子宫颈癌患者生活质量现状和影响因素调查研究  

Study on the quality of life and its influential factors among cervical cancer patients

作　　者：李水凤[1] 郑东霞[1] 姜蓓蓓[1] 李金科[2] 

机构地区：[1]浙江省江山市人民医院妇产科,浙江江山324100 [2]四川大学华西第二医院妇科,四川成都610041

出　　处：《中国现代医生》2013年第2期24-26,共3页China Modern Doctor

基　　金：国家自然科学基金(81001158)

摘　　要：目的探讨子宫颈癌患者生活质量现状和影响因素,旨在为针对性改善患者的生活质量提供参考依据。方法采用自编问卷、焦虑自评量表、抑郁自评量表和宫颈癌患者的生命质量评价量表对2009年8月～2012年8月在我院妇科住院治疗的47例子宫颈癌患者为研究对象,以47例年龄与子宫颈癌相匹配的女性为对照组,进行测评。结果子宫颈癌患者生命质量评价量表中各维度指标得分均明显低于年龄与子宫颈癌相匹配的女性,差异有统计学意义(P<0.05),多元逐步回归分析发现,文化程度、患者对疾病了解程度、保留卵巢、定期阴道冲洗和护理者照顾情况与子宫颈癌患者生活质量呈正相关,而术后并发症与子宫颈癌患者生活质量呈负相关。结论子宫颈癌患者的生活质量较低,受很多因素影响,我们在临床工作中要采取针对性的干预措施,改善患者的生活质量。Objective To investigate the prevalence of the quality of life and its influential factors of cervical cancer patients in order to put forward directed intervention according to their risk factors. Methods The clinical data of forty-seven cervical cancer patients who were treated in the department of gynaeeology in our hospital from August 2009 to August 2012 were collected, forty-seven cases with age matching cervical cancer patients with of women as control group, they were surveyed with questionnaire including self-made general questionnaire, Self-Rating Anxiety Scale, Self-Rating Depression Scale and quality of life scale for cervical cancer patients. Results The index score of all dimensions of quality of life scale for cervical cancer patients were lower than that in the control group （P 〈 0.05）. Multivariate stepwise regression analysis showed that degree of education,understanding degree of cervical cancer, keeping ovarian, regular vaginal irrigating and earegivers care in place were positive correlation with the quality of life, the postoperative complications were negative correlation with the quality of life. Conclusion The quality of life of cervical cancer patients were low, the influential factors of patients are affected by many factors,we should take the appropriate measures to improve the patient＇s quality of life.

关 键 词：子宫颈癌 生活质量 影响因素 横断面调查 

分 类 号：R173[医药卫生—妇幼卫生保健] R737.33[医药卫生—公共卫生与预防医学]