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目的:探讨前列腺癌根治术后患者的生存质量及影响因素。方法:采用问卷对100例前列腺癌根治术后患者进行调查,评估其术前1周、术后1个月、术后3~6个月的生存质量状况,对可能影响生存质量状况的因素进行单因素和多因素分析,并且针对性提出护理干预措施。结果:前列腺癌根治术后1个月患者总的生存质量、生理功能、社会功能均低于术前1周(P<0.05),术后3~6个月患者总的生存质量、生理功能、角色功能、认知功能、情感功能、社会功能较术前1周、术后1个月均有提高(P<0.05,P<0.01)。患者术后生存质量与面对、屈服、SDS、社会支持、疾病因素、经济状况、重返工作岗位具有相关性(P<0.05)。结论:前列腺癌根治术后患者生存质量受多种因素的影响,术后需给予有效护理干预。
Objective: To investigate the quality of life and influencing factors of patients after radical prostatectomy. Methods: A questionnaire was used to investigate 100 post-radical prostatectomy patients and evaluate their quality of life at 1 week, 1 month after surgery and 3 to 6 months after surgery. The factors that may affect the quality of life were evaluated Univariate and multivariate analysis, and targeted nursing interventions. Results: The total quality of life, physiological function and social function of patients undergoing radical prostatectomy at one month after operation were lower than those of one week before operation (P <0.05). The total quality of life, physiological function, Role, cognitive function, emotional function and social function increased one week after operation and one month after operation (P <0.05, P <0.01). The postoperative quality of life was correlated with face to face, yield, SDS, social support, disease factors, economic status and return to work (P <0.05). Conclusion: The quality of life of patients after radical prostatectomy is influenced by many factors, and effective nursing intervention should be given after operation.