华西口腔医学杂志 ›› 2018, Vol. 36 ›› Issue (3): 271-276.doi: 10.7518/hxkq.2018.03.008

• 临床研究 • 上一篇    下一篇

口腔癌患者生存质量的影响因素及医学应对方式分析

秦帅华(), 李新明, 李文鹿()   

  1. 郑州大学第一附属医院口腔颌面外科,郑州 450052
  • 收稿日期:2017-09-04 修回日期:2017-11-15 出版日期:2018-06-01 发布日期:2018-06-01
  • 作者简介:

    秦帅华,住院医师,硕士,E-mail:1587674291@qq.com

  • 基金资助:
    国家自然科学基金(81402578)

Influencing factors on the quality of life and medical coping style of patients with oral cancer

Shuaihua Qin(), Xinming Li, Wenlu Li()   

  1. Dept. of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
  • Received:2017-09-04 Revised:2017-11-15 Online:2018-06-01 Published:2018-06-01
  • Supported by:
    The National Natural Science Foundation of China (81402578).

摘要:

目的 评价口腔癌患者术后生存质量的影响因素并对患者的应对方式进行分析。方法 采用第4版华盛顿大学生存质量量表(UWQOL)和医学应对问卷(MCMQ)分别对符合纳入标准的131例口腔癌术后患者进行调查,了解患者生存质量的影响因素及应对方式与生存质量之间的相关关系。结果 共回收有效问卷126份,回收率为96.18%(126/131)。单因素分析显示年龄、婚姻状况、文化程度、其他系统性疾病、个人收入水平、牙齿缺失、手术次数、辅助放疗、分期、颈淋巴清扫术、复发及颌骨切除等因素对口腔癌患者生存质量有不同程度的影响(P<0.05);多重回归分析显示,牙齿缺失、分期、复发及颌骨切除主要在生存质量总得分上的差异有统计学意义(P<0.05)。口腔癌术后患者应对方式中的面对维度得分为(17.54±4.97)分,回避维度得分为(17.79±2.19)分,屈服维度得分为(12.97±5.70)分,与常模比较,差异具有统计学意义(P<0.05),相关分析表明,面对和回避维度与患者生存质量呈正相关,屈服维度与患者生存质量呈负相关(P<0.05)。结论 年龄、婚姻状况、文化程度、其他系统性疾病、个人收入水平、牙齿缺失、手术次数、辅助放疗、分期、颈淋巴清扫术、复发及颌骨切除在生存质量各方面均有不同程度的影响,而牙齿缺失、分期、复发及颌骨切除是影响患者整体生存质量的主要因素,应加强个性化治疗及护理,全面提高患者的生存质量,改变患者的不良应对方式。

关键词: 口腔癌, 生存质量, 应对方式

Abstract:

Objective To evaluate the influencing factors on the postoperative quality of life and to analyze the coping styles of patients with oral cancer. Methods A total of 131 oral cancer cases confirmed through diagnostic criteria were investigated to analyze the influencing factors on the quality of life (QOL) and the relationship between coping style and QOL of these patients by using the fourth edition of the University of Washington Quality of Life Questionnaire (UWQOL) and medical coping modes questionnaires (MCMQ), respectively. Results Among the 131 questionnaires collected, only 126 were valid with a recovery rate of 96.18% (126/131). Single factor analysis showed that age, marital status, educational level, other systemic diseases, personal income level, tooth loss, operation times, adjuvant radiotherapy, cancer staging, cervical lymph node dissection, recurrence, and jaw resection yielded different UWQOL scale scores (P<0.05). Multiple regression analysis showed that the loss of teeth, cancer staging, recurrence, and jaw resection yielded statistically significant differences in the total score of UWQOL (P<0.05). Among the coping styles, the average scores of “confrontation”, “avoidance”, and “yielding” were 17.54±4.97, 17.79±2.19, and 12.97±5.70, respectively. Compared with the norm, the difference was statistically signifi-cant (P<0.05). Correlation analysis showed that “confronta-tion” and “avoidance” were positively correlated, whereas “yielding” was negatively correlated to QOL (P<0.05). Conclusion Age, marital status, educational level, other systemic diseases, personal income level, tooth loss, operation times, adjuvant radiotherapy, cancer staging, cervical lymph node dissection, recurrence, and jaw resection have different effects on the quality of QOL. Tooth loss, cancer staging, recurrence, and jaw resection are the main causative factors affecting the patients’ perceived QOL. Personalized treatment and nursing care should be strengthened to improve the coping style and quality of life of patients.

Key words: oral cancer, quality of life, coping style

中图分类号: