知情状况对住院晚期肺癌患者生活质量的影响  

Effect of Informed Status on Quality of Life in Lung Cancer Patients

作　　者：罗洁[1] 吴凤英[1] 郑迪[1] 

机构地区：[1]同济大学附属上海市肺科医院肿瘤科,上海200433

出　　处：《肿瘤防治研究》2012年第7期855-859,共5页Cancer Research on Prevention and Treatment

摘　　要：目的本研究采用调查量表的方式,研究不同程度的知情状况对肺癌患者生活质量的影响。方法从2007年6月—2007年12月间,采用问卷调查的方式采集信息,调查量表采用目前通用的专门针对肺癌生活质量调查的FACT-L量表。结果入组病例共115例,其中完全知情、部分知情及不知情的比例分别为31.3%、49.6%和19.1%。结果表明,不同知情程度对患者的社会/家庭状况及功能状况有显著影响(P值分别为0.001和0.042),完全知情患者社会/家庭状况及功能状况评分高于部分知情及不知情患者。多因素分析显示,不同知情状况仅对患者社会/家庭状况产生显著性影响(P=0.0179),而对其功能状况并无显著性影响。进一步分析表明,对患者社会/家庭状况的影响,不知情组评分显著低于部分知情组与完全知情组(P值分别为0.027和0.001);完全知情组评分高于部分知情组,但差异无统计学意义(P=0.266)。结论目前住院肺癌患者对自己病情的完全知情比例仅为31.3%,知情程度对患者的社会/家庭状况有正面影响,可以选择合适的时机和方式告知患者真实病情。Objective To explore the effect of the informed status at different levels on the quality of life in lung cancer patients by survey.Methods The information was collected by questionnaire in lung cancer patients from June 2007 to December 2007.The FACT-L scale which was specialized for the evaluation of quality of life for lung cancer patients was used in this study.Results One hundred and fifteen patients were enrolled in this study,of those patients,the totally informed,partially informed and not informed patients account for 31.3%,49.6% and 19.1% respectively.The result indicated that different informed status significantly,affect the social/familial status and performance status（P value is 0.001 and 0.042 individually）,and totally informed patients have obviously better social/familial status than partially informed and not informed patients.Further analysis showed that not informed patients have less influence on the social/familial life than that on the partially informed and totally informed patients（P value is 0.027 and 0.001 individually）,the evaluation score in totally informed patients is higher than partially informed patients,but it failed to reach statistical significance（P=0.266）.Conclusion At present,the percentage of informed hospitalized lung cancer patients is only 31.3% now days.Better informed status has positive influence on social/familial status.Thus,it is better to inform the patients of their disease at a suitable situation.

关 键 词：肺肿瘤 知情状况 生活质量 

分 类 号：R734.2[医药卫生—肿瘤]