知情状况对癌症患者生活质量及情绪影响的初步研究  

Effects of awareness on the quality of life and emotion in cancer patients

作　　者：邹建军[1] 高勇[1] 曹传武[1] 骆益宙[1] 钱建新[1] 王杰军[1] 

机构地区：[1]上海长征医院肿瘤科,上海200003

出　　处：《肿瘤》2004年第5期490-493,496,共5页Tumor

摘　　要：目的 本研究采用调查量表的方式(1)研究不同程度的知情对癌症患者生活质量的影响,(2)研究影响癌症患者情绪的主要因素。方法 调查量表采用国内外通用的"癌症患者生活质量FACT-G量表",所选病例均为住院病人,采用方差分析和多元逻辑回归分析方法处理数据。结果 入选病例共计110例,以晚期肿瘤为主(73.6％),患者对病情完全知情(34.5％),部分知情(28.1％)和完全不知情(37.4％)。统计结果显示,知情状况对FACT-G量表中的情绪和功能状况评分有显著影响,尤其是对情绪的影响最强。另一方面,研究表明,本组癌症患者情绪好坏主要由性别、知情状况、体能评分、疼痛程度决定,多元逻辑回归显示这些因素与患者情绪有显著相关性(P=0.022.0.006.0.012,0.004)。结论 肿瘤患者对病情完全知情比例仅34.5％,知情对患者的生活质量中的某些方面,如情绪和功能状况可能产生影响。决定癌症患者,尤其是晚期癌症患者情绪好坏的主要因素分别是性别因素、知情状况、体能评分和疼痛程度。Objective In this study, we used the questionnaire to study (1) the effect of different degree of awareness on quality of life (QOL) of cancer patients. (2) the main factors that affect the cancer patients mood. Methods We adopted the FACT-G. which has been applied widely in QOL of cancer patients for susally available method in both foreigners and Chinese people. All the patients were hospitalized and we used squair analysis of variance and multinomial logistic regression methods to analysis the data. Results There were all 110 cases in this study,most of them were advanced patients(73. 6%), patients who knowed their deseases completely composed 34. 5% , partly knowed were 28.1% ,unknowed completely were 37. 4%. The results showed that wheather the patients know their diseases or not will affect their mood and QOL dramatically, espeacially the mood. The more patients knew about their diseases, the more serious their moods would be affected. On the other hand, sex, awareness. ECOG. pain affected the patients mood, multinomial logistic regression analysis showed that these factors had relativity with mood. (P is 0.022,0.006,0. 012,0. 004 ) Conclusion Cancer patients who know completely about their diseases compose only 34. 5%, whether know about their diseases will affect the patients mood and QOL. Gender,awareness. ECOG and pain will determine the patients mood.

关 键 词：肿瘤 LOGISTIC模型 结果评价(卫生保健) 

分 类 号：R730.9[医药卫生—肿瘤]