垂体瘤合并视功能损害患者生存质量现状的调查

目的调查有视功能损害的垂体瘤患者的生存质量现状并进行分析，为提高和改善患者的生活质量提供依据。方法选择有视功能损害的垂体瘤患者50例，所有患者行视力、矫正视力、Octopus视野计检查。采用视功能损害眼病患者生存质量量表在术前对患者进行问卷调查，分析调查结果。结果50例有视功能损害的垂体瘤患者生存质量总分为（114．54±30．11）分，其中症状与视功能得分为（46．70±14．50）分，身体机能得分为（24．00±5．41）分，社会得分为（23．28±5．76）分，精神心理得分为（20．54±6．92）分。视力轻度下降组、视力中度下降组和视力重度下降组生存质量总得分分别为（138．38±10．92），（125．68±12．52），（75．00±18．75）分，三组比较差异有统计学意义（F=86．04，P〈0．01）。结论随着视力损害程度加重，垂体瘤患者生存质量下降明显，护理人员应当从建立良好护患关系、心理疏导等方面来提高和改善患者的生活质量。

Inveseigation of quality of life of patients with pituitary adenomas with visual impairment

Objective To analyze the quality of life of patients with pituitary adenomas with visual impairment. Methods Fifty patients with pituitary adenomas with visual impairment at different levels from January 2014 to March 2014 were selected. They were tested with vision correction and Octopus campimetry, and their quality of life was measured. Results The total score of quality of life of patients with pituitary adenomas with visual impairment was （ 114. 54 ± 30. 11 ）. The score of symptom with visual function, the physical function, social function and mental health were （46.70 ± 14.50）, （24.00 ± 5.41 ）, （ 23.28 ± 5.76） and （20.54 ± 6. 92）. The score of quality of life of patients with the mild vision impairment, moderate vision impairment, and severe vision impairment were （ 138.38 ± 10.92）, （ 125.68 ± 12.52） and （75.00 ± 18.75）. There was significant difference among the three groups （ F = 86. 04, P 〈 0. 01 ）. Conclusions The quality of life in pituitary adenomas patients declines with the degree of visual losses. Nurses should set up great nurse-patient relationship and psychological counselling to improve the quality of life.