鼻咽癌患者放疗后自我护理能力与生活质量的相关性分析  

Correlation between Self-Care Agency and Quality of Life in Nasopharyngeal Carcinoma Patients after Radiation Therapy

作　　者：丁妍 覃惠英[2] 颜君[3] 范育英[4] 李秋梅[4] 

机构地区：[1]广州华侨医院内一科,广东广州510630 [2]中山大学肿瘤防治中心护理部,广东广州510060 [3]中山大学护理学院,广东广州510080 [4]中山大学肿瘤防治中心鼻咽科,广东广州510060

出　　处：《护理学报》2012年第13期66-69,共4页Journal of Nursing（China）

摘　　要：目的描述鼻咽癌患者放疗后自我护理能力与生活质量水平,并探讨两者的相关性。方法采取方便抽样的方法,使用自我照顾能力量表、欧洲癌症研究治疗组织研制的生活质量问卷,对121名完成全部放射治疗后门诊随访的鼻咽癌患者,进行问卷调查。分析自我护理能力与生活质量水平及两者的相关性。结果本组患者自我护理能力总分为(115.63±17.70)分,生活质量在功能领域方面,社会功能(68.18±20.75)得分最低;在一般性症状领域方面,失眠(31.68±28.50)症状最重;总的生活质量领域得分(64.26±20.17)分。在特异性症状领域中得分前4位的是:口干(67.77±26.50)分、唾液黏稠(55.10±28.45)分、体质量下降(40.50±49.29)分、牙齿问题(39.67±31.13)分。患者的自我护理能力与其生活质量的功能领域及总的生活质量领域呈正相关(r=0.224～0.410,P<0.05),与症状领域呈负相关(r=-0.355～-0.184,P<0.05)。结论鼻咽癌放疗后患者的自我护理能力处于中等或以上水平,总的生活质量尚可,患者的自我护理能力越好,其身体功能及总的生活质量越好,其不适症状越轻。Objective To describe the level of self-care agency and quality of life（QOL）of nasopharyngeal carcinoma（NPC） patients after radiation therapy and to explore the relationship between them.Methods With convenient sampling,121 NPC patients after radiation therapy were recruited for the evaluation of self-care ability and QOL by Exercise of Self-Care Agency Scale（ESCA） and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core-30（EORTC,QLQ-C30）,European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Head＆Neck-35（EORTC,QLQ-H＆N35）.Results The total score of ESCA was（115.63±17.70）.Among functional domains of QLQ-C30,patients got the lowest score of（68.18±20.75） in social function;among general symptom domains,patients got the highest score of（31.68±28.50） in insomnia;among symptom domains of QLQ-H＆N35,patients got the highest score in dry mouth,followed with sticky saliva,weight loss and tooth problem.Self-care agency correlated positively with functional domains of QOL and the general quality of life（r=0.224～0.410,P〈0.05）,while correlated negatively with symptom domains of QOL（r=-0.355^-0.184,P〈0.05）.Conclusion Higher self-care agency is associated with higher body function,the general quality of life and milder discomfortable symptom in NPC patients after radiation therapy.

关 键 词：鼻咽癌 放射治疗 自我护理能力 生活质量 

分 类 号：R739.6[医药卫生—肿瘤]