CAJ | 학술논문

目的：了解恶性骨肿瘤术后患者功能状态与生存质量现状，探讨两者的相关性。方法应用功能状态评估量表（karnofsky performance scale， KPS）和欧洲癌症研究与治疗组织生存质量核心问卷（European organization for research and treatment of cancer， quality of life questionnaire C30， EORTC QLQ－C30）对87例恶性骨肿瘤术后患者进行调查。结果恶性骨肿瘤术后患者KPS得分为（72．64±13．59）分，健康状况总分为（58．33±18．94）分。恶性骨肿瘤术后患者KPS评分与躯体功能、角色功能、情绪功能、社会功能及总体健康状况均呈正相关（P＜0．01）；与疲倦、疼痛、失眠和经济影响均呈负相关（P＜0．01）。结论恶性骨肿瘤术后患者功能状态处于中下水平，生存质量处于较低水平。护理人员应及时评估患者的功能状态，并根据评估结果为患者提供个性化的干预措施，以提高其生存质量。
목적：료해악성골종류술후환자공능상태여생존질량현상，탐토량자적상관성。방법응용공능상태평고량표（karnofsky performance scale， KPS）화구주암증연구여치료조직생존질량핵심문권（European organization for research and treatment of cancer， quality of life questionnaire C30， EORTC QLQ－C30）대87례악성골종류술후환자진행조사。결과악성골종류술후환자KPS득분위（72．64±13．59）분，건강상황총분위（58．33±18．94）분。악성골종류술후환자KPS평분여구체공능、각색공능、정서공능、사회공능급총체건강상황균정정상관（P＜0．01）；여피권、동통、실면화경제영향균정부상관（P＜0．01）。결론악성골종류술후환자공능상태처우중하수평，생존질량처우교저수평。호리인원응급시평고환자적공능상태，병근거평고결과위환자제공개성화적간예조시，이제고기생존질량。
Objective To explore the relationships of quality of life ( QOL ) and functional status in patients with malignant bone tumors after operation. Methods European organization for research and treatment of cancer quality of life questionnaire C30 (EORTC-QLQ-C30), social support revalued scale (SSRS) and Karnofsky performance scale (KPS) were used to investigate the levels of QOL, social support and functional status. The correlations between them were explored. Results The overall score by QOL was (58.33 ± 18.94). The score by KPS was positively related to somatic function, role function, social function, and general health status (P<0.01), but negatively related to tiredness, pains, insomnia and financial burden (P<0.01). Conclusions The QOL in patients with malignant bone tumors after operation is at a lower level and the function is at a medium level. Nurses should assess the function and make out interventional measures for them so as to improve their QOL.