Influencing factors of quality of life of patients with osteoradionecrosis of the jaws
10.3969/j.issn.1671-8283.2019.01.001
- VernacularTitle:放射性颌骨坏死患者生存质量状况及其影响因素分析
- Author:
Dongye YANG
1
;
Lihua CAO
;
Weina ZHANG
;
Xiaogang LIU
;
Xinyu FU
;
Liting LIN
Author Information
1. 中山大学附属口腔医院
- Keywords:
osteoradionecrosis of the jaws;
quality of life;
social support
- From:
Modern Clinical Nursing
2019;18(1):1-7
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the level and influencing factors of quality of life in patients with osteoradionecrosis of the jaws (ORNJ) in order to provide theory basis for nursing intervention. Methods Ninety-five patients hospitalized from January 2015 to Febury 2017 and participated in the investigation by a convenient sampling method. The functional assessment of cancer therapy-head and neck (FACT-H&N), social support rating scale (SSRS) and general information questionnaire were used to assess the quality of life, social support and basic information in ORNJ patients in our hospital respectively. Results The score of quality of life was (79.99 ±15.72). The index value of common module of quality of life was higher than that of additional concern. The average scores of each dimension of common module from low to high were as follows: functional well-being, social/family well-being, physical well-being and emotional well-being. The multiple linear regression analysis showed that the influencing factors of quality of life were social support, severe mouth opening difficulty (grade Ⅲ and Ⅳ), the course of primary disease (3 ~5 years, 5 ~10 years), which explained 35.6%variation in the quality of life. Conclusions The quality of life of ORNJ patients is generally lower than that of other head and neck cancer patients. The social support, severe mouth opening difficulty and course of primary disease can affect the patients' quality of life.The smaller the mouth opening (≤1 cm), the longer the course of primary disease (3~5 years) and the worse the quality of life is. Thus, nursing staff should pay attention to the quality of life of ORNJ patients and give prospective nursing intervention to improve the quality of life according to the characteristics of the development of the disease.