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目的对喉癌术后患者的希望水平和生活质量以及两者之间的关系进行研究和分析。方法以2010年2月至2013年10月收治的136例喉癌术后患者作为研究对象,分别采用Herth希望量表、欧洲癌症研究与治疗组织核心生活质量问卷(EORTC QLQ-C30)对患者的希望水平和生活质量进行评价,对两者之间的相关性进行Pearson分析,并对患者机体能量消耗变化进行观察和分析。结果术后患者在整体健康状况、功能、症状以及各单项评分上均较术前明显提高(P<0.05或P<0.01),其中65.5%的患者表现为低等希望水平,31.6%的患者为中等希望水平,仅有2.9%的患者表现为高等希望水平。而Pearson相关性分析显示希望水平各维度与患者整体健康状况、功能、症状以及单项均呈正相关(P<0.05,P<0.01)。结论喉癌患者术后希望水平越高,其术后生活质量则越高,因此临床可加强对患者术后希望水平的关注,制定相应措施,以提高患者的生活质量。
Objective To study the level of hope and quality of life of postoperative patients with laryngeal cancer and the relationship between the two. Methods A total of 136 patients with laryngeal cancer admitted from February 2010 to October 2013 were enrolled in this study. The Herth Hope Scale, European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30) Hope level and quality of life. Pearson analysis was conducted on the correlation between them and the change of energy consumption in the patients was observed and analyzed. Results Postoperative patients were significantly improved in overall health, function, symptoms and individual scores compared with that before operation (P <0.05 or P <0.01), of which 65.5% showed low hope level and 31.6% were Medium hope level, only 2.9% of patients showed higher hope level. Pearson correlation analysis showed that all the dimensions of hope level had positive correlation with overall health status, function, symptoms and single item (P <0.05, P <0.01). Conclusion The higher the postoperative hope level of patients with laryngeal cancer is, the higher the postoperative quality of life is. Therefore, the clinicians can pay more attention to the postoperative hope level and formulate corresponding measures to improve the quality of life of patients.