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目的 为探讨肺结核患者生存质量 (QOL)及其影响因素。方法 采用SF 36、QL index、KPS等量表 ,对 2 2 8例患者和正常对照进行QOL多终点平行测量 ,通过t检验、方差分析和多元逐步回归分析探讨其影响因素。结果 肺结核患者各终点QOL皆显著低于对照组 (P <0 0 1) ;其影响因素是病灶大小、白细胞数、并发症、转氨酶和病程。结论 加强全程督导化疗、合理营养、功能康复、心理关怀、社会支持 ,以提高肺结核患者的QOL。
Objective To investigate the quality of life (QOL) and its influencing factors in patients with pulmonary tuberculosis. Methods The QOL multi-endpoint parallel measurement was performed on 228 patients and normal controls using the SF 36, QL index and KPS scales. The influencing factors were investigated by t-test, ANOVA and multivariate stepwise regression analysis. Results The endpoints of pulmonary tuberculosis patients were significantly lower than the control group QOL (P <0.01); the factors affecting the size of the lesion, white blood cell count, complications, transaminases and duration. Conclusion To strengthen the whole process of supervision and chemotherapy, rational nutrition, functional rehabilitation, psychological care and social support to improve QOL in patients with pulmonary tuberculosis.