CAJ | 학술논문

目的调查不同手术方式喉癌术后患者远期(术后6个月以上)生活质量并做分析,寻求最优护理对策及干预措施.方法选择明确诊断为喉癌并行手术治疗患者82例,其中行全喉切除术42例(全喉切除术组),喉部分切除术40例(喉部分切除术组,包括水平半喉切除术22例,垂直半喉切除术18例).采用头颈癌生活质量测定特异量表(QLQ-H&N65)中文版对2组患者的术后远期生活质量进行调查,并对结果进行分析.结果全喉切除术组患者生活质量在总健康状况、吞咽、语言问题、进食方面问题、社交障碍、唾液黏稠、咳嗽、躯体功能、情绪功能、认知功能、社会功能、失眠、便秘、经济困难、性功能减退等方面显著差于喉部分切除术组.结论不同术式喉切除患者的生活质量受躯体症状及心理、社会功能缺失等多种因素的影响,应更多的关注干预全喉切除术后患者的生活质量.
목적 조사불동수술방식후암술후환자원기(술후6개월이상)생활질량병주분석,심구최우호리대책급간예조시.방법 선택명학진단위후암병행수술치료환자82례,기중행전후절제술42례(전후절제술조),후부분절제술40례(후부분절제술조,포괄수평반후절제술22례,수직반후절제술18례).채용두경암생활질량측정특이량표(QLQ-H&N65)중문판대2조환자적술후원기생활질량진행조사,병대결과진행분석.결과 전후절제술조환자생활질량재총건강상황、탄인、어언문제、진식방면문제、사교장애、타액점주、해수、구체공능、정서공능、인지공능、사회공능、실면、편비、경제곤난、성공능감퇴등방면현저차우후부분절제술조.결론 불동술식후절제환자적생활질량수구체증상급심리、사회공능결실등다충인소적영향,응경다적관주간예전후절제술후환자적생활질량.
Objective To know the remote quality of life of patients with tumor of larynx when ab-scised by different type, and then summarize proper countermeasures of nursing. Methods Selected 82 laryngocarcinoma patients with exacte]y diagnosis. There were 40 cases had received total laryngectumy, 42 cases had received partial laryngectomy. Evaluated the level of remote quality of life of 82 patients by QLQ-H&N65, and then analyzed the datum. Results The level of quality of life of patients with total laryn-gectomy were worse than those in patients with partial laryngectomy in the aspects such as general health, swallow, language, emotional function, social function, body fuction and so on. Conclusions The quality of life of patients with tumor of larynx is influenced by several factors, their remote quality of life should be emphasised by nurses.