| 随涛,樊志伟,谢克难.胸外伤患者生命质量的影响因素研究[J].安徽医药,2018,22(11):2147-2149. |
| 胸外伤患者生命质量的影响因素研究 |
| Clinical study on influencing factors of the quality of life in the patients with traumatic chest injury |
| 投稿时间：2017-04-06 |
| DOI： |
| 中文关键词: 胸外伤 生命质量 影响因素 |
| 英文关键词: Traumatic chest injury Quality of life Influencing factors |
| 基金项目:2016年阜阳市卫生计生委科研立项课题(2016072) 胸外伤患者生命质量的影响因素研究随涛,樊志伟,谢克难(太和县中医院胸外科,安徽 太和 236600) |
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| 中文摘要: |
| 目的 探讨影响胸外伤后生命质量的相关因素。方法 选择太和县中医院胸外科2016年1月至2017年1月住院98例胸外伤患者,并同时选择同期95例正常体检者作为对照组,进行6个月生命质量调研与相关因素分析。结果 对比两组的生命质量状况,心理领域[(12.56±2.45)分vs.(13.78±1.78)分]、生理健康[(12.01±2.31)分vs.(14.98±2.10)分]和独立性领域[(11.29±2.67)分vs.(15.39±2.41)分]等方面对胸外伤患者生命质量的影响最大(t=-3.64、-9.13、-11.19),差异有统计学意义(P＜0.05)。胸外伤患者以消极情绪[(12.39±2.55)分vs.(8.76±2.19)分]、疼痛感[(12.97±2.10)分vs.(8.90±2.42)分]和治疗依赖[(11.59±2.65)分vs.(6.84±3.25)分]方面差距更为明显(t=11.52、14.98、13.87),差异有统计学意义(P＜0.05)。影响胸外伤患者生命质量因素的多元线性回归分析显示,外伤原因、病情程度、受伤后病程、积极情绪、消极应对、医疗配合度等为影响胸外伤生命质量的显著意义因素(t=3.01、0.91、-0.18、5.97、-0.94、2.75),差异有统计学意义(P＜0.05)。结论 胸伤后患者医疗诊治过程中不仅要重视患者生理方面的改变,同时患者心理和社会因素方面的障碍也要得到及时疏导和纠正,并进行早期的干预,从而提高患者伤后的生命质量。 |
| 英文摘要: |
| Objective To evaluate the influencing factors of the life quality of traumatic chest injury patients.Methods Ninety-eight cases of traumatic chest injury patients treated in Department of Thoracic Surgery,Tranditional Chinese Medical Hospital of Taihe from January 2016 to July 2017 were enrolled in the study.Meanwhile,95 healthy persons in the same period were selected as the control group.The relationship between the life quality and its related factors after six-month evaluation were analyzed.Results By comparison of the quality of life status of the two groups,psychological cognition (12.56±2.45 vs.13.78±1.78),physical health (12.01±2.31 vs.14.98±2.10) and independence (11.29±2.67 vs.15.39±2.41) had the greatest impact on the life quality of patients with chest trauma,and the difference was statistically significant (t=-3.64,-9.13,-11.19,P＜0.05).The gap was more pronounced in patients with negative emotions (12.39±2.55 vs.8.76±2.19),pain (12.97±2.10 vs.8.90±2.42) and treatment dependency (11.59±2.65 vs.6.84±3.25),and the difference was statistically significant (t=11.52,14.98,13.87,P＜0.05).The multiple linear regression analysis displayed that the cause of trauma,the degree of disease,the course of injury,positive emotions,negative response and degree of medical coordination were significant factors affecting the life quality of thoracic trauma,and the differences were statistically significant (t=3.01,0.91,-0.18,5.97,-0.94,2.75,P＜0.05).Conclusion During the medical diagnosis and treatment of traumatic chest injury patients,great importance should not only be attached to the changes in physiological aspects of patients,but also timely guidance and correction of the psychological and social factors,and early intervention is to be performed so as to improve the quality of life after the injury. |
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