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1、山西醫(yī)科大學碩士學位論文成人慢性中耳炎患者生活質(zhì)量及影響因素分析姓名：魏瑋申請學位級別：碩士專業(yè)：耳鼻咽喉頭頸外科指導教師：王斌全張芩娜20070423山西匿辯大學蕞士學位論文QualityofLifeAmongAdultswithChronicSuppurativeOtitisMediaAndTtsInfluentialFactorsAbstractobjectⅣ偽：Toanalyzethehealthrelatedqualityof

2、life(QOF)amongadultswimCbfomcOtitis(COM)andtoidentifyitsinfluentialfactorsTesearchthechangesofthelifequalitybetweenpreoperativeandpostoperativeMethods：Acrosssectionalanalysisoftheadults、析tllChronicSuppurativeOtitisinGuan

3、gDongprovinsalpeople’hospitalwhometthesurveyedstandardwasmadeusingtheCMne辯versionofChromeEarSurvey(CCES)andWorldHealthOrganizationQualityofLife100(WHOQOL100)questionnaireAfterobUanillgconsenttheCCESandWHOQOL100formsWelea

4、dministeredpreoperativelyandat6monthsand1yearpostoperativelyScoringofCESandWHOQOL100werenormalizedtoascalefrom0to100謝th100beingthebestscoreDemographicandsurgicaldatawereobtainedfromthemescalrecordThedatawereanalyzedusing

5、theSPSS115statisticalpackageReliabilityanalysis(Chronbach’sa)，CorrelationanalysisandFactoranalysiswffreusedtoassessthereliabilityandvalidityofthequestionnaireResults：Therearctatally93COMpatientsinGuangDongprovisalpeople’

6、hospitalinDecember2005toJune2006AndallofthemgaveinformedconsentandWereenrolledinaprospective，longitudinal，nonrandomizedstudy71patientscompletedthe6monthsurveys，and51patientscompletedthe12monthsurvey(I)ResultsoftheWHOQOL一

7、100surveysfrompatientswithCOMwerereviewedandcomparedwithnormalsubjectsthereWasnostatisticallysignificantdifferencebetweenthem(2)InCCESsurvyTheQOLofCOMpatientsWassignificantlyworsethanthatofthehealthypopulationsCESscoresi

8、mprovedsignificantlyatboththe6and12monthpostoperativesurveysandtherewasastatisticallysignificantincreaseinCCESscorescomparingthe6and12monthtimepoints(3)Theinfluentialfactorsofpatients’lifequalityishearing，drainingearthep

9、aUernsofoperationandtheCOMcategoryTherearenodatashowthatpatient’Ssexage，cicatricleafteroperationandwhethertheyhavesmokinghistoryoruseantibioticsbeforeoperationcallinfluencetheCCESSCOre(4)Reliability，validityandresponsive

10、nessoftbeformwerepreliminarilyassuredConclusions：TheQOLofCOMpatientsWassignificantlyWOrsethanthatofthehealthypopulationsCESscoresimprovedsignificantlyatbomthe6and12monthpostoperativesurveysandtherewasastatisticallysignif

11、icantincreaseinCESscOreScomparingthe6and12monthtimepointsThemaininfluentialfactorsofthequalitylifeforthisresearchgrouparehearing，drainingeartinnitusandtheCOMcategoryThisstudyistoprovidescientificevidenceforclinicalpsycho

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