肺癌恶性胸腔积液置管引流患者生活质量调查及影响因素分析

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Abstract Objective To investigate the quality of life (QOL) of lung cancer malignant pleural effusion patients with catheter drainage and explore the main factors affecting their quality of life. Methods From January to October in 2017, in Department of Respiratory Medicine, Chinese PLA General Hospital, 64 cases of lung cancer with malignant pleural effusion were selected as observation group, and at the same time, 66 cases of advanced lung cancer without malignant pleural effusion were selected as control group, the quality of life of patients were evaluated by using lung cancer quality of life scale (Fact-l 4.0). Multivariate analysis was used to analyze the factors that may affect the life quality of patients with malignant pleural effusion and drainage of lung cancer. Results The Physical well-being, functional well-being, lung cancer subscale and FACT-L total score in the observation group were significantly lower than those in the control group, the differences were statistically significant (P < 0.05). Pathologic typing, PS score, number of indwelling pleural catheters, education level, source of income, informed status were the factors of quality of life in lung cancer malignant pleural effusion patients with catheter drainage (P < 0.05). PS score, informed status, and number of indwelling pleural catheters were independent factors affecting the quality of life of lung cancer malignant pleural effusion patients with catheter drainage (P < 0.05). Conclusion The quality of life of lung cancer malignant pleural effusion patients with catheter drainage is poor, PS score, informed state and number of indwelling pleural catheters are independent influencing factors.

Key words： Lung cancer Pleural effusion Drainage Quality of life

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	MIAO Kailing LI Chunyan HOU Huiru

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MIAO Kailing LI Chunyan HOU Huiru. Investigation of quality of life in lung cancer malignant pleural effusion patients with catheter drainage and analysis of influencing factors[J]. 中国医药导报, 2018, 15(22): 64-68.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I22/64

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