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[目的]探讨肺癌生存者生活质量(quality of life,QOL)的影响因素,为肺癌的防治提供科学依据。[方法]应用FACT-L(4.0)中文版QOL调查表,对164例肺癌存活患者的QOL进行测评。采用t检验及单因素方差分析(one way ANOVA),对其QOL影响因素进行分析;用Logistic回归模型分析方法,筛选QOL主要影响因素。[结果]临床分期、是否手术治疗和生存时间是肺癌生存者生活质量的主要影响因素(P﹤0.05)。临床分期越晚,生活质量越低;手术治疗QOL优于非手术治疗;随生存时间延长,QOL越好。[结论]早期诊断,及时手术治疗,可改善患者的QOL。
[Objective] To investigate the influencing factors of quality of life (QOL) in lung cancer survivors and to provide a scientific basis for the prevention and treatment of lung cancer. [Method] The QOL questionnaire of Chinese version of FACT-L (4.0) was used to evaluate the QOL of 164 lung cancer survivors. The QOL influencing factors were analyzed by t test and one way ANOVA. Logistic regression analysis was used to screen the main influencing factors of QOL. [Results] The clinical stage, surgical treatment and survival time were the main influencing factors for the quality of life of lung cancer survivors (P <0.05). The later the clinical stage, the lower the quality of life; surgical treatment of QOL better than non-surgical treatment; with the survival time, QOL better. [Conclusion] Early diagnosis and timely surgical treatment can improve QOL of patients.