CAJ | 학술논문

目的：对中晚期肺癌患者的生活质量进行评价及相关影响因素分析。方法：选取在上海胸科医院住院的中晚期肺癌患者154例，采用我院设计的针对肺癌患者生活质量的调查表（包括8个维度66个条目），对患者进行调查。用QLQ－C30表的记分方法来描述认知功能、情绪功能、躯体功能、角色功能和社会功能5个功能维度。另选取性别、年龄、文化程度、经济状况、婚姻、吸烟等10个变量，根据数据的正态性和方差齐性，对二分类变量采取t检验或秩和检验。结果：不同年龄的患者在角色得分和社会功能得分都有显著的统计学意义（ P＜0．05），被动吸烟患者在认知功能、角色功能和社会功能方面均与无被动吸烟的患者表现出明显的差异。此外负面情绪与患者的生活质量息息相关（P＜0．05）。结论：对于中晚期肺癌患者的年龄，吸烟情况与负面情绪是医务工作者需要密切注意的环节，这些因素对患者的生活质量产生重要的影响。
목적：대중만기폐암환자적생활질량진행평개급상관영향인소분석。방법：선취재상해흉과의원주원적중만기폐암환자154례，채용아원설계적침대폐암환자생활질량적조사표（포괄8개유도66개조목），대환자진행조사。용QLQ－C30표적기분방법래묘술인지공능、정서공능、구체공능、각색공능화사회공능5개공능유도。령선취성별、년령、문화정도、경제상황、혼인、흡연등10개변량，근거수거적정태성화방차제성，대이분류변량채취t검험혹질화검험。결과：불동년령적환자재각색득분화사회공능득분도유현저적통계학의의（ P＜0．05），피동흡연환자재인지공능、각색공능화사회공능방면균여무피동흡연적환자표현출명현적차이。차외부면정서여환자적생활질량식식상관（P＜0．05）。결론：대우중만기폐암환자적년령，흡연정황여부면정서시의무공작자수요밀절주의적배절，저사인소대환자적생활질양산생중요적영향。
Objective:To evaluate the life quality of middle-late stage lung cancer patients and analyze related factors .Method: Selected 154 cases of middle-late stage lung cancer patients in Shanghai Chest Hospital , using our questionnaire to survey the life quality of lung cancer patients ( including eight dimen-sions and 66 entries).QLQ-C30 table scoring method is used to describe five dimensions , including cogni-tive function , emotional function , physical function , role function and social function .On the other side , se-lect 10 variables including gender, age, educational level, economic status, marriage, smoking or not etc, according to the data of normality and homogeneity of variance , the binary classification variables take t test or rank and inspection .Result:The patients of different ages had significant statistical significance ( P <0. 05) in role and social function scores , passive smoking patients showed significant differences in terms of cognitive function , role function and social function .In addition, negative emotion is closely related to the patient's quality of life ( P <0.05) .Conclusion:Medical workers need to pay close attention to middle-late stage lung cancer patients on age , smoking status and negative emotions , which are important influence on the patient's life quality .