喉癌患者生活质量与应对方式的相关性调查分析

目的探讨喉癌患者的生活质量、应对方式状况及两者之间的关系,为寻求相应的护理对策,提高喉癌患者的生活质量提供依据。方法将58例喉癌患者设为病例组,并以同期58例健康成人作为对照组,采用自行设计的一般情况调查表、生活质量核心量表（（QLQ-C30）、医学应对问卷（MCMQ）进行调查和分析。结果病例组的整体生活质量领域和各功能领域得分均低于对照组（P〈0.01）,说明生活质量水平较低;与常模相比,病例组较多采用面对和回避两种应对方式,其生活质量与面对呈正相关（P〈0.05）,与回避、屈服呈负相关（P〈0.01）。结论喉癌患者的生活质量水平降低,应采取有效的护理措施促使患者采取面对方式以应对疾病,提高生活质量。

Investigation on Correlation between Quality of Life of the Patients with Laryngeal Carcinoma and Coping Style

Objective To evaluate the present situation and relevance of quality of life and coping style in patients with laryngeal carcinoma,and provide scientific basis for corresponding nursing cares to improve the quality of life of the patients.Methods 58 patients with laryngeal carcinoma were set as case group,58 healthy adults were set as control group.A self-designed information questionnaire,quality of life core questionnaire（QLQ-C30）,and medical coping modes questionnaire（MCMQ） were used to surveyed the present situation and relevance of quality of life and coping style in the two groups.Results Compared with control group,the total score of quality of life and the score of every functional area of case group were low（P0.01）,this result showed that the quality of life of the patients was low;compared with normal,majority of case group chose confront style and avoidance style;the quality of life was positively correlated with confront（P0.05）,but negatively with avoidance and resignation（P0.01）.Conclusion The level of quality of life was low in patients with laryngeal carcinoma,effective nursing cares should be taken to encourage the patients to face disease with confront,which can improve their quality of life.