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

分析130例家庭氧疗慢性呼吸衰竭患者生活质量的影响因素。采用探索性多元回归分析方法，研究艾加希拉的PSM问卷、抑郁自评问卷(SRQ-D)、家庭支持、日常生活能力(ADL)和体重对费城老年中心士气量表(PGC)的综合影响。回归的显著变量为PSM(标准化估计：-0.501，P&lt；0.001)和家庭支持(0.265，P&lt；0.001)，二次回归为0.4577(F&lt；0.001)。采用同样的方法对110例血液透析患者进行分析，并加入心身健康量表和生活质量视觉模拟量表。有意义的回归变量是PSM-H(标准化估计：-0.423，p&lt；0.001)、SRQ-D(-0.207，p&lt；0.05)和左肺功能(0.246，p&lt；0.05)，平方回归为0.632(F&lt；0.001)。然而，没有显着的变量回归到PGC，用由这些变量组成的I级和II级标准对三组患者进行了比较。高热患者病情较差，其次为血液透析患者。除少数病例外，其余肺癌患者均在正常范围内。6例热点患者随访至少1年以上。这些因素依次为对热的接受程度、疼痛、抑郁、经济问题、爱好、日常活动能力、生活自理能力。

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.