中华显微外科杂志
中華顯微外科雜誌
중화현미외과잡지
Chinese Journal of Microsurgery
2010年
2期
125-128
,共4页
傅国%顾立强%秦本刚%李平%向剑平%戚剑%朱庆棠%李智勇%劳镇国%刘小林%朱家恺
傅國%顧立彊%秦本剛%李平%嚮劍平%慼劍%硃慶棠%李智勇%勞鎮國%劉小林%硃傢愷
부국%고립강%진본강%리평%향검평%척검%주경당%리지용%로진국%류소림%주가개
臂丛%损伤%生存质量%国际勃起功能评分
臂叢%損傷%生存質量%國際勃起功能評分
비총%손상%생존질량%국제발기공능평분
Brachial plexus%Injury%Quality of life%International Index of Erectile Function
目的 通过调查臂丛损伤患者生存质量,分析影响因素,探讨改善患者生存质量的干预方式.方法 向患者发放世界卫生组织生存质量测定量表中文版(WHOQOL-BREF)调查问卷,对男性患者附加国际勃起功能评分-5(IIEF-5)问卷,将数据输入SPSS 13.0软件并根据WHOQOL-BREF在生理、心理、社会、环境4个领域的评分公式计算相应得分,对结果进行统计分析.结果 共收回51份有效问卷,臂丛损伤患者的生理、心理、环境领域得分分别(11.47±2.36)分、(12.37±2.28)分和(11.62±2.22)分,而正常国人的相关领域得分分别为(15.8±2.9)分、(14.3±2.5)分和(13.2±2.4)分,经单样本t检验,差异有统计学意义(P＜0.01);患者的IIEF-5得分为(17.83±4.65)分,低于正常值(≤21分诊断勃起功能障碍),经单样本t检验,差异有统计学意义(P＜0.01).生理领域得分与年龄、家庭经济收入和勃起功能评分有显著相关性,分别为P＜0.05、P＜0.05和P＜0.01;心理领域与勃起功能评分、环境领域与家庭月收入之间亦有显著相关性,均为P＜0.05.结论 臂丛损伤患者的生存质量明显下降,且影响因素较为复杂,应联合家属加强对患者生理和心理双方面的护理和治疗.
目的 通過調查臂叢損傷患者生存質量,分析影響因素,探討改善患者生存質量的榦預方式.方法 嚮患者髮放世界衛生組織生存質量測定量錶中文版(WHOQOL-BREF)調查問捲,對男性患者附加國際勃起功能評分-5(IIEF-5)問捲,將數據輸入SPSS 13.0軟件併根據WHOQOL-BREF在生理、心理、社會、環境4箇領域的評分公式計算相應得分,對結果進行統計分析.結果 共收迴51份有效問捲,臂叢損傷患者的生理、心理、環境領域得分分彆(11.47±2.36)分、(12.37±2.28)分和(11.62±2.22)分,而正常國人的相關領域得分分彆為(15.8±2.9)分、(14.3±2.5)分和(13.2±2.4)分,經單樣本t檢驗,差異有統計學意義(P＜0.01);患者的IIEF-5得分為(17.83±4.65)分,低于正常值(≤21分診斷勃起功能障礙),經單樣本t檢驗,差異有統計學意義(P＜0.01).生理領域得分與年齡、傢庭經濟收入和勃起功能評分有顯著相關性,分彆為P＜0.05、P＜0.05和P＜0.01;心理領域與勃起功能評分、環境領域與傢庭月收入之間亦有顯著相關性,均為P＜0.05.結論 臂叢損傷患者的生存質量明顯下降,且影響因素較為複雜,應聯閤傢屬加彊對患者生理和心理雙方麵的護理和治療.
목적 통과조사비총손상환자생존질량,분석영향인소,탐토개선환자생존질량적간예방식.방법 향환자발방세계위생조직생존질량측정량표중문판(WHOQOL-BREF)조사문권,대남성환자부가국제발기공능평분-5(IIEF-5)문권,장수거수입SPSS 13.0연건병근거WHOQOL-BREF재생리、심리、사회、배경4개영역적평분공식계산상응득분,대결과진행통계분석.결과 공수회51빈유효문권,비총손상환자적생리、심리、배경영역득분분별(11.47±2.36)분、(12.37±2.28)분화(11.62±2.22)분,이정상국인적상관영역득분분별위(15.8±2.9)분、(14.3±2.5)분화(13.2±2.4)분,경단양본t검험,차이유통계학의의(P＜0.01);환자적IIEF-5득분위(17.83±4.65)분,저우정상치(≤21분진단발기공능장애),경단양본t검험,차이유통계학의의(P＜0.01).생리영역득분여년령、가정경제수입화발기공능평분유현저상관성,분별위P＜0.05、P＜0.05화P＜0.01;심리영역여발기공능평분、배경영역여가정월수입지간역유현저상관성,균위P＜0.05.결론 비총손상환자적생존질량명현하강,차영향인소교위복잡,응연합가속가강대환자생리화심리쌍방면적호리화치료.
Objective To investigate the quality of life on brachial plexus injury patients in crosssectional study method and acquire related data. To analysis the effect factors and try to study on the methods which help to improve the quality of life of these patients. To our knowledge, this is the first study that measures quality of life of the brachial plexus injury patients in China. Methods Research participants completed the Chinese version of the World Health Organization Quality of Life Assessment-Bref (WHOQOL-BREF) and the 5-items version of International Index of Erectile Dysfunction Questionnaire (IIEF-5) for male.Data were typed into computer and analyzed with SPSS version 13.0. Correlations between domain scores and hospital stay, age, and family monthly income variables were analyzed with Spearman non-parameter correlation analysis. Results Fifty-one valid questionnaires were retrieved. The average score of these patients in physical, psychological, environment domains were 11.47 ± 2.36, 12.37 ± 2.28 and 11.62 ± 2.22, respectively. They were significantly lower than the norm groups in national studies which were 15.8 ± 2.9, 14.3 ±2.5 and 13.2 ± 2.4 (P ＜ 0.01 ). The average score of IIEF-5 was ( 17.83 ± 4.65), significantly lower than the normal score of 22 (P ＜ 0.01 ). Significant correlation was found among physical domain and age(P ＜ 0.05),family monthly income (P ＜ 0.05) and IIEF-5 score(P ＜ 0.01). Psychological domain also has significant correlation with IIEF-5 score (P ＜ 0.05) and so does environment domain with family monthly income (P ＜0.05). Conclusion Brachial plexus injury patients showed a reduction in quality of life scores. Even though the physical aspect was the most affected, there is evidence that the psychological, environmental domains and erectile function remained far from the ideal conditions expected for the general population. The effect factors are complex and there still remain much work to do.
