Data Analysis and Development in Mesurment of Quality of Life for Patients under Home Oxygen Therapy

分析慢性呼吸衰竭患者（n=130）在家庭氧疗（HOP）下生活质量的影响因素。采用探索性多元回归方法检验Egashira问卷、抑郁自评问卷（SRQ-D）、家庭支持、日常生活活动（ADL）和体重对费城老年中心士气量表（PGC）的综合贡献。回归显著变量为PSM（标准化估计：-0.501,p<0.001）和家庭支持（0.265,p<0.001），平方回归为0.4577 （F<0.001）。采用相同的方法对110例血液透析患者进行分析，并加入血液透析心身药物量表（PSM-H）和生活价值视觉模拟量表（LVAS）。回归显著变量为PSM-H（标准化估计：-0.423,p<0.001）、SRQ-D （-0.207, p<0.05）、LVAS (0.246, p<0.05)，平方回归为0.632 （F<0.001）。肺癌术后患者（n=35）也进行了分析。然而，没有显著变量回归到PGC。采用由这些变量组成的一级和二级标准对三组患者进行比较。以HOT患者表现较差，以同质透析患者次之。肺癌患者除少数病例外均在正常范围内。对6例HOT患者进行至少1年的生活质量影响因素随访。这些因素包括对热的接受程度、疼痛、抑郁、经济问题、爱好、日常活动、自我照顾能力。

Factors affecting quality of life for chronic respiratory failure patients (n=130) under home oxygen therapy (HOP) were analyzed. An exploratory multiple-regression procedure was used to examine the combined contribution of PSM inventory by Egashira, Self-Rating Questionnaire for Depression (SRQ-D), family supports, activities of daily living (ADL), and body weight against the Philadelphia Geriatric Center Morale Scale (PGC). The significant variables regressed were PSM (standardized estimate : -0.501, p<0.001) and family supports (0.265, P<0.001), and the square regression was 0.4577 (F<0.001).Hemodialysis patients (n=110) were analyzed by the same method adding some variables which were psychosomatic medicine inventory for hemodialysis (PSM-H) and life worth living visual analog scale (LVAS). The significant variables regressed were PSM-H (standardized estimate : -0.423, p<0.001), SRQ-D (-0.207, p<0.05), and LVAS (0.246, P<0.05) and the square regression was 0.632 (F<0.001).Lung cancer patients after surgery (n=35) were also analyzed. However there were no significant variables regressed against PGC.Three patients groups were compared using level I and level II standard which were consisted of those variables. The worse condition were revealed by HOT patients and the second were homodialysis patients. The lung cancer patients were within normal limit except a few cases.Six HOT patients were followed examining factors of QOL at least 1 year. These factors were acceptance of HOT,pain, depression, financial problems, hobbies, activities of daily Inving, self care abilities.