摘要
目的了解肝硬化住院患者生存质量状况及其影响因素。方法采用一般资料问卷、慢性肝病问卷(CLDQ)、医院焦虑抑郁量表(HAD)、一般自我效能感量表(GSES)、卡氏功能状态量表(KPS)及医学应对问卷(MCMQ)对247例肝硬化住院患者实施问卷调查,测定其一般资料、生存质量、焦虑抑郁状况、自我效能感、生活自理能力及应对方式情况;同时由患者主管医师根据患者当前的病情,评定患者Child-Pugh得分。结果①肝硬化住院患者生存质量总分为15.85±1.79;②多元线性回归分析结果显示,KPS得分、自我效能感、屈服、外界支持、焦虑抑郁总分、Child-Pugh得分进入回归方程,最终拟合方程为:Y=18.547+0.434X1+1.291X2-0.065X3+2.423X4-0.074X5-3.732X6(F=20.654,P=0.000,R2=0.653)。结论自理能力、自我效能以及外界支持有利于肝硬化住院患者生存质量的提高;而屈服应对方式,焦虑抑郁负性情绪及疾病严重度(Child-Pugh得分)不利于其生存质量的提高。
Objective To investigate the quality of life （QOL） and its influencing factors in hospitalized patients with hepatic cir- rhosis. Methods Totally 247 patients with hepatic cirrhosis were selected to be samples by self applying sociodemographic data recording form （SDDRF） , chronic liver disease questionnaire （CLDQ） , hospital anxiety and depression scale（HAD） , general self- efficacy scale （GSES） , Karnofsky performance status （KPS） and medical coping modes questionnaire（MCMQ）. In the meantime Child -Pugb scores were evaluated by the doctors of patients to estimate the state of hepatic illness. Results ①The average total score of QOL were15.85± 1.79; ②After multiple linear regression, KPS, self - efficacy, Resignation, the state of social support, the total score of anxiety and depression, the score of Child - Pugh entered into regression equation as the independent influencing factors. The best fitting equation was： Y=18.547＋0.434XI ＋1.291X2-0.065X3 ＋2.423X4-0.074X5-3.732X6（F=20.654,P=0.000,Rz =0.653）. Conclusion KPS, self- efficacy and resignation were beneficial for the general QOL of hospitalized patients with hepatic cirrhosis, but the state of social support, anxiety and depression, the Child -Pugh were harmful to it.
出处
《医学研究杂志》
2013年第10期110-112,共3页
Journal of Medical Research
关键词
肝硬化
生存质量
影响因素
Hepatic cirrhosis
Quality of life
Influencing factors
