多发性骨髓瘤患者生活质量的状况及其影响因素  

Quality of Life and Its Influential Factors of Patients with Multiple Myeloma

作　　者：于淼[1] 王晓航[1] 丁小萍[1] 

机构地区：[1]第二军医大学长征医院血液科,上海200003

出　　处：《解放军护理杂志》2013年第5期31-33,57,共4页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的研究多发性骨髓瘤患者的生活质量状况及影响因素,以提高护理质量。方法方便性抽样选取2010年7-12月在第二军医大学长征医院血液科住院治疗的多发性骨髓瘤患者46例,应用欧洲癌症研究与治疗组织生活质量问卷(Euro-pean Organization for Researchand Treatment of Cancer quality of life questionnaire,EORTC QLQ-C30)中文版对其进行生活质量的调查分析。结果多数患者的总体健康和功能状况(除情感功能外)评分处于中下水平,症状评分中乏力、疼痛和睡眠障碍处于中重度水平;生活质量评分与年龄、文化程度和治疗阶段存在相关性(P<0.05或P<0.01),而与患者的性别无相关性(P>0.05)。结论多发性骨髓瘤患者生活质量存在较多问题,多数患者的总体健康和功能状态受到影响,并伴疲乏无力、睡眠障碍及疼痛等症状;且年龄、治疗阶段及文化程度对其存在影响,故应做好有针对性的护理,以改善患者的生活质量。Objective To investigate the quality of life(QOL) and its influential factors in patients with multiple myeloma,so as to improve the nursing quality.Methods From July to December 2010,46 patients with multiple myeloma were selected to answer the Chinese version of European Organization for Research and Treatment of Cancer Quality of Life Questionnaire(EORTCQLQ-C30) in Shanghai Changzheng Hospital.Results The overall patient health and functional status(except emotional function) scores were in the middle and lower level and the symptom scores were in the middle and upper level.There was a significant correlation between the QOL score and educational level and stage of treatment(P<0.05 or P<0.01)and no significant correlation was detected between the QOL score and gender of patients(P>0.05).Conclusion There are more problems on QOL in patients with multiple myeloma.The overall health and functional status of the majority of patients were affected and associated with symptoms of fatigue,weakness,sleep disorders and pain,which were affected by age,stage of treatment,and education level of patients.Intensive targeted nursing is suggested to improve the QOL of patients.

关 键 词：多发性骨髓瘤 生活质量 现状 影响因素 

分 类 号：R733.3[医药卫生—肿瘤]