life and pathological stage (OR = 0.427,95% CI 0.327-0.558), breast conserving surgery (OR = 2.673,95% CI 1.852-3.858), adjuvant chemotherapy (OR = 0.343,95% CI 0.236 ~ (OR = 0.385, 95% CI 0.267-0.555), self-payment (OR = 0.291,95% CI0.186-0.455), anxiety (OR = 0.428,95% CI 0.269-0.681) and depression 0.411, 95% CI 0.287 ~ 0.589). Conclusion The postoperative quality of life of patients with breast cancer is significantly lower than that of ordinary people, and is influenced by various subjective and objective factors such as physiology, psychology and society. Should be targeted to take reasonable and effective interventions to improve the quality of life of patients after surgery and improve prognosis.